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Purpose: The aim of the study is to define the impact of exercise on a treadmill on static balance and stability of posture in a group of patients after cerebral stroke rehabilitated in a late period, with an application of a treadmill with the function of visual biofeedback. Methods: The examination was carried out in a group of 46 people in a late period after ischemic cerebral stroke. The patients examined were randomly put to a group with intervention (n = 23), in which a rehabilitation programme with an application of a treadmill with the visual feedback function was realized and to a control group (n = 23). They evaluated balance in standing on both feet by means of a force plate, symmetry of load of lower limbs and dynamic balance in Up & Go test. Results: A statistically significant change of stabilometric parameters was observed only in the area of postural sways of the centre of pressure (COP). A significant improvement of the symmetry of load of lower limbs in standing ( p = 0.0266) was diagnosed in the examined group after the end of the programme. After the end of the programme no significant difference between the group with intervention and the control group as for a change of balance of the examined patients was found. Conclusions: In the examined group in the chronic period after cs no significant improvement of stabilometrically evaluated balance was obtained, but improvement of the symmetry of load of lower limbs as well as improvement of dynamic balance were observed.
Czasopismo
Rocznik
Tom
Strony
41--48
Opis fizyczny
Bibliogr. 25 poz., rys.
Twórcy
autor
- Institute of Physiotherapy of University of Rzeszów, Rzeszów, Poland
autor
- Institute of Physiotherapy of University of Rzeszów, Rzeszów, Poland
autor
- Institute of Physiotherapy of University of Rzeszów, Rzeszów, Poland
autor
- Institute of Physiotherapy of University of Rzeszów, Rzeszów, Poland
autor
- Institute of Physiotherapy of University of Rzeszów, Rzeszów, Poland
autor
- Rzeszow University of Technology
Bibliografia
- [1] ADA L., DEAN C.M., HALL J.M., BAMPTON J., CROMPTON S., A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial, Arch Phys Med Rehab, 2003, 84(10):1486–1491.
- [2] CHISHOLMA A.E., PERRYA S.D., McILROYA W.E., Inter-limb centre of pressure symmetry during gait among stroke survivors, Gait Posture, 2011, 33(2):238-243.
- [3] CHO K.H., LEE W.H., Effect of treadmill training based real-world video recording on balance and gait in chronic stroke patients: a randomized controlled trial. Gait Posture, 2014, 39(1),523-528.
- [4] DE HAART M., GEURTS A.C., HUIDEKOPER S.C., FASOTTI L., van LIMBEEK J., Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study, Arch Phys Med Rehab, 2004, 85(6):886-895.
- [5] DE OLIVEIRA C.B., DE MEDEIROS I.R., FROTA N.A., GRETERS M.E., CONFORTO A.B., Balance control in hemiparetic stroke patients: Main tools for evaluation, J Rehabil Res Dev, 2008, 45(8):1215-1226.
- [6] DEAN C.M., ADA L., BAMPTON J., KATRAK P.H., POTTS S., Treadmill walking with body weight support in subacute non-ambulatory stroke improves walking capacity more than overground walking: a randomised trial, J Physiother, 2010, 56(2): 97-103.
- [7] GENTHON N., GISSOT A.S., FROGER J., ROUGIER P., PERENNOU D., Posturography in patients with stroke: estimating the percentage of body weight on each foot from a single force platform, Stroke, 2008, 39(2): 489-491.
- [8] HESSE S., Treadmill training with partial body support after stroke: A review. Neurorehabilitation, 2008, 23(1): 55-65.
- [9] KANG H.K., KIM Y., CHUNG Y., HWANG S., Effects of treadmill training with optic flow on balance and gait in individuals following stroke: randomized controlled trials. Clin Rehabil, 2012, 26(3), 246-55.
- [10] KERDONCUFF V., DURUFLE A., PETRILLI S., NICOLAS B., ROBINEAU S., LASSALLE A., Le TALLEC H., RAMANANTSITONTA J., GALLIEN P., Interest of visual biofeedback training in rehabilitation of balance after stroke, Ann Readapt Med Phys, 2004, 47(4): 169-176.
- [11] LAU K.W., MAK M.K., Speed-dependent treadmill training is effective to improve gait and balance performance in patients with sub-acute stroke. J Rehabil Med, 2011, 43(8): 709-13.
- [12] LAUFER Y., SIVAN D., SCHWARZMANN R., SPRECHER E., Standing balance and functional recovery of patients with right and left hemiparesis in the early stages of rehabilitation, Neurorehab Neural Re, 2003, 17(4): 207-213.
- [13] LATHMAN N.K., JETTE D.U., SLAVIN M. RICHARDS L.G., PROCINO A., SMOUT R.J., HORN S.D., Physical therapy during stroke rehabilitation for people with different walking abilities, Arch Phys Med Rehab, 2005, 86: 41–50.
- [14] OLCHOWIK G., TOMASZEWSKI M., OLEJARZ P., WARCHOŁ J., RÓŻAŃSKA-BOCZULA M. , MACIEJEWSKI R., The human balance system and gender, Acta Bioeng Biomech, 2015, 17, 1: 69-74.
- [15] OLNEY S.J., RICHARDS C.L., Hemiparetic gait following stroke. Part I: Characteristics, Gait Posture, 1996, 4: 136–148.
- [16] PEURALA S.H., AIRAKSINEN O., HUUSKONEN P., JÄKÄLÄ P., JUHAKOSKI M., SANDELL K., TARKKA I.M., SIVENIUS J., Effects of intensive therapy using gait trainer or floor walking exercises early after stroke, J Rehabil. Med, 2009, 41: 166–173.
- [17] PODSIADLO D., RICHARDSON S., The timed ‘Up and Go’ Test: a Test of Basic Functional Mobility for Frail Elderly Persons, J Am Geriatr Soc, 1991, 39: 142-148.
- [18] ROEDINK M., LAMOTH C.J., VAN KORDELAAR J., ELICH P., KONIJNENBELT M., KWAKKEL G., BEEK P.J., Rhythm Perturbations in Acoustically Paced Treadmill Walking After Stroke, Neurorehab Neural Re, 2009, 23(7): 668-678.
- [19] RUGE D., LIOU L.M., HOAD D., Improving the potential of neuroplasticity, J Neurosci, 2012, 25, 32(17): 5705-5706.
- [20] SAWACHA Z., CARRARO E., CONTESSA P., GUIOTTO A., MASIERO S., COBELLI C., Relationship between clinical and instrumental balance assessments in chronic post-stroke hemiparesis subjects, J Neuroeng Rehabil, 2013, 10: 95.
- [21] SCHEPERS H.M., VAN ASSELDONK E.H., BUURKE J.H., VELTINK P.H., Ambulatory estimation of center of mass displacement during walking, IEEE transactions on bio-medical engineering, 2009, 56(4): 1189-1195.
- [22] SOMMER C., Brain plasticity after ischemic stroke: an update, Acta Neuropathol., 2009, 117: 467–468.
- [23] TEASELL R., BAYONA N.A., BITENSKY J., Plasticity and Reorganization of the Brain Post Stroke, Top Stroke Rehabil, 2005, 12(3): 11–26.
- [24] WALKER M.L., RINGLEB S.I., MAIHAFER G.C., WALKER R., CROUCH J.R., VAN LUNEN B., MORRISON S., Virtual reality-enhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subjects, Arch Phys Med Rehab, 2010, 91(1): 115–122.
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Typ dokumentu
Bibliografia
Identyfikator YADDA
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