Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training.

BACKGROUND AND PURPOSE: Visual biofeedback/forceplate systems are often used for treatment of balance disorders. In this study, the researchers investigated whether the addition of visual biofeedback/forceplate training could enhance the effects of other physical therapy interventions on balance and...

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Publicado en:Physical Therapy Vol. 81; no. 4; pp. 995 - 1006
Autores principales: Geiger RA, Allen JB, O'Keefe J, Hicks RR
Formato: clinical trial research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2001
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training.
      aug:
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          Geiger RA
          Allen JB
          O'Keefe J
          Hicks RR
        affil: Staff Physical Therapist, Cardinal Hill Rehabilitation Hospital, 2050 Versailles Rd, Lexington, KY 40504; ruthann@usa.com
      sug:
        subj:
          Stroke Rehabilitation
          Physical Therapy Methods
          Hemiplegia Rehabilitation
          Stroke Physiopathology
          Clinical Assessment Tools
          Biofeedback Methods
          Balance, Postural
          Gait
          Treatment Outcomes
          Clinical Trials
          Data Analysis Software
          Paired T-Tests
          T-Tests
          Mann-Whitney U Test
          Spearman's Rank Correlation Coefficient
          Convenience Sample
          Human
      ab: BACKGROUND AND PURPOSE: Visual biofeedback/forceplate systems are often used for treatment of balance disorders. In this study, the researchers investigated whether the addition of visual biofeedback/forceplate training could enhance the effects of other physical therapy interventions on balance and mobility following stroke. SUBJECTS: The study included a sample of convenience of 13 outpatients with hemiplegia who ranged in age from 30 to 77 years (mean=60.4, SD=15.4) and were 15 to 538 days poststroke. METHODS: Subjects were assigned randomly to either an experimental group or a control group when the study began, and their cognitive and visual-perceptual skills were tested by a psychologist. Subjects were also assessed using the Berg Balance Scale and the Timed 'Up & Go' Test before and after 4 weeks of physical therapy. Both groups received physical therapy interventions designed to improve balance and mobility 2 to 3 times per week. The experimental group trained on the NeuroCom Balance Master for 15 minutes of each 50-minute treatment session. The control group received other physical therapy for 50 minutes. RESULTS: Following intervention, both groups scored higher on the Berg Balance Scale and required less time to perform the Timed 'Up & Go' Test. These improvements corresponded to increased independence of balance and mobility in the study population. However, a comparison of mean changes revealed no differences between groups. DISCUSSION AND CONCLUSION: Although both groups demonstrated improvement following 4 weeks of physical therapy interventions, no additional effects were found in the group that received visual biofeedback/forceplate training combined with other physical therapy.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
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      ougenre: Article
    language: English
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