Effects of the brain-damaged side after stroke on the learning of a balance task in a non-immersive virtual reality environment.

Background: Post-stroke survivors with right hemisphere injury have more impairments in postural control and balance. However, the impact of the hemisphere injured on the process of balance reacquisition has not been fully explored. We hypothesized that stroke survivors could learn balance tasks (H1...

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Published in:Physiotherapy Theory & Practice Vol. 38; no. 1; pp. 28 - 36
Main Authors: Bonuzzi, Giordano Márcio Gatinho, de Freitas, Tatiana Beline, Palma, Gisele Carla dos Santos, Soares, Marcos Antonio Arlindo, Lange, Belinda, Pompeu, José Eduardo, Torriani-Pasin, Camila
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jan 2022
Online Access:View this record in EBSCOhost
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      dt: Jan 2022
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        10.1080/09593985.2020.1731893
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        atl: Effects of the brain-damaged side after stroke on the learning of a balance task in a non-immersive virtual reality environment.
      aug:
        au:
          Bonuzzi, Giordano Márcio Gatinho
          de Freitas, Tatiana Beline
          Palma, Gisele Carla dos Santos
          Soares, Marcos Antonio Arlindo
          Lange, Belinda
          Pompeu, José Eduardo
          Torriani-Pasin, Camila
        affil: Motor Behavior Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil
      sug:
        subj:
          Stroke Physiopathology
          Brain Pathology
          Learning
          Balance, Postural
          Task Performance and Analysis
          Virtual Reality
          Human
          Male
          Female
          Middle Age
          Aged
          Stroke Patients Psychosocial Factors
          Comparative Studies
          Psychomotor Performance
          Descriptive Statistics
          Brain Hemispheres Physiology
          Scales
          Psychological Tests
          Data Analysis Software
          Two-Way Analysis of Variance
          T-Tests
          Pearson's Correlation Coefficient
          Post Hoc Analysis
          Pretest-Posttest Design
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Post-stroke survivors with right hemisphere injury have more impairments in postural control and balance. However, the impact of the hemisphere injured on the process of balance reacquisition has not been fully explored. We hypothesized that stroke survivors could learn balance tasks (H1), but right hemisphere damaged patients would show poor motor learning if compared to left hemisphere damaged patients (H2) Objective: To investigate whether the brain-damaged side after stroke affects the learning of a balance task. Methods: Three groups were recruited: twenty stroke survivors (ten left and ten right hemisphere damage) and twenty healthy volunteers. The participants practiced a balance task for thirty minutes, four consecutive days. The task was the Table Tilt game (NintendoTM Company), which induces balance demands with a progression of complexity. Motor performance was assessed at baseline, post-practice and after one week (retention test). Accuracy, errors, and complexity of the task achieved during the trial were assessed Results: Participants in all groups improved their performance (p <.001) and maintained it at the retention test. The control group showed better performance if compared to the right and left hemisphere damaged stroke survivors (p <.05). There was no difference between individuals with right and left hemisphere damaged, but the right hemisphere damaged patients demonstrated more errors at higher levels of complexity Conclusion: Stroke survivors can learn balance tasks (H1), and the right hemisphere damaged patients demonstrate more errors than those with left hemisphere injury in higher complexity conditions (H2).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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