scholarly journals Impact of sensory integration training on balance among stroke patients: sensory integration training on balance among stroke patients

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 330-335 ◽  
Author(s):  
Sang Hun Jang ◽  
Jung-Ho Lee

AbstractThis study attempts to investigate the impact that the sensory integration training has on the recovery of balance among patients with stroke by examining the muscle activity and limit of stability (LOS). A total of 28 subjects participated. The subjects were randomly allocated by the computer program to one of two groups: control (CON) group (n=15), sensory integration training (SIT) group (n=13). The research subjects received intervention five days a week for a total of four weeks. The CON group additionally received 30-minute general balance training, while the SIT group additionally received 30-minute sensory integration training. In the muscle activity, the improvement of Erector spinae (ES) and Gluteus medius (GM) was more significant in the SIT group than in the CON group. In the LOS, the improvement of affected side and forward side was significantly higher in the SIT group compared to the CON group. Sensory integration training can improve balance ability of patients with stroke by increasing muscle activity of stance limb muscles such as GM and trunk extensor such as ES along with enhancement of the limit of stability.

2020 ◽  
Vol 4 (02) ◽  
pp. E59-E66
Author(s):  
Roland van den Tillaar ◽  
Stian Larsen

AbstractThe purpose of the study was to compare kinematics and muscle activity between two variations of unilateral squats under different stability conditions. Twelve male volunteers (age: 23±5 years, mass: 80±17 kg, height: 1.81±0.11 m, strength-training experience: 4.3±1.9 years) performed four repetitions with the same external load (≈4RM). Two variations (with the non-stance leg forwards vs. backwards) were performed in a Smith-machine and free-weight condition. The variables were barbell velocity, lifting time and surface electromyography activity of the lower extremity and trunk muscles during the descending and ascending phase. The main findings were 1) peak force was higher when performing the unilateral squats in the Smith machine; 2) peak ascending barbell velocity increased from repetition 3–4 with free weight; and 3) muscle activity from the rectus femoris, vastus lateral, biceps femoris, gluteus medius, and erector spinae increased with repetitions, whereas gluteus, and medial vastus and shank muscles were affected by the conditions. It was concluded that more peak force could be produced because of increased stability. However, peak barbell velocity increased from repetition to repetition in free-weight unilateral squats, which was probably because the participants grew more comfortable. Furthermore, increased instability causes more gluteus and vastus medial activation and foot variations mainly affected the calf muscles.


2020 ◽  
Vol 10 (2) ◽  
pp. 80
Author(s):  
Kyeongjin Lee

This study was conducted to investigate the effects of balance training with electromyogram-triggered functional electrical stimulation (EMG-triggered FES) to improve static balance, dynamic balance, and ankle muscle activation in stroke patients. Forty-nine participants (>6 months after stroke) were randomly assigned to the experimental group (n = 25) and the control group (n = 24). The experimental group underwent balance training with EMG-triggered FES for 40 min a day, 5 days a week, for a 6-week period in addition to general rehabilitation. The control group underwent balance training without EMG-triggered FES along with conventional therapy. Outcome measures included static balance ability, dynamic balance ability, and leg muscle activation. The static and dynamic balance abilities were significantly improved after intervention in both groups (p < 0.05), although the experimental group showed considerably greater improvement than the control group (p < 0.05). Leg muscle activation on the affected side resulted in significant improvements in the experimental group (p < 0.05) when compared with baseline but not in the control group. Balance training with EMG-triggered FES is an acceptable and effective intervention to improve the static balance, dynamic balance, and ankle muscle activation in stroke patients.


2018 ◽  
Vol 10 (1) ◽  
pp. 95-100
Author(s):  
So Yeon Kim ◽  
Su Jin Park ◽  
Ye Eun Lee ◽  
Eun Ha Lee ◽  
Hwa Yeong Lim ◽  
...  

Summary Study aim: The purpose of this study was to confirm the effectiveness of tele-rehabilitation mental practice (TRMP) on balanc­ing performance for patients with hemiplegia. Material and methods: This study included five stroke patients, and all participants were trained to help to recover balancing performance. TRMP was applied for a total of 15 training sessions for 3 weeks, and pre- and post-intervention evaluations were carried out during this study. The Berg Balance Scale was used to confirm the balance ability, the Modified Falls Efficacy Scale to confirm the falls efficacy, and the Wii program to confirm the right and left weight distribution ratio. Results: As a result of this study, we could not confirm a significant difference between pre- and post-intervention balance ca­pacity and fall efficacy. However, weight distribution showed a significant difference after the intervention. Conclusion: TRMP may be applied in novel balance training for stroke patients.


2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Prasaja Prasaja ◽  
Khomarun Khomarun

Abstract: Comparison of NDT, Combined NDT & SI, Standing-Balance. There upon, the purposes of the study are: (1) to determine the effects of NDT in the standing- balance trainings, (2) to determine the effects of combined NDT and Sensory Integration application in standing-balance training, (3) to compare the effects of treatment a combined NDT and sensory integration application versus sole NDT application in standing-balance training for children with special needs. The study is a pre and post-test experimental study design that compares two treatment groups. The first group received solely the NDT applications only while the other one received a combined NDT and sensory integration approach as the treatments. Sixteen Balance Test was used as a measurement instruments, which were conducted prior to and following the treatments in each group. Data were analyzed with the use of the parametric pair wise comparison test (paired sample t-test) and a parametric test(independent sample t-test) was used to investigate the compatibility of the data in the two groups before treatments. The last and above test was conducted adjacent to the fact that normal data distribution was founded. The study results are: (1) a sole NDT application improves the standing-balance ability amongst the children (p = 0.000). (2)The combination of NDT methods and Sensory Integration improves the standing- balance ability amongst children with special needs (p = 0.000). (3) The combination of NDT methods and Sensory Integration is proven to be better in developing standing- balance ability than just sole applications of NDT methods; in terms of improvingstanding-balance ability (p = .0.002) within children with special needs


2015 ◽  
Vol 114 (3) ◽  
pp. 1773-1783 ◽  
Author(s):  
S. Morrison ◽  
D. M. Russell ◽  
K. Kelleran ◽  
M. L. Walker

During gait, the trunk and neck are believed to play an important role in dissipating the transmission of forces from the ground to the head. This attenuation process is important to ensure head control is maintained. The aim of the present study was to assess the impact of externally restricting the motion of the trunk and/or neck segments on acceleration patterns of the upper body and head and related trunk muscle activity. Twelve healthy adults performed three walking trials on a flat, straight 65-m walkway, under four different bracing conditions: 1) control-no brace; 2) neck-braced; 3) trunk-braced; and 4) neck-trunk braced. Three-dimensional acceleration from the head, neck (C7) and lower trunk (L3) were collected, as was muscle activity from trunk. Results revealed that, when the neck and/or trunk were singularly braced, an overall decrease in the ability of the trunk to attenuate gait-related oscillations was observed, which led to increases in the amplitude of vertical acceleration for all segments. However, when the trunk and neck were braced together, acceleration amplitude across all segments decreased in line with increased attenuation from the neck to the head. Bracing was also reflected by increased activity in erector spinae, decreased abdominal muscle activity and lower trunk muscle coactivation. Overall, it would appear that the neuromuscular system of young, healthy individuals was able to maintain a consistent pattern of head acceleration, irrespective of the level of bracing, and that priority was placed over the control of vertical head accelerations during these gait tasks.


2010 ◽  
Vol 8 (2) ◽  
pp. 13-18 ◽  
Author(s):  
Sang-Wan Lim ◽  
Su-Hyon Kim ◽  
Young-Nam Kim ◽  
Young-Taek Doo ◽  
Sam-Ki Seo ◽  
...  

Author(s):  
Mathilde Schwartz ◽  
Jean Theurel ◽  
Kévin Desbrosses

This study investigated the influence of passive back-support exoskeletons (EXOBK) design, trunk sagittal inclination (TSI), and gender on the effectiveness of an exoskeleton to limit erector spinae muscle (ES) activation during a sagittal lifting/lowering task. Twenty-nine volunteers performed an experimental dynamic task with two exoskeletons (two different designs: soft (SUIT) and rigid (SKEL)), and without equipment (FREE). The ES activity was analyzed for eight parts of TSI, each corresponding to 25% of the range of motion (lifting: P1 to P4; lowering: P5 to P8). The impact of EXOBK on ES activity depended on the interaction between exoskeleton design and TSI. With SKEL, ES muscle activity significantly increased for P8 (+36.8%) and tended to decrease for P3 (−7.2%, p = 0.06), compared to FREE. SUIT resulted in lower ES muscle activity for P2 (−9.6%), P3 (−8.7%, p = 0.06), and P7 (−11.1%), in comparison with FREE. Gender did not influence the effect of either back-support exoskeletons on ES muscle activity. These results point to the need for particular attention with regard to (1) exoskeleton design (rigid versus soft) and to (2) the range of trunk motion, when selecting an EXOBK. In practice, the choice of a passive back-support exoskeleton, between rigid and soft design, requires an evaluation of human-exoskeleton interaction in real task conditions. The characterization of trunk kinematics and ranges of motion appears essential to identify the benefits and the negative effects to take into account with each exoskeleton design.


2021 ◽  
Author(s):  
Jinlong Wu ◽  
Hui Zhang ◽  
Ziyan Chen ◽  
Ruijia Fu ◽  
Hao Yang ◽  
...  

BACKGROUND Virtual reality (VR) balance training are increasingly being pursued in biomedical research and specifically with respect to investigating the balance ability with VR .However, Existing systematic reviews have found inconsistent conclusions about the efficacy of VR in improving balance in parkinson’s disease patients (PD). OBJECTIVE To evaluate the impact of VR balance training on the balance ability of patients with PD. METHODS All major databases, including Web of Science, PubMed, Scopus, China National Knowledge Infrastructure (CNKI) and Wanfang, were searched to identify all relevant studies published in English or Chinese since September 15th, 2010. Two researchers independently conducted document retrieval, study selection, data extraction, and methodological quality evaluation. RESULTS 16 randomized controlled trials were analyzed (N = 583 patients with PD), with the methodological quality evaluation score ranging from 5 to 8 points. A random effects model was selected to combine effect sizes. Meta-analysis showed that the balance ability of PD was significantly improved after VR training compared with the control group.(standardized mean difference(SMD) = 2.127, 95% confidence interval [CI] = 1.202 - 3.052, P < 0.01, I2 = 95.1, df = 15). It is worth noting that intervention platform may be the main reason for heterogeneity. Meta regression analysis showed that no training program could predict the impact of VR training (P = 0.567-0.938) on PD balance ability. CONCLUSIONS The present meta-analysis verifies the potential rehabilitative effects of VR balance training for Parkinson disease.


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