Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Effect of Visual Biofeedback Training in Real Time on Buttock Pressure and Pelvic Tilting Angles of Hemiplegic Patients During Sitting

  • Cho, Min-su (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Park, Kyue-nam (Dept. of Physical Therapy, College of Medical Science, Jeonju University) ;
  • Choung, Sung-dae (Dept. of Physical Therapy, Division of Health Science, Baekseok University) ;
  • Kwon, Oh-yun (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • Received : 2017.01.19
  • Accepted : 2017.05.10
  • Published : 2017.05.21
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Abstract

Background: After a stroke, the control of the trunk muscle may be severely impaired. Due to the importance of trunk control in complex daily postures, the ability to adopt a correct sitting posture is considered a determinant of the recovery of independent function after a stroke. Objects: The purposes of this study were to compare differences in buttock pressure between the left and right sides of hemiplegic patients and differences in their pelvic tilting angles (sagittal and coronal planes) after sitting training with visual biofeedback (VBF) in real time. Methods: Twenty-two individuals with unilateral strokes (11 left-side and 11 right-side hemiplegic stroke patients) participated in this study. Buttock pressure was measured using a pressure mat, and pelvic angles were measured using a palpation meter. Results: The asymmetry of pressure between the right and left (first and third chamber) sides was significantly decreased after the VBF training. The measurements obtained using the palpation meter revealed a significant decrease in the pelvic angles pre- versus post-intervention. Conclusion: VBF training may be distribute a patient's buttock pressure equally while in a sitting posture and increase the length of time a stroke patient can maintain a symmetrical sitting posture. It can also improve pelvic control while sitting in a neutral position.

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References

  1. Barclay-Goddard R, Stevenson T, Poluha, W, et al. Force platform feedback for standing balance training after stroke. Cochrane Database Syst Rev. 2004;18(4):CD004129.
  2. Bertrand AM, Bourbonnais D. Effects of upper limb unilateral isometric efforts on postural stabilization in subjects with hemiparesis. Arch Phys Med Rehabil. 2001;82(3):403-411. https://doi.org/10.1053/apmr.2001.19759
  3. Bohannon RW, Smith MB, Larkin PA. Relationship between independent sitting balance and side of hemiparesis. Phys Ther. 1986;66(6):944-945. https://doi.org/10.1093/ptj/66.6.944
  4. Bohannon RW. Recovery and correlates of trunk muscle strength after stroke. Int J Rehabil Res. 1995;18(2):162-167. https://doi.org/10.1097/00004356-199506000-00010
  5. Bonan IV, Colle FM, Guichard JP, et al. Reliance on visual information after stroke. Part I: Balance on dynamic posturography. Arch Phys Med Rehabil. 2004a;85(2):268-273. https://doi.org/10.1016/j.apmr.2003.06.017
  6. Bonan IV, Yelnik AP, Colle FM, et al. Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: A randomized controlled trial. Arch Phys Med Rehabil. 2004b;85(2):274-278. https://doi.org/10.1016/j.apmr.2003.06.016
  7. Bray H, Moseley GL. Disrupted working body schema of the trunk in people with back pain. Br J Sports Med. 2011;45(3):168-173. https://doi.org/173.10.1136/bjsm.2009.061978
  8. Brumagne S, Cordo P, Lysens R, et al. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine (Phila pa 1976). 2000;25(8):989-994. https://doi.org/10.1097/00007632-200004150-00015
  9. Bush C, Ditto B, Feuerstein M. A controlled evaluation of paraspinal EMG biofeedback in the treatment of chronic low back pain. Health Psychol. 1985;4(4):307-321. https://doi.org/10.1037/0278-6133.4.4.307
  10. Chen IC, Cheng PT, Chen CL, et al. Effect of balance training on hemiplegic stroke patients. Chang Gung Med J. 2002;25(9):583-590.
  11. Davies PM. Right in the middle-selective trunk activity in the treatment of adult hemiplegia. 1st ed. Berlin. Springer-Verlag, 1990;16-20.
  12. Di Fabio RP, Badke MB. Relationship of sensory organization to balance function in patients with hemiplegia. Phys Ther. 1990;70(9):542-548. https://doi.org/10.1093/ptj/70.9.542
  13. Di Fabio RP, Badke MB. Stance duration under sensory conflict conditions in patients with hemiplegia. Arch Phys Med Rehabil. 1991;72(5):292-295.
  14. de Haart M, Guerts AC, Dault MC, et al. Restoration of weight-shifting capacity in patients with postacute stroke: A rehabilitation cohort study. Arch Phys Med Rehabil. 2005;86(4):755-762. https://doi.org/10.1016/j.apmr.2004.10.010
  15. Dunk NM, Callaghan JP. Gender-based differences in postural responses to seated exposures. Clin Biomech. 2005;20(10):1101-1110. https://doi.org/10.1016/j.clinbiomech.2005.07.004
  16. Eser F, Yavuzer G, Karakus D, et al. The effect of balance training on motor recovery and ambulation after stroke: A randomized controlled trial. Eur J Phys Rehabil Med. 2008;44(1):19-25.
  17. Franchignoni FP, Tesio L, Ricupero C, et al. Trunk control test as an early predictor of stroke rehabilitation outcome. Stroke. 1997;28:1382-1385. https://doi.org/10.1161/01.STR.28.7.1382
  18. Genthon N, Vuillerme N, Monnet JP, et al. Biomechanical assessment of the sitting posture maintenance in patients with stroke. Clin Biomech (Bristol, Avon). 2007;22(9):1024-1029. https://doi.org/10.1016/j.clinbiomech.2007.07.011
  19. Genthon N, Rougier P. Does the capacity to appropriately stabilize trunk movements facilitate the control of upright standing? Motor Control. 2006;10(3):232-243. https://doi.org/10.1123/mcj.10.3.232
  20. Gauthier J, Bourbonnais D, Filiatrault J, et al. Characterization of contralateral torques during static hip efforts in healthy subjects and subjects with hemiparesis. Brain. 1992;115(Pt 4):1193-1207. https://doi.org/10.1093/brain/115.4.1193
  21. Hagins M, Brown M, Cook C, et al. Intratester and intertester reliability of the palpation meter (palm) in measuring pelvic position. J Man Manip Ther. 1998;6(3):130-136. https://doi.org/10.1179/jmt.1998.6.3.130
  22. Horton S, Abbott J. A novel approach to managing graduated return to spinal loading in patients with low back pain using the spine-angel device: A case series report. NZ Journal of Physiotherapy. 2008;36(1):22-28.
  23. Hsieh CL, Sheu CF, Hsueh IP, et al. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke 2002;33(11):2626-2630. https://doi.org/10.1161/01.STR.0000033930.05931.93
  24. Lee JH, Yoo WG. Changes in gluteal pressure and pelvic inclination angles after continuous cross-legged sitting. Work. 2011;40(2):247-252. https://doi.org/10.3233/WOR-2011-1225
  25. Magnusson ML, Chow DH, Diamandopoulos Z, et al. Motor control learning in chronic low back pain. Spine (Phila Pa 1976). 2008;33(16):E532-E538. https://doi.org/10.1097/BRS.0b013e31817dfd9a
  26. Marsden JF, Playford DE, Day BL. The vestibular control of balance after stroke. J Neurol Neurosurg Psychiatry. 2005;76(5):670-678. https://doi.org/10.1136/jnnp.2004.046565
  27. Moseley GL, Gallagher L, Gallace A. Neglect-like tactile dysfunction in chronic back pain. Neurology. 2012; 79(4):327-332. https://doi.org/10.1212/WNL.0b013e318260cba2
  28. Olney SJ, Martin CS, Rehabilitation: Physical therapy for stroke. In: Welch KMA, Caplan LR, Reiss DJ. Eds. Primer on Cerebrovascular Diseases. 1 st ed. San Diego, CA, Academic Press. 1997.
  29. O'Sullivan K, O'Sullivan L, O'Sullivan P, et al. Investigating the effect of real-time spinal postural biofeedback on seated discomfort in people with non-specific chronic low back pain. Ergonomics. 2013;56(8):1315-1325. https://doi.org/10.1080/00140139.2013.812750
  30. O'Sullivan PB, Burnett A, Floyd AN, et al. Lumbar repositioning deficit in a specific low back pain population. Spine (Phila Pa 1976). 2003;28(10):1074-1079. https://doi.org/10.1097/00007632-200305150-00022
  31. O'Sullivan PB, Smith AJ, Beales DJ, et al. Association of biopsychosocial factors with degree of slump in sitting posture and self-report of back pain in adolescents: A cross-sectional study. Phys Ther. 2011;91(4):470-483. https://doi.org/10.2522/ptj.20100160
  32. Perennou DA, Amblard B, Leblond C, et al. Biased postural vertical in humans with hemispheric cerebral lesions. Neurosci Lett. 1998;252(2):75-78. https://doi.org/10.1016/S0304-3940(98)00501-1
  33. Perlmutter S, Lin F, Makhsous M. Quantitative analysis of static sitting posture in chronic stroke. Gait Posture. 2010;32(1):53-56. https://doi.org/10.1016/j.gaitpost.2010.03.005
  34. Seah SH, Briggs AM, O'Sullivan PB, et al. An exploration of familial associations in spinal posture defined using a clinical grouping method. Man Ther. 2011;16(5);501-509. https://doi.org/10.1016/j.math.2011.05.002
  35. Sheeran L, Sparkes V, Caterson B, et al. Spinal position sense and trunk muscle activity during sitting and standing in non-specific chronic low back pain: classification analysis. Spine. 2012;37(8):E486-E495. https://doi.org/10.1097/BRS.0b013e31823b00ce
  36. Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: Its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil. 1988;69(6):395-400.
  37. Stuckey S, Jacobs A, Goldfarb J. EMG biofeedback training, relaxation training, and placebo for the relief of chronic back pain. Percept Mot Skills. 1996;63(3):1023-1036.
  38. Van Hoof W, Volkaerts K, O'Sullivan K, et al. Cognitive functional therapy intervention including biofeedback for lbp during cycling. a single case study. Sport Geneeskunde. 2011;44(4):20-26.
  39. van Nes IJ, Nienhuis B, Latour H, et al. Posturographic assessment of sitting balance recovery in the subacute phase of stroke. Gait Posture. 2008;28(3):507-512. https://doi.org/10.1016/j.gaitpost.2008.03.004
  40. Wade DT, Skilbeck CE, Hewer RL. Predicting Barthel ADL score at 6 months after an acute stroke. Arch Phys Med Rehabil. 1983;64(1):24-28.