How a predictive analysis can be used to assess which hemiparetic patients can gain advantage from additional visual feedback of center-of-pressure displacements?

Author(s):  
Bastien Guillebastre ◽  
Samir Boudrahem ◽  
Patrice Rougier
2020 ◽  
Author(s):  
I-Lin Wang ◽  
Li-I Wang ◽  
Yang Liu ◽  
Shi-Jie Xue ◽  
Rui Hu ◽  
...  

Abstract Background: Visual feedback from the center of pressure (COP) on the benefits of standing quietly remains controversial. The study was to investigate the adaptive effect of COP real-time visual feedback training provided by smart wearable devices on standing in silence. Methods: Thirty healthy female college students were randomly divided into three groups (visual feedback balance training group (VFT), non-visual feedback balance training group (NVFT) and control group (CG)) .Two force plates were used to calculate the coordinates of COP anteroposterior (COPAP) and COP mediolateral (COPML).The motion analysis system is used to calculate the coordinates of the center of mass in two directions. Enhanced visual feedback on the screen in the form of fluctuating in different directions, VFT received real-time visual feedback from Podoon APP for training, the NVFT only performs open eye balance without receiving real-time visual feedback. The CG group did not receive any visual feedback. The training lasted 4 weeks, the training lasts 30 minutes at an interval of 1 days. Results: After four weeks of balance training, the results showed that visual feedback training can improve the stability of human posture control by one leg stance and tandem stance static balance training on VFT intelligent App. The parameters of COPML/AP max displacement, COPML/AP velocity and COP radius and COP area in the VFT were significantly increased (p<0.05).Conclusion: The conclusion shows that COP real-time visual feedback training provided by smart wearable devices can reduce postural sway better and improve body balance ability than general training when standing quietly.


2008 ◽  
Vol 381-382 ◽  
pp. 369-372
Author(s):  
Gi Beum Kim ◽  
S.H. Jeong ◽  
Woo Suk Chong ◽  
H.S. Kang ◽  
S.J. Kim ◽  
...  

The effectiveness of the visual feedback to improve ability with the sense and muscular strength of human in our bicycle system was quantitatively verified in our study. Experiments were performed to find the factors related to the training of equilibrium sense. The subjects consisted of young and the aged and the group of young people was compared against the group of the aged. We investigated three different training modes, non-visual feedback (NVF), visual feedback of the weight (VFW), and visual feedback of the center of pressure (VFC) and measured the riding time and speed, the weight shift, and the center of pressure (COP) for twenties and seventies. The results showed that the running capability of the young and the aged became much better after repeated training. In addition, it was found out that the ability to control postural balance and the capability of equilibrium sense were improved with the presentation of the visual feedback information. These results will be effective in the diagnosis of equilibrium sense and vestibular function with the aged.


PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e5101 ◽  
Author(s):  
Krzysztof Kręcisz ◽  
Michał Kuczyński

To investigate how additional visual feedback (VFB) affects postural stability we compared 20-sec center-of-pressure (COP) recordings in two conditions: without and with the VFB. Seven healthy adult subjects performed 10 trials lasting 20 seconds in each condition. Simultaneously, during all trials the simple auditory reaction time (RT) was measured. Based on the COP data, the following sway parameters were computed: standard deviation (SD), mean speed (MV), sample entropy (SE), and mean power frequency (MPF). The RT was higher in the VFB condition (p < 0.001) indicating that this condition was attention demanding. The VFB resulted in decreased SD and increased SE in both the medial-lateral (ML) and anterior-posterior (AP) planes (p < .001). These results account for the efficacy of the VFB in stabilizing posture and in producing more irregular COP signals which may be interpreted as higher automaticity and/or larger level of noise in postural control. The MPF was higher during VFB in both planes as was the MV in the AP plane only (p < 0.001). The latter data demonstrate higher activity of postural control system that was caused by the availability of the set-point on the screen and the resulting control error which facilitated and sped up postural control.


Author(s):  
Wenlong Zhang ◽  
Masayoshi Tomizuka ◽  
Nancy Byl

In this paper, a wireless human motion monitoring system is presented for gait analysis and visual feedback in rehabilitation training. The system consists of several inertial sensors and a pair of smart shoes with pressure sensors. The inertial sensors can capture lower-extremity joint rotations in three dimensions and the smart shoes can measure the force distributions on the two feet during walking. Based on the raw measurement data, gait phases, step lengths, and center of pressure (CoP) are calculated to evaluate the abnormal walking behaviors. User interfaces are developed on both laptops and mobile devices to provide visual feedback to patients and physical therapists. The system has been tested on healthy subjects and then applied in a clinical study with 24 patients. It has been verified that the patients are able to understand the intuitive visual feedback from the system, and similar training performance has been achieved compared to the traditional gait training with physical therapists. The experimental results with one healthy subject, one stroke patient, and one Parkinson's disease patient are compared to demonstrate the performance of the system.


Author(s):  
Stefano Vando ◽  
Stefano Longo ◽  
Luca Cavaggioni ◽  
Lucio Maurino ◽  
Alin Larion ◽  
...  

The aim of this study was to assess the efficacy of using real-time visual feedback (VF) during a one-week balance training intervention on postural sway parameters in young karatekas. Twenty-six young male karatekas (age = 14.0 ± 2.3 years) were randomly divided into two groups: real-time VF training (VFT; n = 14) and control (CTRL; n = 12). Their center of pressure (COP) displacement (path length, COPpl; distance from origin, COPod) was assessed pre- and post-training on a Wii Balance Board platform in two positions (Flex: knee of the supporting leg slightly bent, maximum hip and leg flexion of the other leg; Kick: knee of the supporting leg slightly bent, mawashi-geri posture for the kicking leg). Both groups trained twice a day for seven days, performing a one-legged stance on the non-dominant limb in the Kick position. During the training, VFT received real-time VF of COP displacement, while CTRL looked at a fixed point. No interaction effect was found (p > 0.05). VFT exhibited greater changes pre- and post-training in Flex COPpl (−25.2%, g = 1.5), Kick COPpl (−24.1%, g = 1.3), and Kick COPod (−44.1%, g = 1.0) compared to CTRL (−0.9–−13.0%, g-range: 0.1–0.7). It is possible that superimposing real-time VF to a week-long balance training intervention could induce a greater sport-specific balance-training effect in young karatekas.


2017 ◽  
Vol 26 (5) ◽  
Author(s):  
Kyung-Min Kim ◽  
Joo-Sung Kim ◽  
Dustin R. Grooms

Context: Patients with somatosensory deficits have been found to rely more on visual feedback for postural control. However, current balance tests may be limited in identifying increased visual dependence (sensory reweighting to the visual system), as options are typically limited to eyes open or closed conditions with no progressions between. Objective: To assess the capability of stroboscopic glasses to induce sensory reweighting of visual input during single-leg balance. Design:Descriptive Setting: Laboratory Participants: 18 healthy subjects without vision or balance disorders or lower extremity injury history (9 females; age = 22.1 ± 2.1 y; height = 169.8 ± 8.5 cm; mass = 66.5 ± 10.6 kg) participated. Interventions: Subjects performed 3 trials of unipedal stance for 10 s with eyes open (EO) and closed (EC), and with stroboscopic vision (SV) that was completed with specialized eyewear that intermittently cycled between opaque and transparent for 100 ms at a time. Balance tasks were performed on firm and foam surfaces, with the order randomized. Main Outcome Measures: Ten center-of-pressure parameters were computed. Results: Separate ANOVAs with repeated measures found significant differences between the 3 visual conditions on both firm (P-values =< .001) and foam (P-values =< .001 to .005) surfaces for all measures. For trials on firm surface, almost all measures showed that balance with SV was significantly impaired relative to EO, but less impaired than EC. On the foam surface, almost all postural stability measures demonstrated significant impairments with SV compared with EO, but the impairment with SV was similar to EC. Conclusions:SV impairment of single-leg balance was large on the firm surface, but not to the same degree as EC. However, the foam surface disruption to somatosensory processing and sensory reweighting to vision lead to greater disruptive effects of SV to the same level as EC. This indicates that when the somatosensory system is perturbed even a moderate decrease in visual feedback (SV) may induce an EC level impairment to postural control during single-leg stance.


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