Can sensory attention focused exercise facilitate the utilization of proprioception for improved balance control in PD?

Lefaivre, Shannon C.; Almeida, Quincy J.

doi:10.1016/j.gaitpost.2015.01.013

Cited by 31 publications

(20 citation statements)

References 22 publications

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“…Until now, EMG-supported biofeedback training has been applied and examined especially in order to improve the control in pelvic floor muscles in pwMS [8,18,19]. In concern of gait and balance, biofeedback training has been applied in people with PD, because the usage of internal and external cues has been proved successfully in the therapeutic setting of persons suffering from this specific neurodegenerative disease [20][21][22][23]. Internal cues are defined as body signals (e.g.…”

Section: Discussionmentioning

confidence: 99%

EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study

Kersten¹,

Fuchs²,

Liebherr³

2017

JNSK

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Background: Until now, the etiology of Multiple Sclerosis (MS) has not been clarified. The symptoms vary from person to person and can affect motor, sensory, and cognitive body functions.Objectives: Next to pharmacological treatments, non-pharmacological therapy approaches become more and more important for maintaining physical, sensory, psychological and social functions in people with MS (pwMS). Furthermore, Biofeedback (BF) seems to be an interesting treatment option in order to improve motor functions such as postural stability, walking safety and walking speed in pwMS. Methods:In the present case study, an Electromyography-Biofeedback (EMG-BF) has been examined over 6 weeks in a 74-year old female with MS. Functional Gait Assessment (FGA) and 10-Meter-Walking-Test (10MWT) has been tested pre (t0), after three weeks, (t1) and after six weeks (t2) of treatment (2x/week). Results:The results showed an increase in walking speed after 3 and 6 weeks in 10MWT and a decrease of postural stability after 3 weeks. In contrast, postural stability increased after 6 weeks. The participant tolerated the EMG-BF training very well and she felt more secure in everyday life in relating to a better perception of her feet in the moment of foot contact while walking.Conclusions: EMG-BF training has been examined especially in order to improve the control of pelvic floor muscles in pwMS. Additionally, pwMS might benefit from BF training in regard to improve gait and postural control. More research is necessary to examine BF therapy options in order to support pwMS in their current motor impairments.Citation: Kersten S, Fuchs B, Liebherr M (2017) EMG -Supported Biofeedback Training in a Person with Multiple Sclerosis -A Case Study. J Neurol Stroke 7(7): 00268.

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Section: Discussionmentioning

confidence: 99%

EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study

Kersten¹,

Fuchs²,

Liebherr³

2017

JNSK

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“…Previous studies have showed clinical and functional benefits in PD patients following a rehabilitation program, designed to have participants focus on proprioceptive feedback during physical exercises (27)(28)(29). In these previous findings, the use of proprioceptive cues was reinforced by asking the participants to keep their eyes closed and to focus attention on specific portions of actual exercises.…”

Section: Increase In Vibration-induced Movement Error Following Proprmentioning

confidence: 99%

Sensory training with vibration-induced kinesthetic illusions improves proprioceptive integration in patients with Parkinson's disease

Ribot-Ciscar

Aimonetti

2017

Journal of the Neurological Sciences

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The present study investigates whether proprioceptive training, based on kinesthetic illusions, can help in re-educating the processing of muscle proprioceptive input, which is impaired in patients with Parkinson's disease (PD). The processing of proprioceptive input before and after training was evaluated by determining the error in the amplitude of voluntary dorsiflexion ankle movement (20°), induced by applying a vibration on the tendon of the gastrocnemius-soleus muscle (a vibration-induced movement error). The training consisted of the subjects focusing their attention upon a series of illusory movements of the ankle. Eleven PD patients and eleven age-matched control subjects were tested. Before training, vibration reduced dorsiflexion amplitude in controls by 4.3° (P<0.001); conversely, vibration was inefficient in PD's movement amplitude (reduction of 2.1°, P=0.20). After training, vibration significantly reduced the estimated movement amplitude in PD patients by 5.3° (P=0.01). This re-emergence of a vibration-induced error leads us to conclude that proprioceptive training, based on kinesthetic illusions, is a simple means for re-educating the processing of muscle proprioceptive input in PD patients. Such complementary training should be included in rehabilitation programs that presently focus on improving balance and motor performance.

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“…Partnered dancing interventions have consistently improved balance performance without focusing on balance deficits (Earhart, 2009 ; de Dreu et al, 2012 , 2014 ; Sharp and Hewitt, 2014 ; Shanahan et al, 2015b ). The use of multiple types of sensory information simultaneously (e.g., auditory, somatosensory and proprioception) has been indicated as a critical aspect of balance control for patients with PD (Konczak et al, 2009 ; Conradsson et al, 2012 ; Lefaivre and Almeida, 2015 ). The predefined steps with stops, starts, changes in direction, and backwards stepping may provide practice of motor agility, which is another critical aspect of balance control and gait initiation/termination affected in patients with PD (Conradsson et al, 2012 ).…”

Section: Balancementioning

confidence: 99%

Partnered Dancing to Improve Mobility for People With Parkinson's Disease

Dreu¹,

Kwakkel

Wegen

2015

Front. Neurosci.

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Can sensory attention focused exercise facilitate the utilization of proprioception for improved balance control in PD?

Cited by 31 publications

References 22 publications

EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study

EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study

Sensory training with vibration-induced kinesthetic illusions improves proprioceptive integration in patients with Parkinson's disease

Partnered Dancing to Improve Mobility for People With Parkinson's Disease

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