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http://dx.doi.org/10.15268/ksim.2021.9.1.041

Effects of Vibrotactile Bio-Feedback Providing Pressure Information in Real Time on Static Balance and Weight Bearing Rate in Chronic Stroke Patients - Pilot Study  

Kil, Ki-Su (Dept. Physical therapy, Graduate School of Health and Medicine, Daejeon University)
Kim, Ho (Dept. Physical therapy, Graduate School of Health and Medicine, Daejeon University)
Shin, Won-Seob (Dept. Physical therapy, College of Health and Medical Science, Daejeon University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.9, no.1, 2021 , pp. 41-48 More about this Journal
Abstract
Purpose : The purpose of this study is to find out if it helps to improve static balance ability and weight bearing rate for chronic stroke patients with poor balance in clinical intervention through a method of correcting movement errors while performing a task by vibrotactile bio-feedback providing pressure information. Methods : Fifteen chronic stroke patients (12 male and 3 female) were participated in this study. To examine the effects of vibrotactile bio-feedback and general standing without bio-feedback on static balance ability and weight distribution symmetric index in all subjects randomized with R Studio. The static balance ability and weight distribution symmetric index of the participants was evaluated using a force plate. A paired t-test was used for comparison of each conditions. Statistical significance was set at α=0.05. Results : The comparisons of static balance ability and weight distribution symmetric index in chronic stroke patients after two different condition are as follows. In the static balance ability and weight distribution symmetric index, the vibrotactile feedback providing pressure information showed a significant difference compared to none feedback (p<.001). Conclusion : The vibrotactile bio-feedback providing pressure information in real time can support an improve in static balance ability, uniform weight bearing rehabilitation in chronic stroke patients. In the future, it is hoped that a follow-up study that provides a better direction of intervention compared to various feedback interventions commonly used in clinical practice.
Keywords
balance; feedback; sensor; stroke; vibrotactile;
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1 Kang TW, Kim HM, Kim BR(2020). Effect of progressive resistance task-oriented strengthening exercise on balance and activities of daily living in stroke patients. PNF & Mov, 18(1), 77-86. https://doi.org/10.21598/JKPNFA.2020.18.1.77.   DOI
2 Kim I, Jeon S, Lee G, et al(2013). Effects on balance and gait for chronic stroke patients with side walking training. KSIM, 1(1), 1-9. https://doi.org/10.15268/ksim.2013.1.1.001.   DOI
3 Kim JY, Kim DK(2017). The effect of visual biofeedback exercise on the recovery of balance in stroke patients. PNF & Mov, 15(2), 201-208. https://doi.org/10.21598/JKPNFA.2017.15.2.201.   DOI
4 Kingma H, Felipe L, Gerards MC, et al(2019) Vibrotactile feedback improves balance and mobility in patients with severe bilateral vestibular loss. J Neurol, 266(1), 19-26. https://doi.org/10.1007/s00415-018-9133-z.   DOI
5 Kwon IH, Kim H, Shin WS(2020). Effect of sensory feedback balance training using pressure sensor on the static balance of the elderly. J Korean Soc Phys Med, 15(2), 129-136. https://doi.org/10.13066/kspm.2020.15.2.129.   DOI
6 Lee BC, Kim J, Chen S, et al(2012). Cell phone based balance trainer. J Neuroeng Rehabil, 9(1), 1-14. https://doi.org/10.1186/1743-0003-9-10.   DOI
7 Mirelman A, Herman T, Nicolai S, et al(2011). Audio-biofeedback training for posture and balance in patients with Parkinson's disease. J Neuroeng Rehabil, 8(1), Printed Online. https://doi.org/10.1186/1743-0003-8-35.   DOI
8 Montagna JC, Santos BC, Battistuzzo CR, et al(2014). Effects of aquatic physiotherapy on the improvement of balance and corporal symmetry in stroke survivors. Int J Clin Exp Med, 7(4), 1182-1187.
9 Oh SY, Shin SH, Kang SR, et al(2017). Development of the balance chair for improving postural control ability & pelvic correction. Journal of Rehabilitation Welfare Engineering & Assistive Technology, 11(3), 271-277. https://doi.org/10.21288/resko.2017.11.3.271.   DOI
10 Basteris A, Nijenhuis SM, Stienen AH, et al(2014). Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review. J Neuroeng Rehabil, 11(1), Printed Online. https://doi.org/10.1186/ 1743-0003-11-111.   DOI
11 Held JP, Klaassen B, van Beijnum BJF, et al(2017). Usability evaluation of a vibrotactile feedback system in stroke subjects. Front Bioeng Biotechnol, 4, Printed Online. https://doi.org/10.3389/fbioe.2016.00098.   DOI
12 Quattrocchi G, Greenwood R, Rothwell JC, et al(2017). Reward and punishment enhance motor adaptation in stroke. J Neurol Neurosurg Psychiatry, 88(9), 730-736. https://doi.org/10.1101/106377.   DOI
13 Orand A, Erdal Aksoy E, Miyasaka H, et al(2019). Bilateral tactile feedback-enabled training for stroke survivors using microsoft kinecttm. Sensors, 19(16), 3474. https://doi.org/10.3390/s19163474.   DOI
14 Park DS, Lee DY, Choi SJ, et al(2013). Reliability and validity of the balancia using wii balance board for assessment of balance with stroke patients. J Korea Acad Industr Coop Soc, 14(6), 2767-2772. https://doi.org/10.5762/KAIS.2013.14.6.2767.   DOI
15 Park SK, Ryu SY, Kim JB, et al(2019). Complexity comparison of center of pressure between fallers and non-fallers during gait. Korean J Sport Biomech, 29(2), 113-119. https://doi.org/10.5103/KJSB.2019.29.2.113.   DOI
16 Saposnik G, Teasell R, Mamdani M, et al(2010). Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle. Stroke, 41(7), 1477-1484. https://doi.org/10.1161/strokeaha.110.584979.   DOI
17 Schwartz MS, Andrasik F(2016). Biofeedback: A practitioner's guide. 4th ed, New York, Guilford Press.
18 Stanton R, Ada L, Dean CM, et al(2011). Biofeedback improves activities of the lower limb after stroke: A systematic review. J Physiother, 57(3), 145-155. https://doi.org/10.1016/S1836-9553(11)70035-2.   DOI
19 Holmes JD, Jenkins ME, Johnson AM, et al(2013). Validity of the Nintendo Wii® balance board for the assessment of standing balance in Parkinson's disease. Clin Rehabil, 27(4), 361-366. https://doi.org/10.1177/0269215512458684.   DOI
20 Heo JY(2012). Effect of task oriented approach sit to standing practice on mobility in stroke patients. Graduate school of Dankook University, Republic of Korea, Master's thesis.
21 Hwang DY, Park JM, Oh MH, et al(2019). Development and effectiveness validation of multi-purpose blind box for training on the sensory function and visual perception of stroke patients. J Korean Soc Occup Ther, 27(3), 33-41. https://doi.org/10.14519/kjot.2019.27.3.03.   DOI
22 Adebayo OD, Culpan G(2020). Diagnostic accuracy of computed tomography perfusion in the prediction of haemorrhagic transformation and patient outcome in acute ischaemic stroke: A systematic review and meta-analysis. European Stroke Journal, 5(1), 4-16. https://doi.org/10.1177/2396987319883461.   DOI
23 Ballardini G, Florio V, Canessa A, et al(2020). Vibrotactile feedback for improving standing balance. Front Bioeng Biotechnol, 8, Printed Online. https://doi.org/10.3389/fbioe.2020.00094.   DOI
24 Jeong MK, Oh DW(2013). Effects of 12-week balance training with visual feedback on balance and walking functions in patients with chronic stroke. Journal of Digital Convergence, 11(11), 537-544. https://doi.org/10.14400/JDPM.2013.11.11.537.   DOI
25 Yang DJ, Park SK, Kang JI, et al(2014). Effects of changes in postural alignment on foot pressure and balance of patients with stroke. J Korean Phys Ther, 26(4), 226-233.