scholarly journals Case of cerebellar ataxia successfully treated by virtual reality-guided rehabilitation

2021 ◽  
Vol 14 (5) ◽  
pp. e242287
Author(s):  
Kazuhiro Takimoto ◽  
Kyohei Omon ◽  
Yuichiro Murakawa ◽  
Hideo Ishikawa
Keyword(s):  
Virtual Reality ◽  
Physical Therapy ◽  
Test Score ◽  
Daily Life ◽  
Balance Training ◽  
Balance Function ◽  
Brainstem Infarction ◽  
Evaluation Systems ◽  
Functional Balance ◽  
Trunk Sway

A male patient in his 40s was transferred to our hospital for rehabilitation of ataxia after right cerebellar and brainstem infarction. After 3 weeks of conventional physical therapy, his activities of daily life successfully improved with an increase in the functional impedance measure from 101 to 124. However, he still fell short of gaining a higher level of balance function, which was necessary for his job as a standup forklift driver. We introduced virtual reality-guided balance training. The training was performed for approximately 40 min on weekdays for 2 weeks. As a result, the Scale for the Assessment and Rating of Ataxia score decreased from 5 to 1, Functional Balance Scale score improved from 48 to 56, and Mini-Balance Evaluation Systems Test score increased from 20 to 28. The trunk sway disappeared clinically. He regained confidence and returned to work after an additional 2 weeks of physical therapy.

Independent walking and balance in children with CHARGE syndrome

2020 ◽  
pp. 026461962094606
Author(s):  
Pamela Haibach-Beach ◽  
Melanie Perreault ◽  
Lauren Lieberman ◽  
Elizabeth Foster
Keyword(s):  
Postural Control ◽  
Motor Development ◽  
Balance Training ◽  
Building Blocks ◽  
Charge Syndrome ◽  
Anticipatory Control ◽  
Evaluation Systems ◽  
Functional Balance ◽  
And Gender ◽  
Dynamic Gait

Children with CHARGE syndrome (CWCS) are born with multiple physical disabilities, several of which impair balance and the onset of motor milestones. Early motor development problems can include delayed independent walking, which has been found in CWCS. In addition, few studies have examined balance in CWCS and these studies have been limited in scope, necessitating a more comprehensive examination of balance in this population. Motor development occurs as a progression of stages as represented by Seefeldt’s conceptual model. As such, it is essential to examine the association of early development of foundational skills, such as balance, with the onset of motor milestones as they are building blocks to motor competence. The aims of this study are to (1) examine the differential effects of children with and without CHARGE syndrome on balance and (2) examine the association of age of walking to these balance measures. In this study, 27 CWCS and 22 children without CHARGE syndrome, aged 7 to 16 years, were assessed on four components of balance including anticipatory control, reactive postural control, sensory orientation, and dynamic gait using the shortened version of the Balance Evaluation Systems Test (mini-BESTest) and parental reported age of independent walking. Their balance and age of walking were compared to 22 typically developing peers of similar age and gender distribution. Results revealed that CWCS walked three times later than their peers without CHARGE syndrome and had significant deficits on all balance systems assessed with the largest difference occurring in anticipatory control. Anticipatory control is critically important in maintaining static and dynamic postural control. These results indicate a critical need for early functional balance training and compensatory strategies in CWCS.

scholarly journals EFEITO DA TERAPIA COM REALIDADE VIRTUAL NO EQUILÍBRIO DINÂMICO DE INDIVÍDUOS PÓS-ACIDENTE VASCULAR ENCEFÁLICO

2019 ◽  
Vol 11 (3) ◽  
pp. 99-105
Author(s):  
Alice Haniuda Moliterno ◽  
Isabela Bortolim Frasson ◽  
Silas de Oliveira Damasceno ◽  
Caroline Nunes Gonzaga ◽  
Isabella Cristina Leoci ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Physical Therapy ◽  
Dynamic Balance ◽  
Balance Training ◽  
Moderate Correlation ◽  
Nintendo Wii ◽  
Significant Difference ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Therapy Sessions

The aim of this study was to analyze the effect of virtual reality-based (VR) therapy on balance training of patients after stroke. 10 hemiparetic participants received twelve individual physical therapy sessions using the VR therapeutic, through Nintendo Wii® Fit Plus and Wii Sports Resort™. The analysis revealed that the Dynamic Gait Index (DGI) instrument, responsible for evaluating the dynamic balance, obtained significant difference (p=0.0085) between the basal (17.30±3.59) and final (20.30±2.94) evaluation. The Penguin Slide game had no significance between the scores (p=0.918), but there was a moderate correlation between the DGI instrument (r=0.662; p=0.037). This study obtained favorable results related to dynamic balance and also suggests that VR therapy as in general influenced the improvement of dynamic balance in individuals with hemiparesis after stroke.

scholarly journals Balance training at low physical fitness using virtual reality system

2020 ◽  
Vol 2 (1) ◽  
pp. 4-10 ◽  
Author(s):  
A. M. Kotov-Smolenskiy ◽  
A. S. Klochkov ◽  
A. E. Khizhnikova
Keyword(s):  
Virtual Reality ◽  
Physical Fitness ◽  
Virtual Environment ◽  
Sedentary Lifestyle ◽  
Balance Training ◽  
Control Group ◽  
Balance Function ◽  
Virtual Reality System ◽  
Eyes Closed ◽  
Physical Exercises

Background. Personal degrees of motor activity frequently is a determining factor of human health and longevity. A sedentary lifestyle is a precondition for the development of many diseases and adversely affect the harmonious physical development of a person. The result of poor physical fitness is reduced movement coordination and the balance function, which can cause falls and injuries. Today, it is not always possible for healthy people of working age and adolescents to organize physical education events, however, modern rehabilitation technologies can serve as a solution to this issue. Aims analysis of the effectiveness of balance training physical exercises performed in a virtual environment, in people with low physical fitness. Methods. In the experimental group, a set of physical exercises were performed in a virtual environment, in the control group in a real environment with additionally created pedagogical conditions aimed at the position of greater instability using gymnastic pads of different stiffness, and foam material bar. Results. The study involved 20 female volunteers (aged 16 to 17 years), who were divided into two equal groups, comparable in age (р 0.05). A statistical analysis of the data obtained at the end of the training course showed that experimental and control groups in the maximum torso deviation in the Romberg instrumental test (p = 0.11) when standing on toes with eyes closed (p = 0.24), and the stability time in the Bondarevsky test (p = 0.07) are no longer significantly different. Conclusions. Performing physical exercises with visual support for biological feedback in a virtual reality system can contribute to the intensification of the learning process, have a beneficial effect on the prevention of a sedentary lifestyle, and also contribute to the training of the balance function, as one of the most important human abilities that determine its motor capabilities.

scholarly journals Promoting Generalized Learning in Balance Recovery Interventions

2021 ◽  
Vol 11 (3) ◽  
pp. 402
Author(s):  
Sara A. Harper ◽  
Anne Z. Beethe ◽  
Christopher J. Dakin ◽  
David A. E. Bolton
Keyword(s):  
Older Adults ◽  
Motor Learning ◽  
Daily Life ◽  
Balance Training ◽  
Community Dwelling ◽  
Specific Training ◽  
Balance Recovery ◽  
Parallel Streams ◽  
Postural Perturbations ◽  
Community Dwelling Older Adults

Recent studies have shown balance recovery can be enhanced via task-specific training, referred to as perturbation-based balance training (PBT). These interventions rely on principles of motor learning where repeated exposure to task-relevant postural perturbations results in more effective compensatory balance responses. Evidence indicates that compensatory responses trained using PBT can be retained for many months and can lead to a reduction in falls in community-dwelling older adults. A notable shortcoming with PBT is that it does not transfer well to similar but contextually different scenarios (e.g., falling sideways versus a forward trip). Given that it is not feasible to train all conditions in which someone could fall, this limited transfer presents a conundrum; namely, how do we best use PBT to appropriately equip people to deal with the enormous variety of fall-inducing scenarios encountered in daily life? In this perspective article, we draw from fields of research that explore how general learning can be promoted. From this, we propose a series of methods, gleaned from parallel streams of research, to inform and hopefully optimize this emerging field where people receive training to specifically improve their balance reactions.

Enjoyable Physical Therapy Experience with Interactive Drawing Games in Immersive Virtual Reality

2021 ◽  
Author(s):  
Lauren Baron ◽  
Qile Wang ◽  
Sydney Segear ◽  
Brian A Cohn ◽  
Kangsoo Kim ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Physical Therapy ◽  
Immersive Virtual Reality ◽  
Interactive Drawing
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