The Effectiveness of Progressive Load Training Associated to the Proprioceptive Training for Prevention of Falls in Women with Osteoporosis

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.

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The effect of proprioceptive training on postural control in people with diabetes: A randomized clinical trial comparing delivery at home, under supervision, or no training

Clinical Rehabilitation ◽

10.1177/0269215521989016 ◽

2021 ◽

pp. 026921552198901

Author(s):

Nathalia Cristina de Souza Borges ◽

Ariane Hidalgo Mansano Pletsch ◽

Mariana Barbosa Buzato ◽

Natalia Akemi Yamada Terada ◽

Fernanda Maria Ferreira da Cruz ◽

...

Keyword(s):

Type 2 Diabetes ◽

Postural Control ◽

Force Plate ◽

Outcome Variable ◽

Control Group ◽

Functional Tests ◽

Supervised Training ◽

Proprioceptive Training ◽

Home Training

Objective: Analyze postural control in the bipedal position as well as during gait and functional tests in patients with type 2 diabetes mellitus after supervised and unsupervised proprioceptive training. Design: A three-group randomized controlled trial. Setting: Physiotherapeutic Resources Lab, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo Subjects: Eighty patients with type 2 diabetes allocated to three groups: control, home training, and supervised training. Interventions: The supervised and home training groups performed two weekly sessions of proprioceptive exercises for 12 weeks. The control group was not submitted to any of treatment. Main measures: Bipedal balance, gait, and performance on functional tests were evaluated before and after 12 weeks using the Balance Evaluation Systems Test (BESTest) and the force plate. Results: No significant improvements were found regarding postural control, gait, or performance on the functional tests, as evidenced by the inter-group comparisons of the total BESTest score [control: 90.7 (81.5–92.6); home training: 85.2 (77.8–90.3); supervised training: 88.4 (82.6–91.4), P > 0.05] as well as the tests performed on the force plate ( P > 0.05). The clinical effect size of the proposed intervention was less than 0.2, demonstrating no effect for the main outcome variable evaluated by the “Sensory Orientation” item of the BESTest and by the mCTSIB (pressure plate). Conclusions: The proposed proprioceptive training did not lead to improvements in postural control in patients with type 2 diabetes with no clinical signs of diabetic distal polyneuropathy when analyzed using the BESTest clinical evaluation and a force plate. Trial registration: NCT01861392 (clinicaltrials.gov).

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Gamification in a Physical Rehabilitation Setting: Developing a Proprioceptive Training Exercise for a Wrist Robot

SIGGRAPH Asia 2019 Posters ◽

10.1145/3355056.3364572 ◽

2019 ◽

Author(s):

Christopher Curry ◽

Naveen Elangovan ◽

Reuben Gardos Reid ◽

Jiapeng Xu ◽

Jürgen Konczak

Keyword(s):

Physical Rehabilitation ◽

Training Exercise ◽

Proprioceptive Training

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Robot-Assisted Proprioceptive Training with Added Vibro-Tactile Feedback Enhances Somatosensory and Motor Performance

PLoS ONE ◽

10.1371/journal.pone.0164511 ◽

2016 ◽

Vol 11 (10) ◽

pp. e0164511 ◽

Cited By ~ 25

Author(s):

Anna Vera Cuppone ◽

Valentina Squeri ◽

Marianna Semprini ◽

Lorenzo Masia ◽

Jürgen Konczak

Keyword(s):

Motor Performance ◽

Tactile Feedback ◽

Robot Assisted ◽

Proprioceptive Training

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Efficacy of Proprioceptive Training with Prokin System in Balance Disorders from Multiple Sclerosis

Journal of Multiple Sclerosis ◽

10.4172/jmso.1000110 ◽

2013 ◽

Vol 01 (02) ◽

Author(s):

Angelo Paolo Amico ◽

Mattia Nisi ◽

Ilaria Covelli ◽

Angela Maria Polito ◽

Sabino Damiani

Keyword(s):

Multiple Sclerosis ◽

Balance Disorders ◽

Proprioceptive Training

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Multidisciplinary protocol for the management of fibromyalgia associated with imbalance. Our experience and literature review

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.65.10.1265 ◽

2019 ◽

Vol 65 (10) ◽

pp. 1265-1274

Author(s):

Rita Chiaramonte ◽

Marco Bonfiglio ◽

Sergio Chisari

Keyword(s):

Exercise Training ◽

Rating Scale ◽

Short Form ◽

Fibromyalgia Impact Questionnaire ◽

Training Group ◽

Complementary Therapy ◽

Berg Balance Scale ◽

Clinical Findings ◽

Timed Up And Go ◽

Proprioceptive Training

SUMMARY OBJECTIVE We reported our multidisciplinary protocol for the management of fibromyalgia associated with imbalance. Our aim was to verify the effectiveness of a proprioceptive training program as a complementary therapy for a traditional protocol of education, mindfulness, and exercise training for the management of fibromyalgia associated with imbalance. METHODS Retrospective cohort study on 84 women, with primary fibromyalgia associated to imbalance. A group of patients performed traditional exercise training; in a second group the training was supplemented with proprioception exercises. Each session lasted from 40 to 60 minutes and was performed three times a week for 12 weeks. RESULTS After three months of training and eight months after the end of the training, the balance evaluation revealed signiﬁcant differences in the comparison of the Timed Up and Go test, Berg Balance Scale, and Tinetti scale with the baseline, there was a better improvement in the proprioceptive training group (p<0.05). A reduction in pain and improvement in functional and muscular performance and quality of life were observed in both groups (p<0.05), but with no significant differences between them in the Numeric Pain Rating Scale, Fibromyalgia Impact Questionnaire, and Short Form Health Survey (p>0.05). Fifteen months after the end of the program, the effects of training were not maintained. CONCLUSION The present study revealed that training supplemented with proprioception exercises has beneficial effects on clinical ﬁndings and improves balance in patients with fibromyalgia, even if the positive results did not persist after the interruption of the rehabilitative program in the long term.

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A Novel Virtual Reality Technique (Cervigame®) Compared to Conventional Proprioceptive Training to Treat Neck Pain: A Randomized Controlled Trial

Journal of Biomedical Physics and Engineering ◽

10.31661/jbpe.v0i0.556 ◽

2018 ◽

Author(s):

I Rezaei ◽

M Razeghi ◽

S Ebrahimi ◽

S Kayedi ◽

A Rezaeian Zadeh

Keyword(s):

Virtual Reality ◽

Visual Analogue Scale ◽

Neck Pain ◽

Analogue Scale ◽

Controlled Trial ◽

Neck Disability Index ◽

Repeated Measure ◽

Balance Test ◽

Proprioceptive Training ◽

Neck Disability

Background: Despite the potential benefits of virtual reality technology in physical rehabilitation, only a few studies have evaluated the efficacy of this type of treatment in patients with neck pain.Objective: The aim of this study was to compare the effects of virtual reality training (VRT) versus conventional proprioceptive training (CPT) in patients with neck pain.Methods: Forty four participants with nonspecific chronic neck pain were randomly assigned to VRT or CPT in this assessor-blinded clinical trial. A novel videogame called Cervigame® was designed for VRT. It comprises of 50 stages divided into unidirectional and two-directional stages ordered from easy to hard. CPT consisted of eye-follow, gaze stability, eye-head coordination and position and movement sense training. Both groups completed 8 training sessions over 4 weeks. Visual analogue scale score, neck disability index and Y-balance test results were recorded at baseline, immediately after and 5 weeks post-intervention. Mixed repeated measure ANOVA was used to analyze differences between mean values for each variable at an alpha level of 0.05.Results: There were significant improvements in all variables in both groups immediately after and 5 weeks after the intervention. Greater improvements were observed in the visual analogue scale and neck disability index scores in VRT group, and the results for all directions in Y-balance test were similar in both groups. No side effects were reported.Conclusion: Improvements in neck pain and disability were greater in VRT than CPT group. Cervigame® is a potentially practical tool for rehabilitation in patients with neck pain.

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Proprioception influence in the balance of gymnastics rhythmic postural athletes.

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2015.13.338 ◽

2015 ◽

Vol 13 ◽

pp. 338

Author(s):

Florisvaldo Aparecido Semão ◽

Ana Claudia De Souza Hirata ◽

Larissa Dragonetti Bertin ◽

Rodrigo Franco De Oliveira

Keyword(s):

High Performance ◽

Joint Stability ◽

High Complexity ◽

Rehabilitation Programs ◽

Rhythmic Gymnastics ◽

Competition Level ◽

Proprioceptive Training ◽

Orthopedic Injuries ◽

High Level ◽

Two Stages

Introduction: Rhythmic gymnastics (RG) is a sport that combines art biomechanical gestures of high complexity, which requires a high level of development of physical qualities such as agility, flexibility, strength, impulsion and dexterity. In this modality studies show that injuries are attributed more articulate knees, ankles, and in some cases ends wrist sprains being the most frequently recorded in athletes in competition level. Therefore, proprioception and muscle control play a fundamental role in dynamic joint stability, since after orthopedic injuries sensorimotor some characteristics are altered and should be focused on rehabilitation programs to get a better return so the activities prior to the injury. Objective: The objective of this project is to evaluate the effect of proprioceptive training on postural balance of athletes in rhythmic gymnastics - RG, from the use of a force platform BIOMEC400 (EMG System do Brazil, Ltda SP). Method: We performed a proprioceptive training in thirty days, in two stages, moving the complexity of the exercises each phase proprioceptive training. Results: We observed that there was a significant improvement in results of training, when it was used more complex exercises and agility exercises before. Conclusion: Because it is athletes RG high performance and present a predominance of activities in one foot, protocols proprioception should be more intensively, generating a higher level of disturbance and postural imbalances.

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Response to Tendon Vibration Questions the Underlying Rationale of Proprioceptive Training

Journal of Athletic Training ◽

10.4085/1062-6050-52.1.06 ◽

2017 ◽

Vol 52 (2) ◽

pp. 97-107 ◽

Cited By ~ 2

Author(s):

Anat Vilnai Lubetzky ◽

Sarah Westcott McCoy ◽

Robert Price ◽

Deborah Kartin

Keyword(s):

Achilles Tendon ◽

Center Of Pressure ◽

Multiscale Entropy ◽

Support Surface ◽

Ankle Sprains ◽

Control Mechanisms ◽

Tendon Vibration ◽

Healthy Group ◽

Proprioceptive Training ◽

Proprioceptive Function

Context: Proprioceptive training on compliant surfaces is used to rehabilitate and prevent ankle sprains. The ability to improve proprioceptive function via such training has been questioned. Achilles tendon vibration is used in motor-control research as a form of proprioceptive stimulus. Using measures of postural steadiness with nonlinear measures to elucidate control mechanisms, tendon vibration can be applied to investigate the underlying rationale of proprioceptive training. Objective: To test whether the effect of vibration on young adults' postural control depended on the support surface. Design: Descriptive laboratory study. Setting: Research laboratory. Patients or Other Participants: Thirty healthy adults and 10 adults with chronic ankle instability (CAI; age range = 18−40 years). Intervention(s): With eyes open, participants stood in bilateral stance on a rigid plate (floor), memory foam, and a Both Sides Up (BOSU) ball covering a force platform. We applied bilateral Achilles tendon vibration for the middle 20 seconds in a series of 60-second trials and analyzed participants' responses from previbration to vibration (pre-vib) and from vibration to postvibration (vib-post). Main Outcome Measure(s): We calculated anterior-posterior excursion of the center of pressure and complexity index derived from the area under multiscale entropy curves. Results: The excursion response to vibration differed by surface, as indicated by a significant interaction of P < .001 for the healthy group at both time points and for the CAI group vib-post. Although both groups demonstrated increased excursion from pre-vib and from vib-post, a decrease was observed on the BOSU. The complexity response to vibration differed by surface for the healthy group (pre-vib, P < .001). The pattern for the CAI group was similar but not significant. Complexity changes vib-post were the same on all surfaces for both groups. Conclusions: Participants reacted less to ankle vibration when standing on the BOSU as compared with the floor, suggesting that proprioceptive training may not be occurring. Different balance-training paradigms to target proprioception, including tendon vibration, should be explored.

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