Browse > Article
http://dx.doi.org/10.21598/JKPNFA.2017.15.1.77

Effect of Visual Feedback Training for Gradual Weight Shift in the Sit-to-stand Training on the Balance and Walking Abilities of Chronic Hemiplegia Patients  

Kim, Kyung-hwan (Bonifacio Hospital Rehabilitation Center)
Park, Sung-hoon (Bonifacio Hospital Rehabilitation Center)
Kim, Hyung-min (Bonifacio Hospital Rehabilitation Center)
Pak, Noh-wook (Bonifacio Hospital Rehabilitation Center)
Kim, Da-yeon (Department of Physical Therapy, Daegu University)
Publication Information
PNF and Movement / v.15, no.1, 2017 , pp. 77-84 More about this Journal
Abstract
Purpose: This study aimed to investigate the effect of visual feedback training-for gradual weight shift in sit-to-stand training-on the balance and walking abilities of chronic hemiplegia patients. Methods: Twenty patients with chronic hemiplegia volunteered to participate in this study. The experimental group received visual feedback for gradual weight shift in the sit-to-stand training, while the contrast group followed the standard process for the sit-to-stand training. The evaluation of the balance and walking ability was conducted with the functional reach test (FRT), Berg balance scale (BBS), five time sit-to-stand (FTSTS) test, timed up and go (TUG) test, 10 m walk test (10MWT), balancia, activities-specific balance confidence (ABC) scale, and falls efficacy scale (FES). Results: In the results before and after intervention, there was a significant difference in TUG, 10MWT, ABC, and FES in the visual feedback training group (p < 0.05). In the control group, there was a significant difference in the 10MWT and ABC (p < 0.05). Also, in the evaluation of the postural fluctuations, the control group data showed a significant increase in Covar. The visual feedback group showed a significant difference in the W average. Conclusion: The visual feedback training group showed some improvement in terms balance and walking ability and on the ABC scale and FES. Therefore, if the diagonal progressive weight bearing exercise is combined with the various patterns and basic principles of PNF, it may be a more efficient intervention method.
Keywords
Sit to stand; Weight shift; Visual feedback; Balance; Walking;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Deshpande N, Metter EJ, Lauretani F, et al. Activity restriction induced by fear of falling and objective and subjective measures of physical function: a prospective cohort study. Journal of the American Geriatrics Society. 2008;56(4):615-620.   DOI
2 Dickstein R, Nissan M, Pillar T, et al. Foot-ground pressure pattern of standing hemiplegic patients. Major characteristics and patterns of improvement. Physical Theraphy. 1984;64(1):19-23.   DOI
3 Feigin VL, Lawes CM, Bennett DA, et al. Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. The Lancet Neurology. 2003;2(1):43-53.   DOI
4 Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Physical Theraphy. 2001;81(4):995-1005.
5 Hocherman S, Dickstein R, Pillar T. Platform training and postural stability in hemiplegia. Archives of Physical Medicine and Rehabilitation. 1984;65(10):588-592.
6 Huxham FE, Goldie PA, Patla AE. Theoretical considerations in balance assessment. Australian Journal of Physiotherapy. 2001;47(2):89-100.   DOI
7 Janet HC, Roberta BS. Neurological rehabilitation optimizing motor performance. London. Elsevier Health Sciences. 2010.
8 Kim EJ, Hwang BY, Kim JH. The effect of core strength exercises on balance and walking in patient with stroke. The Journal Korean Society of Physical Therapy. 2009;21(4):17-22.
9 Laufer Y, Sivan D, Schwarzmann R, et al. Standing balance and functional recovery of patients with right and left hemiparesis in the early stages of rehabilitation. Neurorehabilitation and Neural Repair. 2003;17(4): 207-213.   DOI
10 Lee DH, Choi SJ, Choi HS, et al. Comparison of visual and auditory biofeedback during sit-to-stand training for performance and balance in chronic stroke patients. Journal of the Korean Society of Physical Medicine. 2015;10(4):59-68.   DOI
11 Lomaglio MJ, Eng JJ. Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait & Posture. 2005; 22(2):126-131.   DOI
12 Patterson SL, Forrester LW, Rodgers MM, et al. Determinants of walking function after stroke: differences by deficit severity. Archives of Physical Medicine and Rehabilitation. 2007;88(1):115-119.   DOI
13 Powell LE, Myers AM. The activities-specific balance confidence (ABC) scale. Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1995;50A(1):M28-34.   DOI
14 Riley PO, Krebs DE, Popat RA. Biomechanical analysis of failed sit-to-stand. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 1997;5(4): 353-359.   DOI
15 Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. American Journal of Physical Medicine & Rehabilitation. 2003;82(6): 463-469.   DOI
16 Seo DK, Oh DW, Lee SH. Effectiveness of ankle visuoperceptual-feedback training on balance and gait functions in hemiparetic patients. The Journal Korean Society of Physical Therapy. 2010;22(4):35-41.
17 Rougier P, Boudrahem S. Effects of visual feedback of center-of-pressure displacements on undisturbed upright postural control of hemiparetic stroke patients. Restorative Neurology and Neuroscience. 2010; 28(6):749-759.   DOI
18 Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function. Disability and Rehabilitation. 1997;19(12):536-546.   DOI
19 Schultz AB, Alexander NB, Ashton-Miller JA. Biomechanical analyses of rising from a chair. Journal of Biomechanics. 1992;25(12):1383-1391.   DOI
20 Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Archives of Physical Medicine and Rehabilitation. 1988;69(6):395-400.
21 Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice, 5th ed. Philadelphia. Lippincott Williams & Wilkins. 2016.
22 Van Peppen RP, Kortsmit M, Lindeman E, et al. Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review. Journal of Rehabilitation Medicine. 2006;38(1):3-9.   DOI
23 Van Vliet PM, Wulf G. Extrinsic feedback for motor learning after stroke: what is the evidence? Disability and Rehabilitation. 2006;28(13-14):831-840.   DOI
24 Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Physical Theraphy. 2000;80(9):886-895.
25 Yang SR, Oh YR, Jeon YR, et al. Test-retest reliability of sit-to-stand and gait assessment using the Wii balance board. The Journal Korean Research Society of Physical Therapy 2016;23(3):40-47.
26 Yavuzer G, Eser F, Karakus D, et al. The effects of balance training on gait late after stroke: a randomized controlled trial. Clinical Rehabilitation. 2006;20(11): 960-969.   DOI
27 Balasubramanian CK, Bowden MG, Neptune RR, et al. Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Archives of Physical Medicine and Rehabilitation. 2007;88(1):43-49.   DOI
28 Bonan IV, Colle FM, Guichard JP, et al. Reliance on visual information after stroke. Part I: balance on dynamic posturography. Archives of Physical Medicine and Rehabilitation. 2004a;85(2):268-273.   DOI
29 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. Archives of Physical Medicine and Rehabilitation. 2004b;85(2):274-278.   DOI
30 Cha HG, Park JY, Ji SG, et al. The effect of visual feedback training integrated mental practice on the balance function and walking ability of hemiplegia. Journal of Special Education & Rehabilitation Science. 2012;51(2):337-354.
31 Demura S, Sato S, Minami M, et al. Gender and age differences in basic ADL ability on the elderly: comparison between the independent and the dependent elderly. Journal of Physiological Anthropology and Applied Human Science. 2003;22(1):19-27.   DOI
32 Cheng PT, Chen CL, Wang CM, et al. Leg muscle activation patterns of sit-to-stand movement in stroke patients. American Journal of Physical Medicine & Rehabilitation. 2004;83(1):10-16.   DOI
33 Delbaere K, Crombez G, Vanderstraeten G, et al. Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age and Ageing. 2004;33(4):368-373.   DOI