A computerized dynamic posturography (CDP) program to reduce fall risk in a community dwelling older adult with chronic stroke: a case report.
Identifieur interne : 000C12 ( Main/Corpus ); précédent : 000C11; suivant : 000C13A computerized dynamic posturography (CDP) program to reduce fall risk in a community dwelling older adult with chronic stroke: a case report.
Auteurs : Renée M. Hakim ; Lauren Davies ; Kate Jaworski ; Nina Tufano ; Allison UntersteinSource :
- Physiotherapy theory and practice [ 1532-5040 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- complications : Stroke.
- prevention & control : Accidental Falls.
- Female, Humans, Middle Aged, Physical Therapy Modalities, Postural Balance, Posture.
Abstract
A systematic review by Barclay-Goddard et al (2004) reported that force platform feedback improved stance symmetry but not sway, clinical balance outcomes, or measures of independence in adults with stroke. However, the role of computerized dynamic posturography (CDP) systems was not explored. The purpose of this case report was to describe a CDP training program to improve balance and reduce fall risk in a patient with a diagnosis of chronic stroke. A 61-year-old patient 8 years poststroke participated in 1 hour of CDP training, three times a week over a period of 6 weeks. Examination was conducted before and after intervention using the Sensory Organization Test (SOT), Limits of Stability (LOS) test, and Weight Bearing/Squat Symmetry test on a CDP system, and clinical testing with the Berg Balance Scale (BBS), Timed Up and Go (TUG), Activities-specific Balance Confidence (ABC) scale, 30-second Chair Stand (CS), and range of motion of the ankle joints. The patient improved in sensory integration abilities on the SOT for conditions 4, 5, and 6, and maximum excursion abilities improved by a range of 23-103% on the LOS test. Scores on the BBS increased from 37/56 to 47/56, which indicated reduced fall risk and her ABC score improved from 50% to 70%. Ankle ROM improved bilaterally by 6 to 8 degrees. This CDP training program showed promise as a systematic, objective method to reduce fall risk with improved overground performance of balance tasks in an individual with chronic stroke.
DOI: 10.3109/09593985.2011.577887
PubMed: 21801090
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pubmed:21801090Le document en format XML
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Hakim</name><affiliation><nlm:affiliation>Department of Physical Therapy at the University of Scranton, Scranton, Pennsylvania 18510, USA. hakimr2@scranton.edu</nlm:affiliation></affiliation></author><author><name sortKey="Davies, Lauren" sort="Davies, Lauren" uniqKey="Davies L" first="Lauren" last="Davies">Lauren Davies</name></author><author><name sortKey="Jaworski, Kate" sort="Jaworski, Kate" uniqKey="Jaworski K" first="Kate" last="Jaworski">Kate Jaworski</name></author><author><name sortKey="Tufano, Nina" sort="Tufano, Nina" uniqKey="Tufano N" first="Nina" last="Tufano">Nina Tufano</name></author><author><name sortKey="Unterstein, Allison" sort="Unterstein, Allison" uniqKey="Unterstein A" first="Allison" last="Unterstein">Allison Unterstein</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:21801090</idno><idno type="pmid">21801090</idno><idno type="doi">10.3109/09593985.2011.577887</idno><idno type="wicri:Area/Main/Corpus">000C12</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000C12</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A computerized dynamic posturography (CDP) program to reduce fall risk in a community dwelling older adult with chronic stroke: a case report.</title><author><name sortKey="Hakim, Renee M" sort="Hakim, Renee M" uniqKey="Hakim R" first="Renée M" last="Hakim">Renée M. Hakim</name><affiliation><nlm:affiliation>Department of Physical Therapy at the University of Scranton, Scranton, Pennsylvania 18510, USA. hakimr2@scranton.edu</nlm:affiliation></affiliation></author><author><name sortKey="Davies, Lauren" sort="Davies, Lauren" uniqKey="Davies L" first="Lauren" last="Davies">Lauren Davies</name></author><author><name sortKey="Jaworski, Kate" sort="Jaworski, Kate" uniqKey="Jaworski K" first="Kate" last="Jaworski">Kate Jaworski</name></author><author><name sortKey="Tufano, Nina" sort="Tufano, Nina" uniqKey="Tufano N" first="Nina" last="Tufano">Nina Tufano</name></author><author><name sortKey="Unterstein, Allison" sort="Unterstein, Allison" uniqKey="Unterstein A" first="Allison" last="Unterstein">Allison Unterstein</name></author></analytic><series><title level="j">Physiotherapy theory and practice</title><idno type="eISSN">1532-5040</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Middle Aged (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Postural Balance (MeSH)</term><term>Posture (MeSH)</term><term>Stroke (complications)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stroke</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Postural Balance</term><term>Posture</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A systematic review by Barclay-Goddard et al (2004) reported that force platform feedback improved stance symmetry but not sway, clinical balance outcomes, or measures of independence in adults with stroke. However, the role of computerized dynamic posturography (CDP) systems was not explored. The purpose of this case report was to describe a CDP training program to improve balance and reduce fall risk in a patient with a diagnosis of chronic stroke. A 61-year-old patient 8 years poststroke participated in 1 hour of CDP training, three times a week over a period of 6 weeks. Examination was conducted before and after intervention using the Sensory Organization Test (SOT), Limits of Stability (LOS) test, and Weight Bearing/Squat Symmetry test on a CDP system, and clinical testing with the Berg Balance Scale (BBS), Timed Up and Go (TUG), Activities-specific Balance Confidence (ABC) scale, 30-second Chair Stand (CS), and range of motion of the ankle joints. The patient improved in sensory integration abilities on the SOT for conditions 4, 5, and 6, and maximum excursion abilities improved by a range of 23-103% on the LOS test. Scores on the BBS increased from 37/56 to 47/56, which indicated reduced fall risk and her ABC score improved from 50% to 70%. Ankle ROM improved bilaterally by 6 to 8 degrees. This CDP training program showed promise as a systematic, objective method to reduce fall risk with improved overground performance of balance tasks in an individual with chronic stroke.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21801090</PMID><DateCompleted><Year>2012</Year><Month>06</Month><Day>27</Day></DateCompleted><DateRevised><Year>2012</Year><Month>02</Month><Day>29</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-5040</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Physiotherapy theory and practice</Title><ISOAbbreviation>Physiother Theory Pract</ISOAbbreviation></Journal><ArticleTitle>A computerized dynamic posturography (CDP) program to reduce fall risk in a community dwelling older adult with chronic stroke: a case report.</ArticleTitle><Pagination><MedlinePgn>169-77</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3109/09593985.2011.577887</ELocationID><Abstract><AbstractText>A systematic review by Barclay-Goddard et al (2004) reported that force platform feedback improved stance symmetry but not sway, clinical balance outcomes, or measures of independence in adults with stroke. However, the role of computerized dynamic posturography (CDP) systems was not explored. The purpose of this case report was to describe a CDP training program to improve balance and reduce fall risk in a patient with a diagnosis of chronic stroke. A 61-year-old patient 8 years poststroke participated in 1 hour of CDP training, three times a week over a period of 6 weeks. Examination was conducted before and after intervention using the Sensory Organization Test (SOT), Limits of Stability (LOS) test, and Weight Bearing/Squat Symmetry test on a CDP system, and clinical testing with the Berg Balance Scale (BBS), Timed Up and Go (TUG), Activities-specific Balance Confidence (ABC) scale, 30-second Chair Stand (CS), and range of motion of the ankle joints. The patient improved in sensory integration abilities on the SOT for conditions 4, 5, and 6, and maximum excursion abilities improved by a range of 23-103% on the LOS test. Scores on the BBS increased from 37/56 to 47/56, which indicated reduced fall risk and her ABC score improved from 50% to 70%. Ankle ROM improved bilaterally by 6 to 8 degrees. This CDP training program showed promise as a systematic, objective method to reduce fall risk with improved overground performance of balance tasks in an individual with chronic stroke.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hakim</LastName><ForeName>Renée M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy at the University of Scranton, Scranton, Pennsylvania 18510, USA. hakimr2@scranton.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davies</LastName><ForeName>Lauren</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Jaworski</LastName><ForeName>Kate</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Tufano</LastName><ForeName>Nina</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Unterstein</LastName><ForeName>Allison</ForeName><Initials>A</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>07</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Physiother Theory Pract</MedlineTA><NlmUniqueID>9015520</NlmUniqueID><ISSNLinking>0959-3985</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="Y">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020521" MajorTopicYN="N">Stroke</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21801090</ArticleId><ArticleId IdType="doi">10.3109/09593985.2011.577887</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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