Effects of postural-control training with different sensory reweightings in a patient with body lateropulsion: a single-subject design study.

Introduction: Body lateropulsion (BL) is an active lateral tilt of the body during standing or walking that is thought to be affected by a lesion of the vestibulospinal tract (VST) and the subjective visual vertical (SVV) tilt. Interventions for BL have not been established. Objective: We examined t...

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Publicado en:Physiotherapy Theory & Practice Vol. 40; no. 11; pp. 2701 - 2712
Autores principales: Nakamura, Junji, Nishimae, Takuma, Uchisawa, Hidekazu, Okada, Yohei, Shiozaki, Tomoyuki, Tanaka, Hiroaki, Ueta, Kozo, Fujita, Daiki, Tsujimoto, Naohide, Ikuno, Koki, Shomoto, Koji
Formato: case study diagnostic images research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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      pub: Taylor & Francis Ltd
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        atl: Effects of postural-control training with different sensory reweightings in a patient with body lateropulsion: a single-subject design study.
      aug:
        au:
          Nakamura, Junji
          Nishimae, Takuma
          Uchisawa, Hidekazu
          Okada, Yohei
          Shiozaki, Tomoyuki
          Tanaka, Hiroaki
          Ueta, Kozo
          Fujita, Daiki
          Tsujimoto, Naohide
          Ikuno, Koki
          Shomoto, Koji
        affil: Department of Rehabilitation Medicine, Nishiyamato Rehabilitation Hospital, Nara, Japan
      sug:
        subj:
          Balance Training, Physical
          Pusher Syndrome Rehabilitation
          Proprioception
          Standing
          Posture Physiology
          Vestibular Stimulation
          Human
          Funding Source
          Female
          Aged
          Subarachnoid Hemorrhage Etiology
          Cerebral Aneurysm
          Nonparametric Statistics
          Confidence Intervals
          Head Physiology
          Tilt Physiology
          Balance, Postural Evaluation
          Scales
          Functional Training Methods
          Aged: 65+ years
          Female
      ab: Introduction: Body lateropulsion (BL) is an active lateral tilt of the body during standing or walking that is thought to be affected by a lesion of the vestibulospinal tract (VST) and the subjective visual vertical (SVV) tilt. Interventions for BL have not been established. Objective: We examined the effects of postural-control training with different sensory reweighting on standing postural control in a patient with BL. Methods: The patient had BL to the left when standing or walking due to a left-side medullary and cerebellar infarct. This study was a single-subject A-B design with follow-up: Phase A was postural-control training with visual feedback; phase B provided reweighting plantar somatosensory information. Postural control, VST excitability, and SVV were measured. Results: At baseline and phase A, the patient could not stand with eyes-closed on a rubber mat, but became able to stand in phase B. The mediolateral center of pressure (COP) position did not change significantly, but the COP velocity decreased significantly during phase B and the follow-up on the firm surface. VST excitability was lower on the BL versus the non-BL side, and the SVV deviated to the right throughout the study. Conclusion: Postural-control training with reweighting somatosensory information might improve postural control in a patient with BL.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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