The Effect of Virtual Reality and Tetra-Ataxiometric Posturography Programs on Stroke Patients With Impaired Standing Balance
Identifieur interne : 002454 ( Main/Exploration ); précédent : 002453; suivant : 002455The Effect of Virtual Reality and Tetra-Ataxiometric Posturography Programs on Stroke Patients With Impaired Standing Balance
Auteurs : Yoon Bum Song [Corée du Sud] ; Min Ho Chun [Corée du Sud] ; Won Kim [Corée du Sud] ; Sook Joung Lee [Corée du Sud] ; Jin Hwa Yi [Corée du Sud] ; Dae Hwan Park [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2014.
Abstract
To investigate the effect of virtual reality (VR) and a tetra-ataxiometric posturography (Tetrax) program on stroke patients with impaired standing balance.
Thirty acute stroke patients with impaired standing balance were recruited and randomly assigned to a VR, Tetrax, or control group. All patients received conventional balance training as a baseline; and VR and Tetrax patients received VR or Tetrax treatment, in addition. The primary outcome measures to evaluate the overall standing balance were the Berg Balance Scale (BBS) and the falling index (FI). The secondary outcome measures were the stability index (SI) and the weight distribution index (WDI), which were used to evaluate the balance status according to specific body positions. The FI, SI, and WDI were measured using the Tetrax instrument.
The BBS and FI scores were improved in all groups, with no significant differences between groups. In open-eyed positions, the VR group showed significantly greater improvement in SI and WDI scores than the control group (p<0.017). In closed-eyed positions, the Tetrax group showed significantly greater improvement in SI and WDI scores than the control group (p<0.017).
The inclusion of VR and Tetrax programs did not lead to an overall benefit in balance. VR and Tetrax did, however, demonstrate a benefit in specific positions. A Tetrax program may benefit patients with abnormal proprioceptive function, whereas a VR program may benefit patients with normal sensory function.
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DOI: 10.5535/arm.2014.38.2.160
PubMed: 24855609
PubMed Central: 4026601
Affiliations:
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Song</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chun, Min Ho" sort="Chun, Min Ho" uniqKey="Chun M" first="Min Ho" last="Chun">Min Ho Chun</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Won" sort="Kim, Won" uniqKey="Kim W" first="Won" last="Kim">Won Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Sook Joung" sort="Lee, Sook Joung" uniqKey="Lee S" first="Sook Joung" last="Lee">Sook Joung Lee</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Rehabilitation Medicine, Dong-A University Hospital, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Dong-A University Hospital, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Yi, Jin Hwa" sort="Yi, Jin Hwa" uniqKey="Yi J" first="Jin Hwa" last="Yi">Jin Hwa Yi</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Dae Hwan" sort="Park, Dae Hwan" uniqKey="Park D" first="Dae Hwan" last="Park">Dae Hwan Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Rehabilitation Medicine, Asan Medical Center, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Rehabilitation Medicine, Asan Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Rehabilitation Medicine</title><idno type="ISSN">2234-0645</idno><idno type="eISSN">2234-0653</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the effect of virtual reality (VR) and a tetra-ataxiometric posturography (Tetrax) program on stroke patients with impaired standing balance.</p></sec><sec><title>Methods</title><p>Thirty acute stroke patients with impaired standing balance were recruited and randomly assigned to a VR, Tetrax, or control group. All patients received conventional balance training as a baseline; and VR and Tetrax patients received VR or Tetrax treatment, in addition. The primary outcome measures to evaluate the overall standing balance were the Berg Balance Scale (BBS) and the falling index (FI). The secondary outcome measures were the stability index (SI) and the weight distribution index (WDI), which were used to evaluate the balance status according to specific body positions. The FI, SI, and WDI were measured using the Tetrax instrument.</p></sec><sec><title>Results</title><p>The BBS and FI scores were improved in all groups, with no significant differences between groups. In open-eyed positions, the VR group showed significantly greater improvement in SI and WDI scores than the control group (p<0.017). In closed-eyed positions, the Tetrax group showed significantly greater improvement in SI and WDI scores than the control group (p<0.017).</p></sec><sec><title>Conclusion</title><p>The inclusion of VR and Tetrax programs did not lead to an overall benefit in balance. VR and Tetrax did, however, demonstrate a benefit in specific positions. A Tetrax program may benefit patients with abnormal proprioceptive function, whereas a VR program may benefit patients with normal sensory function.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tyson, Sf" uniqKey="Tyson S">SF Tyson</name></author><author><name sortKey="Hanley, M" uniqKey="Hanley M">M Hanley</name></author><author><name sortKey="Chillala, J" uniqKey="Chillala J">J Chillala</name></author><author><name sortKey="Selley, Ab" uniqKey="Selley A">AB Selley</name></author><author><name sortKey="Tallis, Rc" uniqKey="Tallis R">RC Tallis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yelnik, Ap" uniqKey="Yelnik A">AP Yelnik</name></author><author><name sortKey="Le Breton, F" uniqKey="Le Breton F">F Le Breton</name></author><author><name sortKey="Colle, Fm" uniqKey="Colle F">FM Colle</name></author><author><name sortKey="Bonan, Iv" uniqKey="Bonan I">IV Bonan</name></author><author><name sortKey="Hugeron, C" uniqKey="Hugeron C">C Hugeron</name></author><author><name sortKey="Egal, V" uniqKey="Egal V">V Egal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yost, Kj" uniqKey="Yost K">KJ Yost</name></author><author><name sortKey="Cheville, Al" uniqKey="Cheville A">AL Cheville</name></author><author><name sortKey="Weaver, Al" uniqKey="Weaver A">AL Weaver</name></author><author><name sortKey="Al Hilli, M" uniqKey="Al Hilli M">M Al Hilli</name></author><author><name sortKey="Dowdy, Sc" uniqKey="Dowdy S">SC Dowdy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weerdesteyn, V" uniqKey="Weerdesteyn V">V Weerdesteyn</name></author><author><name sortKey="De Niet, M" uniqKey="De Niet M">M de Niet</name></author><author><name sortKey="Van Duijnhoven, Hj" uniqKey="Van Duijnhoven H">HJ van Duijnhoven</name></author><author><name sortKey="Geurts, Ac" uniqKey="Geurts A">AC Geurts</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mudie, Mh" uniqKey="Mudie M">MH Mudie</name></author><author><name sortKey="Winzeler Mercay, U" uniqKey="Winzeler Mercay U">U Winzeler-Mercay</name></author><author><name sortKey="Radwan, S" uniqKey="Radwan S">S Radwan</name></author><author><name sortKey="Lee, L" uniqKey="Lee L">L Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Keshner, Ea" uniqKey="Keshner E">EA Keshner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kohen Raz, R" uniqKey="Kohen Raz R">R Kohen-Raz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Black, Fo" uniqKey="Black F">FO Black</name></author><author><name sortKey="Wall, C" uniqKey="Wall C">C Wall</name></author><author><name sortKey="Nashner, Lm" uniqKey="Nashner L">LM Nashner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, S" uniqKey="Yang S">S Yang</name></author><author><name sortKey="Hwang, Wh" uniqKey="Hwang W">WH Hwang</name></author><author><name sortKey="Tsai, Yc" uniqKey="Tsai Y">YC Tsai</name></author><author><name sortKey="Liu, Fk" uniqKey="Liu F">FK Liu</name></author><author><name sortKey="Hsieh, Lf" uniqKey="Hsieh L">LF Hsieh</name></author><author><name sortKey="Chern, Js" uniqKey="Chern J">JS Chern</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Winstein, Cj" uniqKey="Winstein C">CJ Winstein</name></author><author><name sortKey="Gardner, Er" uniqKey="Gardner E">ER Gardner</name></author><author><name sortKey="Mcneal, Dr" uniqKey="Mcneal D">DR McNeal</name></author><author><name sortKey="Barto, Ps" uniqKey="Barto P">PS Barto</name></author><author><name sortKey="Nicholson, De" uniqKey="Nicholson D">DE Nicholson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Song, Yoon Bum" sort="Song, Yoon Bum" uniqKey="Song Y" first="Yoon Bum" last="Song">Yoon Bum Song</name></region><name sortKey="Chun, Min Ho" sort="Chun, Min Ho" uniqKey="Chun M" first="Min Ho" last="Chun">Min Ho Chun</name><name sortKey="Kim, Won" sort="Kim, Won" uniqKey="Kim W" first="Won" last="Kim">Won Kim</name><name sortKey="Lee, Sook Joung" sort="Lee, Sook Joung" uniqKey="Lee S" first="Sook Joung" last="Lee">Sook Joung Lee</name><name sortKey="Park, Dae Hwan" sort="Park, Dae Hwan" uniqKey="Park D" first="Dae Hwan" last="Park">Dae Hwan Park</name><name sortKey="Yi, Jin Hwa" sort="Yi, Jin Hwa" uniqKey="Yi J" first="Jin Hwa" last="Yi">Jin Hwa Yi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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