The Use of Biofeedback in Rehabilitation in Patients with Gait Disorders after Stroke
Authors:
N. Burget
Authors‘ workplace:
Rehabilitační oddělení Krajské nemocnice T. Bati, a. s., Zlín
primář MUDr. P. Skalka
Published in:
Rehabil. fyz. Lék., 22, 2015, No. 2, pp. 70-78.
Category:
Review Article
Overview
The article presents the most common biofeedback techniques used in rehabilitation after stroke. Because of the expansion of the robotic-assist rehabilitation during the last years, more and more methods including visual or acoustic feedback are being used in gait training after stroke. Many researches are proving better effectiveness of rehabilitation therapy if using these principles. Biofeedback enables to partially substitute the insufficient information from proprioceptors and other sensors of movement which have been impaired by the stroke. Stand and gait training on the treadmill with visualization of the weight distribution on the soles of feet on healthy and paretic side is a practical example. Through this feedback the patient received another important afferent input assisting in reactivation of motor function brain centers impaired by the stroke. Visual feedback assist the patient with loading the paretic lower limb, the stability of stand and gait as well as control and coordination of performed movement is improving,
Keywords:
stroke, gait training, biofeedback, treadmill
Sources
1. ALBERT, S. J., KESSERLING, J.: Neurorehabiliation of stroke. Journal of Neurology, 259, 2012, s. 817-832.
2. ARUIN, A. S. et al.: Compelled body weight shift approach in rehabilitation of individuals with chronic stroke. Top Stroke Rehabilitation, 19, 2012, 6, s. 556-563.
3. BANZ, R. et al.: Computerized visual feedback: an adjunct to robotic-assisted gait training. Physical Therapy, 88, 2008, 10, s. 1135-1145.
4. BELDA-LOIS, J. M. et al.: Rehabilitation of gait after stroke: a review towards a top-down approach. Journal of Neuroengineering and Rehabilitation, 66, 2011, 8.
5. BURGESS, J. K. et al.: Overground walking speed changes when subjected to body weight support conditions for nonimpairment and post stroke individuals. Journal of Neuroengineering and Reahabilitation, 6, 2010, 7.
6. DEIBERT, E. M., DROMERICK, A. W.: Motor restoration and spasticity management after stroke. Current Treatment Options in Neurology, 4, 2002, s. 427-433.
7. DOBBKIN, B. H., DORSCH, A.: New evidence for therapies in stroke rehabilitation. Cardiovascular Disease and Stroke, 15, 2013, s. 331-340.
8. ENG, J. J., TANG. P. F.: Gait training strategies to optimize walking ability in people with stroke: a synthesis of the evidence. Expert Review Neurotherapeutics, 10, 2007, 7, s. 1417-1436.
9. FERRANTE, S. et al.: A biofeedback cycling training to improve locomotion: A case series study based on gait pattern classification of 153 chronic stroke patients. Journal of Neuroengineering and Rehabilitation, 47, 2011, 8.
10. FORRESTER, L. W. et al.: Exercise-mediated locomotor recovery and lower-limb neuroplasticity after stroke. Journal of Rehabilitation Research and Development, 45, 2008, 2, s. 205-220.
11. HESSE, S.: Treadmill trainig with partial body weight support after stroke: a review. Neurorehbilitation, 23, 2008, s. 55-65.
12. Hidler, J. et al.: Multicenter randomized clinical trial evaluating the effectivnes of the Lokomat in subacute stroke. Neurorehabilitation and Neural. Repair., 25, 2009, 1, s. 5-13.
13. HUANG, H. et al.: Recent developments in biofeedback for neuromotor rehabilitation. Journal of Neuroengineering and Rehabilitation, 11, 2006, 3.
14. JOHNSON, M. J.: Recent trends in robot-assisted therapy environments to improve real-life functional performance after stroke. Journal of Neuroengineering and Rehabilitation, 29, 2006, 3.
15. KALVACH, P. a kol.: Mozkové ischemie a hemoragie. 3., přepracované a doplněné vydání. Praha, Grada Publishing, 2010, 456 s., ISBN 978-80-247-2765-3.
16. KERDONCUFF, V. et al.: Interest of visual biofeedback training in rehabilitation of balance after stroke. Annales de Réadaption et de Médecine Physique, 47, 2004, s. 169-176.
17. KOLÁŘ, P. et al.: Rehabilitace v klinické praxi. 1. vydání, Praha, Galén, 2009, 713 s., ISBN 978-80-7262-657-1.
18. KRISHNAN, CH. et al.: Active robotic training improves locomotor function in a stroke survivor. Journal of Neuroengineering and Rehabilitation, 57, 2012, 9.
19. LANGHORNE, P. et al.: Stroke rehabilitation. The Lancet, 377, 2011, s. 1693-1702.
20. Laufer, Y. et al.: The effect of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: A randomized study. Journal of Rehabilitation Research and Development, 38, 2001, 1, s. 69-78.
21. LINDQUIST, A. R. R. et al.: Gait training combining partial body-weight support, a treadmill and functional electrical stimulation: effects on poststroke gait. Physical Therapy, 87, 2007, 9, s. 1144-1154.
22. LIPPERTOVÁ - GRÜNEROVÁ, M.: Neurorehabilitace. 1. vydání, Praha, Galén, 2005, 350 s., ISBN 80-7262-317-6.
23. LISINSKI, P. et al.: The body balance training effect on improvement of motor functions in paretic extremities in patients after stroke. A randomized, single blinded trial. Clinical Neurology and Neurosurgery, 114, 2012, s. 31-36.
24. LÜNENBURGER, L. et al.: Biofeedback for robotic gait rehabilitation. Journal of Neuroengineering and Rehabilitation, 1, 2007, 4.
25. MERIANZ, A. S. et al.: Virtual reality – augmented rehabilitation for patients following stroke. Physical Therapy, 82, 2002, 9, s. 898-915.
26. NEVŠÍMALOVÁ, S. et al.: Neurologie. 1. vydání, Praha, Galén, 2002, 368 s., ISBN 80-7262-160-2.
27. NICHOLS, D. S.: Balance retraining after stroke using force platform biofeedback. Physical Therapy, 77, 1997, 5, s. 553-558.
28. PEREZ, M. A. et al.: Changes in corticospinal drive to spinal motoneurons following visuo-motor skill learning in humans. The Journal of Physiology, 573, 2006, 3, s. 843-855.
29. SOUSA, C. O. et al.: The use of body weight support on ground level: an alternative strategy for gait training of individuals with stroke. Journal of Neuroengineering and Rehabilitation, 43, 2009, 6.
30. TATE., J. J., MILNER, C. E.: Real time kinematic, temporospatial and kinetic biofeedback during gait retraining in patients: a systematic review. Physical Therapy, 90, 2010, 8, s. 1123-1134.
31. TEASELL, R. W. et al.: Gait retraining post stroke. Top Stroke Rehabilitation, 10, 2003, 2, s. 34-65.
32. THAUT, M. H. et al.: Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke: A single-blind, randomized trial. Neurorehabilitation and Neural Repair, 21, 2007, 5, s. 455-460.
33. THAUT, M. H. et al.: Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. Journal of Neurological Science, 151, 1997, s. 207-212.
34. VAN VLIJET, P. M, et al.: Extrinsic biofeedback for motor learning after stroke: What is the evidence? Disability and Rehabilitation, 28, 2006, 13-14, s. 831-840.
35. WESTLAKE, K. P., PATTEN, C.: Pilot study of Lokomat versus manual-assisted treadmill training for locomotory recovery post-stroke. Journal of Neuroengineering and Rehabilitation, 18, 2009, 6.
36. Yavuzer, G. et al.: The effects of balance training on gait late after stroke: a randomized controlled trial. Clinical Rehabilitation, 20, 2006, s. 960-969.
37. ZIJLSTRA, A. et al.: Biofeedback for training balance and mobility tasks in older populatinos: a systematic review. Journal of Neuroengineering and Rehabilitation, 58, 2010, 7.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2015 Issue 2
Most read in this issue
- Fatigue Fracture in the Physiotherapist and Physician Practice
- The Effect of Acral Coactivation Therapy on Expiratory Muscle Strength and Lower-chest-wall Motion
- The Use of Biofeedback in Rehabilitation in Patients with Gait Disorders after Stroke
- Diagnostics and Basic Principles of Dysphagia Therapy after Resection of Oropharyngeal Region Tumors