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http://dx.doi.org/10.9718/JBER.2007.28.1.117

A New Training System for Improving Postural Balance Using a Tilting Bed  

Yu, Chang-Ho (Department of Biomedical Engineering, College of Engineering, Chonbuk National University)
Kwon, Tae-Kyu (Division of Bionics and Bioinformatics, College of Engineering, Chonbuk National University)
Ryu, Mun-Ho (Division of Bionics and Bioinformatics, College of Engineering, Chonbuk National University)
Kim, Nam-Gyun (Division of Bionics and Bioinformatics, College of Engineering, Chonbuk National University)
Publication Information
Journal of Biomedical Engineering Research / v.28, no.1, 2007 , pp. 117-126 More about this Journal
Abstract
In this paper, we propose an early rehabilitation training system for the improvement of postural balance with multi-modality on a tilting bed. The integration of the visual, somatosensory and vestibular functions is significant to for maintaining the postural control of the human body. However, conventional rehabilitation systems do not provide multi-modality to trainees. We analyzed the characterization of postural control at different tilt angles of an early rehabilitation training system, which consists of a tilting bed, a visual feedback, a computer interface, a computer, and a force plate. The software that we developed for the system consists of the training programs and the analysis programs. To evaluate the characterization of postural control, we conducted the first evaluation before the beginning of the training. In the following four weeks, 12 healthy young and 5 healthy elderly subjects were trained to improve postural control using the training programs with the tilting bed. After four weeks of training, we conducted the second evaluation. The analysis programs assess (center of pressure) COP moving time, COP maintaining time, and mean absolute deviation of the trace before and after training at different tilt angles on the bed. After 4 weeks, the COP moving time was reduced, the COP maintaining time was lengthened, and the mean absolute deviation of the trace was lowered through the repeated use of vertical, horizontal, dynamic circle movement training programs. These results show that this system improves postural balance and could be applied to clinical use as an effective training system.
Keywords
tilting bed; rehabilitation; force plate;
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1 R. A. Schmidt and T. D. Lee, Motor control and learning, Daehan Media, pp.161-174, 2000
2 M. H. Woollacott, A. Shumway-Cook and L. M. Nashner, 'Postural responses and aging: Changes in the contributions of somatosensory, visual and vestibular inputs to balance control,' Behavioural Brain Research, vol. 8, no. 2, pp. 286-287, 1983   DOI   ScienceOn
3 S. M. Henry and J. Fung, 'Control of stance during lateral and anterior/posterior surface translations,' IEEE Trans. on Rehabilitation Engineering, vol. 6, no. 1, pp. 32-42, 1998   DOI   ScienceOn
4 D. H. Chow, A. C. Cheng, A. D. Holmes and J. H. Evance, 'The effects of release height on center of pressure and trunk muscle response following sudden release of stoop lifting tasks,' Applied Ergonomics, vol. 34, pp. 611-619, 2003   DOI   ScienceOn
5 G. E. Cavell and J. M. Van Swearringer, 'Neuro muscular analysis,' Physical Therapy, pp. 489, 1986
6 P. W. Duncan, S. Studenski, J. Chandler, R. Bloomfeld, and L. K. LaPoint, 'Electromyographic analysis of postural adjustments in two methods of balance testing,' Physical Therapy, vol. 70, pp. 88-96, 1990   DOI   PUBMED
7 J. N. Drowatzky and F. C. Ziccato, 'Interrelationships between selected measures of static and dynamic balance,' Research Q., vol. 38, pp. 509-510, 1967
8 P. Peerrin, D. Schneider, D. Deviterne, C. Perrot and L. Constantinescu, 'Training improves the adaptation to changing visual conditions on maintaining human posture control in a test of sinusoidal oscillation of the support,' Neuroscience Letter, vol. 245, pp. 155-158, 1998   DOI   ScienceOn
9 C. C. Han, M. Kubo, N. Matsusaka and T. Ishimatsu, 'Application of 3-D scanner to analysis of functional instability of the ankle,' ICCAS 2003, pp. 1071-1975, 2003
10 D. A. C. M. Commissaris, P. H. J. A. Nieuwenhuijzen, S. Overeem, A. de Vos, J. E. J. Duysens, and B. R. Bloem, 'Dynamic posturography using a new movable multidirectional platform driven by gravity,' J. Neuroscience Methods, vol. 113, pp. 73-84, 2003   DOI   ScienceOn
11 A. Shumway-Cook and F. B. Horak, 'Assesing influence of sense interaction on balance suggestion from field,' Physical Therapy, vol. 66, pp. 1548-1550, 1986   DOI   PUBMED
12 C. A. Laughton, M. Slavin, K. Katdare, L. Nolan, J. F. Bean, D. C. Kerrigan, E. Philips, L. A. Lipsitz and J. J. Collins, 'Aging, muscle activity and balance control: physiologic changes associated with balance impairment,' Gait and Posture, vol. 18, pp. 101-108, 2003   DOI   ScienceOn
13 A. P. Ruskin, 'Current therapy inphysiatry,' WB saunders, Philadelphia, pp. 26-27, 1984
14 L. D. Latt P. J. Sparto, J. M. Furman, and M. S. Redfern, 'The steady- state postural response to continuous sinusoidal galvanic vestibular stimulation,' J. of Gait Posture, vol. 18, pp. 64-72, 2003   DOI   ScienceOn
15 R. G. Hamman, I. Mekjavic, A. I. Mallinson and N. S. Longride, 'Training effects during repeated therapy sessions of balance training using visual feedback,' Arch. Phys. Med. Rehabil. vol. 73, pp. 738-744, 2003
16 S. J. Herman, 'Assessment and treatment of balance disorders in the vestibular-deficient patient,' in Proc. APTA Forum, Nashville, Tennessee, USA, June. 1989, pp. 87-94
17 O. Y. Kwon and H. S. Choi, 'Evaluation of the balance ability for 20 to 29 years old on the unstable platform,' KAUTPY, vol. 3, no. 3, pp. 1-11, 1996
18 D. H. Jeong and H. C. Kwon, 'A comparison of the limits of stability associated with aging,' J. of Korean Society of Physical Therapy, vol. 11, no. 2, pp. 139-147, 1999
19 J. F. Lehmann, S. Boswell, R. Price, A. Burleigh, B. J. deLateur, K. M. Jaffe and D. Hertling, 'Quantitative evaluation of sway as an indicator of functional balance in post traumatic brain injury,' Arch. Phys. Med. Rehabil., vol. 70, pp. 955-966, 1990
20 R. D. Seidler and P. E. Martin, 'The effects of short term balance training on the postural control of older adults,' Gait and Posture, vol. 6, pp. 224-236, 1997   DOI   ScienceOn