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Purpose: Presentation of the results of clinical study on new supplementary method applied in the physical rehabilitation of patients who underwent total hip arthroplasty. The standard rehabilitation program was supplemented with the lower limb loading symmetry training based on the follow-up posturography with an adaptively modified visual biofeedback, performed on a double plate posturographic platform. Methods: The research involved 60 randomly selected patients included in prospective and comparative clinical study in the scheme of the parallel groups. The subjects were divided into two groups comprised of 30 patients each. In both groups a conventional 21-day rehabilitation was carried out. Additionally, in experimental group the limb loading symmetry restoration training based on the follow-up posturography with an adaptively modified biofeedback was implemented. The biofeedback coefficient reflected the distribution of loading exerted on a given patient’s legs and was evaluated during the static posturography examinations carried out before each symmetry training session. Results: The eyes-open static posturography examinations indicated significant improvement in the lower limb loading symmetry in 29 (97%) patients from the experimental group ( p = 0.000003). In the control group, such an improvement was observed in 20 (67%) patients ( p = 0.034796). In the eyes closed examinations correction in the limb loading symmetry was evident in 23 (77%) patients from the experimental group ( p = 0.000247) and 18 (60%) patients from the control group ( p = 0.043327). Conclusions: Significant improvement in the lower limb loading symmetry was observed in patients who underwent rehabilitation supplemented with the herein discussed training method.
Czasopismo
Rocznik
Tom
Strony
97--104
Opis fizyczny
Bibliogr. 16 poz., rys., tab., wykr.
Twórcy
autor
- Silesian Centre for Rheumatology, Ustroń, Poland
autor
- The Jerzy Kukuczka Academy of Physical Education in Katowice, Department of Physiotherapy, Katowice, Poland
autor
- Silesian University of Technology, Institute of Electronics, Gliwice, Poland
autor
- Silesian University of Technology, Institute of Electronics, Gliwice, Poland
autor
- Silesian University of Technology, Institute of Electronics, Gliwice, Poland
Bibliografia
- [1] BŁASZCZYK J., CIEŚLINSKA-SWIDER J., PLEWA M., ZAHORSKAMARKIEWICZ B., MARKIEWICZ A., Effects of excessive body weight on postural control, J. Biomech., 2009, 42(9), 1295–1300.
- [2] CHENG P.W., WU S.H., LIAW M.Y., WONG A., TANG F.T., Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention, Arch. Phys. Med. Rehab., 2001, 82(12), 1650–1654.
- [3] DOZZA M., CHIARI L., CHAN B., ROCCHI L., HORAK F.B., CAPPELLO A., Influence of a portable audio-biofeedback device on structural properties of postural sway, J. Neuroeng. Rehabil., 2005, 2(13), 1–12.
- [4] FAMULA A., NOWOTNY-CZUPRYNA O., BRZĘK A., NOWOTNY J., KITA B., Telereceptywna i proprioceptywna sprawność regulacji równowagi a stabilność ciała u osób starszych, Ortopedia, Traumatologia, Rehabilitacja, 2008, 10(4), 384– 395.
- [5] GEURTS A.C., HAART M., NES I.J., DUYSENS J., A review of standing balance recovery from stroke, Gait Posture, 2005, 22(3), 267–281.
- [6] HELLER F., BEURET-BLANQUART F., WEBER J., Postural biofeedback and locomotion reeducation in stroke patients, Ann. Readapt. Med. Phys., 2005, 48(4), 187–195.
- [7] KIDOŃ Z., Cyfrowe przetwarzanie sygnałów stabilograficznych, PhD Thesis. Silesian University of Technology, Gliwice 2003.
- [8] KUCZMA W., SROKOWSKA A., OWCZARZAK M., HOFFMAN J., HAGNER W., SROKOWSKI G., The Phenomenon of biofeedback in neurological rehabilitation traded on “Balance Trainer”, Polish Journal of Balneology, 2007, 2(108), 79–85.
- [9] ŁUKASZEWICZ T., KANIA D., KIDOŃ Z., PETHE-KANIA K., Posturographic methods for body posture symmetry assessment, Bulletin of the Polish Academy of Sciences – Technical Sciences, 2015, 63(4), 907–917.
- [10] MRAZ M., CHAMELA-BILIŃSKA D., ZAWADZKA D., MRAZ M., SIPKO T., Stabilografia w ocenie stabilności ciała w pozycji stojącej dzieci w wieku 9-12 lat z bocznym skrzywieniem kręgosłupa I., Acta Bio-Optica et Inforamtica Medica, 2006, 12(4), 246–249.
- [11] MUDIE M.H., WINZELER-MERCAY U., RADWAN S., LEE L., Training symmetry of weight distribution after stroke: a randomised controlled pilot study comparing task-related reach. Bobath and feedback training approaches, Clin. Rehabil., 2002; 16, 582–592.
- [12] ROALDSEN K.S., HALVARSSON A., SAHLSTRÖM T., STÅHLE A., Task-specific balance training improves self-assessed function in community – dwelling older adults with balance deficits and fear of falling: a randomized controlled trial, Clin. Rehabil., 2014, 28(2), 1189–1197.
- [13] SCHWARZ M., OLSON P.R., A historical perspective on the field of biofeedback and applied psychophysiology, [in:] Biofeedback: a practitioner’s guide, Guilford, New York 2003, 3–19.
- [14] WALKER C., BROUWER B., CULHAM E., Use of Visual Feedback in Retraining Balance Following Acute Stroke, Phys. Ther., 2000, 80(9), 886–895.
- [15] WALL C., KENTALA E., Control of sway using vibrotactile feedback of body tilt in patients with moderate and severe postural control deficits, J. Vestib. Res., 2005, 15(5–6), 313–325.
- [16] WALL C., WEINBERG M.S., SCHMIDT P.B., KREBS D.E., Balance prosthesis based on micromechanical sensors using vibrotactile feedback of tilt, IEEE Trans. Biomed. Eng., 2001, 48(10), 1153–1161.
Uwagi
Opracowanie ze środków MNiSW w ramach umowy 812/P-DUN/2016 na działalność upowszechniającą naukę (zadania 2017).
The study was supported by the Polish Ministry of Science and Higher Education; fund no. 8686/E-367/S/2016.
Typ dokumentu
Bibliografia
Identyfikator YADDA
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