Post-stroke balance training: role of force platform with visual feedback technique.

Abstract:

OBJECTIVE:To evaluate the role of balance training on Force Platform with Visual Feedback technique (FPVF) in improving balance and functional outcome in chronic stroke survivors. DESIGN:Prospective, repeated measure study. SETTINGS:Neurological rehabilitation department of a tertiary research center. PARTICIPANTS:First episode of supra-tentorial stroke with more than 3 months duration, ability to follow 3 step commands, and impaired balance and gait with ability to walk independently or with one person support (Functional Ambulation Category II-IV). INTERVENTIONS:Training on "Balance Master" for 20 sessions (20 min/day, 5 days/week for 4 weeks). OUTCOME MEASURES:Balance on Berg Balance Scale, Balance Index and Limits of Stability scores, walking ability on over ground walking speed, and functional ability on Barthel Index. Evaluation was done pre- and post-training and at 3 months follow-up. Statistical analysis was done by Paired t test on SPSS 13.0. RESULTS:Forty five patients (M:W: 36:9, age range: 22-65 years, mean post-stroke duration of 16.51+/-15.14 months) were included. Forty (89.9%) subjects completed training and all primary and secondary outcome measures showed statistically significant improvement (p<0.000) at the end of training. Thirty-four (75.6%) subjects were followed up and statistically significant improvement (p<0.000) was maintained for all outcome measures. CONCLUSION:Balance training by FPVF technique significantly improves balance and functional outcome even in chronic phase after stroke. Large scale, controlled studies are recommended.

journal_name

J Neurol Sci

authors

Srivastava A,Taly AB,Gupta A,Kumar S,Murali T

doi

10.1016/j.jns.2009.08.051

subject

Has Abstract

pub_date

2009-12-15 00:00:00

pages

89-93

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(09)00830-2

journal_volume

287

pub_type

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