The effect of foot orthoses on balance, foot function, and mobility in rheumatoid arthritis: A randomized controlled clinical trial

2021 ◽  
pp. 026921552199331
Author(s):  
Juliana Zonzini Gaino ◽  
Manoel Barros Bértolo ◽  
Caroline Silva Nunes ◽  
Cecília de Morais Barbosa ◽  
Síbila Floriano Landim ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Standard Deviation ◽  
Intervention Group ◽  
Berg Balance Scale ◽  
Control Group ◽  
Foot Orthoses ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Randomized Controlled ◽  
Foot Function

Objectives: To compare balance, foot function and mobility in patients with rheumatoid arthritis with and without foot orthoses. Design: Randomized controlled trial. Setting: Outpatient rheumatology clinic. Subjects: A total of 94 subjects with rheumatoid arthritis were randomized; of these, 81 were included in the analyses (Intervention group: 40; Control group: 41). Intervention: The Intervention Group received custom-made foot orthoses while the Control Group received none intervention. Main measure: The “Foot Function Index,” the “Berg Balance Scale,” and the “Timed-up-and-go Test” were assessed at baseline an after four weeks. The chosen level of significance was P < 0.05. Results: Average (standard deviation) participant age was 56.7 (±10.6) years old and average disease duration (standard deviation) was 11.4 (± 7.2) years. Groups were similar at baseline, except for comorbidity index and race. After four weeks, significant interaction group versus time was observed for Foot Function Index (change: Intervention group: −1.23 ± 1.58; Control group: −0.12 ± 1.16 – P = 0.0012) and for Berg Balance Scale (change: Intervention group: 2 ± 3; Control group: 0 ± 3 – P = 0.0110), but not for the Timed-up-and-go Test (change: Intervention group: −1.34 ± 1.99; Control group: −0.84 ± 2.29 – P = 0.0799). Conclusion: Foot orthoses improved foot function and balance in patients with rheumatoid arthritis.

Effectiveness of balance training programme in reducing the frequency of falling in established osteoporotic women: a randomized controlled trial

2016 ◽  
Vol 31 (2) ◽  
pp. 217-224 ◽  
Author(s):  
Ibolya Mikó ◽  
Imre Szerb ◽  
Anna Szerb ◽  
Gyula Poor
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Intervention Group ◽  
Balance Training ◽  
Training Programme ◽  
Exercise Programme ◽  
Berg Balance Scale ◽  
Control Group ◽  
Timed Up And Go ◽  
Randomized Controlled

Objective: To investigate the effect of a 12-month sensomotor balance exercise programme on postural control and the frequency of falling in women with established osteoporosis. Design: Randomized controlled trial where the intervention group was assigned the 12-month Balance Training Programme and the control group did not undertake any intervention beyond regular osteoporosis treatment. Subjects: A total of 100 osteoporotic women – at least with one osteoporotic fracture – aged 65 years old and above. Main measures: Balance was assessed in static and dynamic posture both with performance-based measures of balance, such as the Berg Balance Scale and the Timed Up and Go Test, and with a stabilometric computerized platform. Interventions: Patients in the intervention group completed the 12-month sensomotor Balance Training Programme in an outpatient setting, guided by physical therapists, three times a week, for 30 minutes. Results: The Berg Balance Scale and the Timed Up and Go Test showed a statistically significant improvement of balance in the intervention group ( p = 0.001 and p = 0.005, respectively). Balance tests using the stabilometer also showed a statistically significant improvement in static and dynamic postural balance for osteoporotic women after the completion of the Balance Training Programme. As a consequence, the one-year exercise programme significantly decreased the number of falls in the exercise group compared with the control group. Conclusion: The Balance Training Programme significantly improved the balance parameters and reduced the number of falls in postmenopausal women who have already had at least one fracture in the past.

Effects of robot-(Morning Walk®) assisted gait training for patients after stroke: a randomized controlled trial

2018 ◽  
Vol 33 (3) ◽  
pp. 516-523 ◽  
Author(s):  
JaYoung Kim ◽  
Dae Yul Kim ◽  
Min Ho Chun ◽  
Seong Woo Kim ◽  
Ha Ra Jeon ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Lower Limb ◽  
Controlled Trial ◽  
Gait Training ◽  
Berg Balance Scale ◽  
Control Group ◽  
Balance Scale ◽  
Randomized Controlled ◽  
Scale Scores ◽  
Conventional Physiotherapy

Objective: To investigate the effects of Morning Walk®–assisted gait training for patients with stroke. Design: Prospective randomized controlled trial. Setting: Three hospital rehabilitation departments (two tertiary and one secondary). Patients: We enrolled 58 patients with hemiparesis following a first-time stroke within the preceding year and with Functional Ambulation Category scores ⩾2. Intervention: The patients were randomly assigned to one of two treatment groups: 30 minutes of training with Morning Walk®, a lower limb rehabilitation robot, plus 1 hour of conventional physiotherapy (Morning Walk® group; n = 28); or 1.5 hour of conventional physiotherapy (control group; n = 30). All received treatment five times per week for three weeks. Main outcome measurements: The primary outcomes were walking ability, assessed using the Functional Ambulation Category scale, and lower limb function, assessed using the Motricity Index-Lower. Secondary outcomes included the 10 Meter Walk Test, Modified Barthel Index, Rivermead Mobility Index, and Berg Balance Scale scores. Results: A total of 10 patients were lost to follow-up, leaving a cohort of 48 for the final analyses. After training, all outcome measures significantly improved in both groups. In Motricity Index-Lower of the affected limb, the Morning Walk® group (∆mean ± SD; 19.68 ± 14.06) showed greater improvement ( p = .034) than the control group (∆mean ± SD; 11.70 ± 10.65). And Berg Balance Scale scores improved more ( p = .047) in the Morning Walk® group (∆mean ± SD; 14.36 ± 9.01) than the control group (∆mean ± SD; 9.65 ± 8.14). Conclusion: Compared with conventional physiotherapy alone, our results suggest that voluntary strength and balance of stroke patients with hemiparesis might be improved with Morning Walk®–assisted gait training combined with conventional physiotherapy.

Effectiveness of acupuncture vs. core stability training in balance and functional capacity of women with fibromyalgia: a randomized controlled trial

2020 ◽  
Vol 34 (5) ◽  
pp. 630-645 ◽  
Author(s):  
Elisa María Garrido-Ardila ◽  
María Victoria González-López-Arza ◽  
Maria Jiménez-Palomares ◽  
Agustín García-Nogales ◽  
Juan Rodríguez-Mansilla
Keyword(s):  
Functional Capacity ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Berg Balance Scale ◽  
Core Stability ◽  
Control Group ◽  
Timed Up And Go ◽  
Randomized Controlled ◽  
Physiotherapy Programme ◽  
And Control

Objective: This study investigated the effectiveness of a core stability training physiotherapy programme vs. acupuncture for the management of balance and functional capacity impairments of women with Fibromyalgia. Design: Single-blind randomized controlled trial. Setting: Outpatients setting. Subjects: Women with Fibromyalgia and balance impairment. Interventions: Participants were randomized to a core stability physiotherapy programme group ( n = 45), acupuncture treatment group ( n = 45) and control group ( n = 45) for 13 weeks. Main Measures: Measures were taken at baseline (week 0), postintervention (week 6) and follow-up (week 13). The primary outcome measures were static balance (posturography) and dynamic balance and functional mobility (Berg Balance Scale, timed up and go test and 10-m walk). The secondary outcome measure was functional capacity (Fibromyalgia Health Assessment Questionnaire and the physical function item from the Spanish Fibromyalgia Impact Questionnaire). Results: In all, 103 participants completed the study. The results showed statistically significant improvements in the acupuncture and physiotherapy groups vs. the control group at week 6 regarding Berg Balance Scale ( P = 0.00, both groups), timed up and go test ( P = 0.00 and P = 0.01, respectively) and 10-m walk test at comfortable speed ( P = 0.02 and P = 0.03, respectively). The 10-m walk test at maximum speed showed significance when comparing the physiotherapy and control group ( P = 0.03). However, no significant differences were found between the physiotherapy and the acupuncture groups. In relation to functional capacity, the improvements achieved after the treatments were not statistically significant. Conclusion: Core stability-based physiotherapy and acupuncture improve dynamic balance and postural control in women with Fibromyalgia.

The benefits of using a vacuum-assisted socket system to improve balance and gait in elderly transtibial amputees

2014 ◽  
Vol 40 (1) ◽  
pp. 83-88 ◽  
Author(s):  
C Beatriz Samitier ◽  
Lluis Guirao ◽  
Maria Costea ◽  
Josep M Camós ◽  
Eulogio Pleguezuelos
Keyword(s):  
Standard Deviation ◽  
Berg Balance Scale ◽  
Activity Level ◽  
Step Test ◽  
Limb Amputation ◽  
Walk Test ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Four Square ◽  
Transtibial Amputees

Background:Lower limb amputation leads to impaired balance, ambulation, and transfers. Proper fit of the prosthesis is a determining factor for successful ambulation. Vacuum-assisted socket systems extract air from the socket, which decreases pistoning and probability of soft-tissue injuries and increases proprioception and socket comfort.Objectives:To investigate the effect of vacuum-assisted socket system on transtibial amputees’ performance-based and perceived balance, transfers, and gait.Study design:Quasi-experimental before-and-after study.Methods:Subjects were initially assessed using their prosthesis with the regular socket and re-evaluated 4 weeks after fitting including the vacuum-assisted socket system. We evaluated the mobility grade using Medicare Functional Classification Level, Berg Balance Scale, Four Square Step Test, Timed Up and Go Test, the 6-Min Walk Test, the Locomotor Capabilities Index, Satisfaction with Prosthesis (SAT-PRO questionnaire), and Houghton Scale.Results:A total of 16 unilateral transtibial dysvascular amputees, mean age 65.12 (standard deviation = 10.15) years. Using the vacuum-assisted socket system, the patients significantly improved in balance, gait, and transfers: scores of the Berg Balance Scale increased from 45.75 (standard deviation = 6.91) to 49.06 (standard deviation = 5.62) ( p < 0.01), Four Square Step Test decreased from 18.18 (standard deviation = 3.84) s to 14.97 (3.9) s ( p < 0.01), Timed Up and Go Test decreased from 14.3 (standard deviation = 3.29) s to 11.56 (2.46) s ( p < 0.01). The distance walked in the 6-Min Walk Test increased from 288.53 (standard deviation = 59.57) m to 321.38 (standard deviation = 72.81) m ( p < 0.01).Conclusion:Vacuum-assisted socket systems are useful for improving balance, gait, and transfers in over-50-year-old dysvascular transtibial amputees.Clinical relevanceThis study gives more insight into the use of vacuum-assisted socket systems to improve elderly transtibial dysvascular amputees’ functionality and decrease their risk of falls. The use of an additional distal valve in the socket should be considered in patients with a lower activity level.

scholarly journals Equilíbrio, mobilidade funcional e qualidade de vida em idosos participantes e não participantes de um centro de convivência

2017 ◽  
Vol 27 (4) ◽  
pp. 27400
Author(s):  
Maiara Lohn Farias ◽  
Lisiane Piazza Luza ◽  
Bianca Andrade Sousa ◽  
Ediane Roberge Zampirolo
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Senior Citizen ◽  
Berg Balance Scale ◽  
Functional Mobility ◽  
Control Group ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Sf 36

***Balance, functional mobility and quality of life in eldery participants and non-participants of a community center***AIMS: To evaluate balance, functional mobility and quality of life in elderly participants and non-participants of a senior citizen center.METHODS: Subjects aged 60 or over, participating in a senior citizen center in the city of Santo Amaro da Imperatriz, in Santa Catarina (Participating Group: PG) were evaluated. As a control group for comparison, elderly residents of the same community who did not participate in any senior center (Non-Participating Group: NPG) were included. Subjects with locomotion disabilities, neurological diseases that affected the gait or balance, and inability to understand the general commands indispensable to the tests were excluded. The sample was non-probabilistic intentional. To evaluate the balance, the Berg Balance Scale was applied, and for assess functional mobility we used the Timed Up and Go and the Anterior Functional Scope tests. Quality of life was assessed by the SF-36 questionnaire. The data were treated by descriptive and inferential statistics, considering p≤0.05 as significant.RESULTS: Fifty-six elderly participated, being 28 of PG and 28 of NPG. By means of the Berg Balance Scale, we found a better balance in PG (mean 53.2±2.1 points) compared to NPG (mean 48.8±6.2 points) (p=0.001). In the Timed Up and Go test, PG spent in average less time to perform the test (9.5±1.5 seconds) than NPG (13.1±5.1 seconds) (p=0.001). We observed a better quality of life in all domains of SF-36 in PG when compared to NPG (p<0.05).CONCLUSIONS: Elderly people who participated in a senior citizen center presented better balance, functional mobility and quality of life than elderly people from the same community who did not participate in senior centers.

scholarly journals Effect of Group-Based Rehabilitation Combining Action Observation with Physiotherapy on Freezing of Gait in Parkinson’s Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Elisa Pelosin ◽  
Roberta Barella ◽  
Cristina Bet ◽  
Elisabetta Magioncalda ◽  
Martina Putzolu ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Outcome Measures ◽  
Physical Training ◽  
Action Observation ◽  
Freezing Of Gait ◽  
Berg Balance Scale ◽  
Control Group ◽  
Timed Up And Go ◽  
Balance Scale

Freezing of gait (FoG) is among the most disabling symptoms of Parkinson’s disease (PD) patients. Recent studies showed that action observation training (AOT) with repetitive practice of the observed actions represents a strategy to induce longer-lasting effects compared with standard physiotherapy. We investigated whether AOT may improve FoG and mobility in PD, when AOT is applied in a group-based setting. Sixty-four participants with PD and FoG were assigned to the experimental (AO) or control groups and underwent a 45-minute training session, twice a week, for 5 weeks. AOT consisted in physical training combined with action observation whereas the control group executed the same physical training combined with landscape-videos observation. Outcome measures (FoG questionnaire, Timed Up and Go test, 10-meter walking test, and Berg balance scale) were evaluated before training, at the end of training, and 4 weeks later (FU-4w). Both groups showed positive changes in all outcome measures at posttraining assessment. Improvements in FoG questionnaire, Timed Up and Go test, and Berg balance scale were retained at FU-4w evaluation only in the AOT group. AOT group-based training is feasible and effective on FoG and motor performance in PD patients and may be introduced as an adjunctive option in PD rehabilitation program.

Effectiveness of an overall progressive resistance strength program for improving the functional capacity of patients with rheumatoid arthritis: a randomized controlled trial

2017 ◽  
Vol 31 (11) ◽  
pp. 1482-1491 ◽  
Author(s):  
Felipe Martinelli Lourenzi ◽  
Anamaria Jones ◽  
Daniele Freitas Pereira ◽  
João Henrique Costa Alves dos Santos ◽  
Rita Nely Vilar Furtado ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Strength Training ◽  
Functional Capacity ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Randomized Controlled ◽  
Sf 36 ◽  
Progressive Resistance

Objective: To evaluate the effectiveness of overall progressive resistance training in patients with rheumatoid arthritis. Design: Randomized controlled clinical trial with blinded assessor and intention-to-treat analysis. Setting: Outpatient clinics. Subjects: Sixty patients with rheumatoid arthritis according to the American College of Rheumatology criteria, aged between 18 and 65 years old, under stable medication and not performing regular physical activity were randomized into two groups: intervention group (IG) and control group (CG). Interventions: IG performed the progressive resistance strength training, twice a week, during 12 weeks. The training consists of exercising various muscle groups using a load of 50% and 70% of one repetition maximum. The load was reassessed and adjusted after six weeks of baseline. Both groups remained in conventional drug treatment during the study. Main measures: Patients were evaluated at baseline and after 6, 12, and 24 weeks, using HAQ and SF-36 questionnaires and strength. Results: Thirty-three patients in the CG and 27 in the IG were evaluated. The groups were homogeneous at baseline. Statistical and clinical improvement were found with better results for the IG in the HAQ questionnaire ( P=0.030), functional capacity (0=0.022) and pain ( P=0.027) domains of SF-36; and muscle strength for flexors of right and left knee ( P=0.005 and p=0.14), abductors of shoulder ( P=0.041) and extensors of right and left wrists ( P=0.003 and P= 0.005). Conclusions: This progressive resistance strength training improves physical function as well as grip and muscular strength of knee flexors, shoulder abductors and wrist extensors in patients with RA, without adverse effects.

scholarly journals Traditional Chinese Mind and Body Exercises for Promoting Balance Ability of Old Adults: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Shihui Chen ◽  
Yanjie Zhang ◽  
Yong Tai Wang ◽  
Xiao Lei Liu
Keyword(s):  
Meta Analysis ◽  
Berg Balance Scale ◽  
Control Group ◽  
Static Balance ◽  
Inclusion Criteria ◽  
Timed Up And Go ◽  
Old Adults ◽  
Randomized Controlled ◽  
Mind And Body ◽  
Balance Ability

The purpose of this study was to provide a quantitative evaluation of the effectiveness of traditional Chinese mind and body exercises in promoting balance ability for old adults. The eligible studies were extensively searched from electronic databases (Medline, CINAHL, SportDicus, and Web of Science) until 10 May 2016. Reference lists of relevant publications were screened for future hits. The trials used randomized controlled approaches to compare the effects of traditional Chinese mind and body exercise (TCMBE) on balance ability of old adults that were included. The synthesized results of Berg Balance Scale (BBS), Timed Up and Go Test (TUG), and static balance with 95% confidence intervals were counted under a random-effects model. Ten studies were selected based on the inclusion criteria, and a total of 1,798 participants were involved in this review. The results of the meta-analysis showed that TCMBE had no significant improvement on BBS and TUG, but the BBS and TUG could be obviously improved by prolonging the intervention time. In addition, the results showed that TCMBE could significantly improve the static balance compared to control group. In conclusion, old adults who practiced TCMBE with the time not less than 150 minutes per week for more than 15 weeks could promote the balance ability.

scholarly journals Application of Interactive Video Games as Rehabilitation Tools to Improve Postural Control and Risk of Falls in Prefrail Older Adults

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Hammad S. Alhasan ◽  
Patrick C. Wheeler ◽  
Daniel T. P. Fong
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Interactive Video ◽  
Intervention Group ◽  
Berg Balance Scale ◽  
Control Group ◽  
Mean Velocity ◽  
Convenience Sample ◽  
Balance Scale ◽  
Risk Of Falls

The purpose of this study was to examine whether interactive video game (IVG) training is an effective way to improve postural control outcomes and decrease the risk of falls. A convenience sample of 12 prefrail older adults were recruited and divided into two groups: intervention group performed IVG training for 40 minutes, twice per week, for a total of 16 sessions. The control group received no intervention and continued their usual activity. Outcome measures were centre of pressure (COP), mean velocity, sway area, and sway path. Secondary outcomes were Berg Balance Scale, Timed Up and Go (TUG), Falls Efficacy Scale International (FES-I), and Activities-Specific Balance Confidence (ABC). Assessment was conducted with preintervention (week zero) and postintervention (week eight). The intervention group showed significant improvement in mean velocity, sway area, Berg Balance Scale, and TUG (p<0.01) compared to the control group. However, no significant improvement was observed for sway path (p=0.35), FES-I (p=0.383), and ABC (p=0.283). This study showed that IVG training led to significant improvements in postural control but not for risk of falls.

scholarly journals The Effect of Specific Balance Training Exercises for Preventing Falls among Elderly Women

2020 ◽  
Vol 1 (6) ◽  
Author(s):  
Ieva Kvietkutė ◽  
Vilma Dudonienė
Keyword(s):  
Elderly Women ◽  
Dynamic Balance ◽  
Balance Training ◽  
Exercise Program ◽  
Berg Balance Scale ◽  
Control Group ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Functional Reach Test ◽  
Training Exercises

All European countries are experiencing significant ageing of the population. As the lifespan of the population increases, so does the prevalence of falls. Falls in older adults are a major public health concern and a main cause of morbidity and disability. More than one-third of persons 65 years of age or older fall each year, and in half of such cases the falls are recurrent. It is very important to maintain physical activity and independence in daily activities in elderly persons as well as to apply appropriate preventive means as soon as possible. Various interventions may be used to promote health, enhance quality life and reduce falls in elderly people: exercises, home modifications, appropriate footwear and walking aids. The purpose of this study was to determine the effect of specific balance training exercises for preventing falls among elderly women. Twenty eight women aged 55–75 years participated in the study. The subjects were randomly divided into two groups: exercise (n = 14, mean age 67.9 ± 6.13 years) and control (n = 14, mean age 68.9 ± 5.31). Exercise group women performed specific – Cawthorne-Cooksey balance training exercises for 4 weeks, 5 times a week. Cawthorne-Cooksey exercises consisted of moving head in sitting and standing positions with eyes open or closed, exercises on a balance platform, and walking around. One training session lasted for 30-35 minutes. No exercise was performed in the control group. Static and dynamic balance was assessed using the Berg Balance Scale, Functional Reach Test, and Tinetti Balance Scale, walking speed was assessed using Timed Up and Go Test. Risk for falls was assessed using Desmond Fall Risk Questionnaire [4]. Subjects were evaluated twice: before and after applying exercise program. More than 50% of women have had a fall in the past years, difficulty walking in the dark or on uneven surfaces, they have experienced loss of balance or a light-headed feeling standing up, and they could not walk a straight line. Only 29% of subjects participated in a regular exercise programme. The results of Berg Balance Scale, Functional Reach Test, Tinetti Balance Scale, Timed Up and Go Test did not differ between groups before applying specific exercise program. Specific exercises significantly improved patients’ static and dynamic balance, reach functions and walking speed, while in the control group the results of all performed tests had tendency to decline. Specific Cawthorne-Cooksey balance training exercises are effective (p < 0.05) in improving balance and preventing falls in elderly women.Keywords: falls, elderly age, balance, risk of falls.

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