دورية أكاديمية

Improving balance skills in patients who had stroke through virtual reality treadmill training.

التفاصيل البيبلوغرافية
العنوان: Improving balance skills in patients who had stroke through virtual reality treadmill training.
المؤلفون: Yang S; Institute of Biomedical Engineering, National Yang-Ming University, Taipei, Taiwan., Hwang WH, Tsai YC, Liu FK, Hsieh LF, Chern JS
المصدر: American journal of physical medicine & rehabilitation [Am J Phys Med Rehabil] 2011 Dec; Vol. 90 (12), pp. 969-78.
نوع المنشور: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8803677 Publication Model: Print Cited Medium: Internet ISSN: 1537-7385 (Electronic) Linking ISSN: 08949115 NLM ISO Abbreviation: Am J Phys Med Rehabil Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [Baltimore, MD] : Published by Williams & Wilkins for the Association of Academic Physiatrists, [c1988-
مواضيع طبية MeSH: Exercise Test* , Stroke Rehabilitation* , User-Computer Interface*, Postural Balance/*physiology, Aged ; Computer Simulation ; Female ; Humans ; Male ; Middle Aged ; Recovery of Function ; Reference Values ; Severity of Illness Index ; Statistics, Nonparametric ; Stroke/diagnosis ; Walking/physiology
مستخلص: Objective: The aim of this study was to evaluate the effects of virtual reality (VR) treadmill training on the balance skills of patients who have had a stroke.
Design: A total of 14 patients with strokes were recruited and randomly assigned to receive VR treadmill or traditional treadmill training. The outcome measures that were included for the study were center of pressure (COP) sway excursion, COP maximum sway in anterior-posterior direction, COP maximum sway in medial-lateral direction, COP sway area, bilateral limb-loading symmetric index, the sway excursion values for the paretic foot (sway excursion/P), paretic limb stance time (stance time/P), number of steps of the paretic limb (number of steps/P), and contact area of the paretic foot (contact A/P) during quiet stance, sit-to-stand transfer, and level walking.
Results: There were no significant improvements in COP-related measures and symmetric index during the quiet stance, either in the VR treadmill or traditional treadmill training group (P > 0.05). However, the difference between groups after training in COP maximum sway in medial-lateral direction during the quiet stance was significant (P = 0.038). Traditional treadmill training failed to improve sit-to-stand performance, whereas VR treadmill training improved symmetric index (P = 0.028) and sway excursion (P = 0.046) significantly during sit-to-stand transfer. The changes of symmetric index between groups were markedly different (P = 0.045). Finally, both groups improved significantly in stance time/P, but only VR treadmill training increased contact A/P (P = 0.034) after training during level walking. The difference between groups during level walking was not significant.
Conclusions: Neither traditional treadmill nor VR treadmill training had any effect on balance skill during quiet stance, but VR treadmill training improved balance skill in the medial-lateral direction better than traditional training did. VR treadmill training also improved balance skill during sit-to-stand transfers and the involvement of paretic limb in level walking more than the traditional one did.
تواريخ الأحداث: Date Created: 20111025 Date Completed: 20120123 Latest Revision: 20220311
رمز التحديث: 20240829
DOI: 10.1097/PHM.0b013e3182389fae
PMID: 22019971
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-7385
DOI:10.1097/PHM.0b013e3182389fae