DOI QR코드

DOI QR Code

The effect of balance training combined with light touch on postural sway and walking speed in patients with stroke

가벼운 터치 자극을 이용한 균형훈련이 뇌졸중 환자의 자세동요와 보행속도에 미치는 영향

  • 인태성 (김천대학교 물리치료학과) ;
  • 정경심 (성운대학교 말산업학과)
  • Received : 2022.01.11
  • Accepted : 2022.03.08
  • Published : 2022.06.30

Abstract

Background: The purpose of the present study was to determine whether balance training combined with light touch improves the postural sway and gait speed in stroke patients. Design: Randomized Controlled Trial Study Methods: The current study included 40 stroke patients, who were randomly divided into two groups: the balance training with light touch (LT) group (n=20) and the balance training with heavy touch (HT) group (n=20). Both groups performed balance training on a stable and unstable ground. Additionally, the LT group provided light touch stimulation, and the HT group provided heavy touch stimulation. All the participants underwent 20 sessions of STS training (thirty minutes, five days per week for four weeks). In this study, postural sway was measured using a force platform, and walking speed was measured using a 10 meter walk test. Results: The improvements in postural sway and gait speed were observed to be significantly greater in the LT group, compared to the HT group (p<0.05). Conclusion: The results of the current study imply that balance training combined with light touch is a beneficial and effective therapeutic modality that can be employed to improve the postural sway and gait speed in stroke patients.

Keywords

Acknowledgement

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임 (No.2021R1F1A1063056).

References

  1. Bonan IV, Colle FM, Guichard JP, et al. Reliance on visual information after stroke. Part I: Balance on dynamic posturography. Arch Phys Med Rehabil 2004;85(2):268-73. https://doi.org/10.1016/j.apmr.2003.06.017
  2. Baccini M, Rinaldi LA, Federighi G, et al. Effectiveness of fingertip light contact in reducing postural sway in older people. Age Ageing 2007;36(1):30-5. https://doi.org/10.1093/ageing/afl072
  3. Bonfim TR, Grossi DB, Paccola CA, Barela JA. Additional sensory information reduces body sway of individuals with anterior cruciate ligament injury. Neurosci Lett 2008;441(3):257-60. https://doi.org/10.1016/j.neulet.2008.06.039
  4. Cunha BP, Alouche SR, Araujo IM, et al. Individuals with post-stroke hemiparesis are able to use additional sensory information to reduce postural sway. Neurosci Lett 2012;513(1):6-11. https://doi.org/10.1016/j.neulet.2012.01.053
  5. Chung HK. Changes of the postural sway and weight distribution according to cooling the foot Kor phys Ther Sci 2009;16(4):19-27.
  6. Dickstein R, Peterka RJ, Horak FB. Effects of light fingertip touch on postural responses in subjects with diabetic neuropathy. J Neurol Neurosurg Psychiatry 2003;74(5):620-6. https://doi.org/10.1136/jnnp.74.5.620
  7. Dickstein R, Shupert CL, Horak FB. Fingertip touch improves postural stability in patients with peripheral neuropathy. Gait Posture 2001;14(3):238-47. https://doi.org/10.1016/S0966-6362(01)00161-8
  8. Gibson JJ. The sense considered as perceptual systems. Boston: Houghton Mifflin; 1966.
  9. Holden M, Ventura J, Lackner JR. Stabilization of posture by precision contact of the index finger. J Vestib Res 1994;4(4):285-301.
  10. Jeka JJ, Easton RD, Bentzen BL, et al. Haptic cues for orientation and postural control in sighted and blind individuals. Percept Psychophys 1996;58(3):409-23. https://doi.org/10.3758/BF03206817
  11. Jeka JJ, Lackner JR. Fingertip contact influences human postural control. Exp Brain Res. 1994;100(3):495-502. https://doi.org/10.1007/BF02738408
  12. Jeka JJ, Lackner JR. The role of haptic cues from rough and slippery surfaces in human postural control. Exp Brain Res 1995;103(2):267-76.
  13. Kouzaki M, Masani K. Reduced postural sway during quiet standing by light touch is due to finger tactile feedback but not mechanical support. Exp Brain Res 2008;188(1):153-8. https://doi.org/10.1007/s00221-008-1426-5
  14. Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil 2004;83(2):81-7. https://doi.org/10.1097/01.PHM.0000107486.99756.C7
  15. Karthikbabu S, Rao BK, Manikandan N, et al. Role of Trunk Rehabilitation on Trunk Control, Balance and Gait in Patients with Chronic Stroke: A Pre-Post Design. Neuroscience & Medicine 2011;2(2):61-7. https://doi.org/10.4236/nm.2011.22009
  16. Lackner JR, DiZio P, Jeka J, et al. Precision contact of the fingertip reduces postural sway of individuals with bilateral vestibular loss. Exp Brain Res 1999;126(4):459-66. https://doi.org/10.1007/s002210050753
  17. Lee J, Kim DH, In TS. Immediate effects of interferential current stimulation which affects pain, balance and walking ability of elderly patients with chronic low back pain. Journal of Korean Physical Therapy Science 2018;25(2):15-23. https://doi.org/10.26862/jkpts.2018.09.25.2.15
  18. Maki BE, Holliday PJ, Topper AK. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. J Gerontol 1994;49(2):M72-84. https://doi.org/10.1093/geronj/49.2.M72
  19. Mitchell SL, Collins JJ, De Luca CJ, et al: Open-loop and closed-loop postural control mechanisms in Parkinson's disease: increased mediolateral activity during quiet standing. Neurosci Lett 1995;197(2):133-6. https://doi.org/10.1016/0304-3940(95)11924-L
  20. Nichols DS. Balance retraining after stroke using force platform biofeedback. Phys Ther 1997;77(5):553-8. https://doi.org/10.1093/ptj/77.5.553
  21. Park DS, Lee G. Validity and reliability of balance assessment software using the Nintendo Wii balance board: usability and validation. J Neuroeng Rehabil 2014;10:11-99. https://doi.org/10.1186/1743-0003-10-11
  22. Rabin E, DiZio P, Ventura J, et al. Influences of arm proprioception and degrees of freedom on postural control with light touch feedback. J Neurophysiol 2008;99(2):595-604. https://doi.org/10.1152/jn.00504.2007
  23. Solomon HY, Turvey MT. Haptically perceiving the distances reachable with hand-held objects. J Exp Psychol Hum Percept Perform 1988;14(3):404-27. https://doi.org/10.1037/0096-1523.14.3.404
  24. Sullivan EV, Rose J, Pfefferbaum A. Effect of vision, touch and stance on cerebellar vermian-related sway and tremor: a quantitative physiological and MRI study. Cereb Cortex 2006;16(8):1077-86. https://doi.org/10.1093/cercor/bhj048
  25. Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther 2002;82(2):128-37. https://doi.org/10.1093/ptj/82.2.128
  26. Tremblay F, Mireault AC, Dessureault L, et al. Postural stabilization from fingertip contact: I. Variations in sway attenuation, perceived stability and contact forces with aging. Exp Brain Res 2004;157(3):275-85.
  27. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil 2006;20(5):451-8. https://doi.org/10.1191/0269215505cr955oa