Diferencias en el balance de pie en pacientes con parálisis cerebral y niños con desarrollo típico

Gatica, Valeska; Velásquez, Sofía Irene; Méndez, Guillermo Andrés; Guzmán, Eduardo Enrique; Manterola, Carlos

doi:10.7705/biomedica.v34i1.1535

Cited by 13 publications

(9 citation statements)

References 27 publications

(32 reference statements)

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“…Posturographic measures assess postural control by measuring the centre-of-pressure sway, including variables such as sway area, trajectories, and velocity in the medial–lateral and anterior–posterior directions [ 40 ]. These measures have been shown to be sensitive to measure changes in postural control due to training in various populations, including young adults [ 41 ], patients with post-stroke hemiparesis [ 42 ], patients with Parkinson’s disease [ 43 ], and children with CP [ 44 , 45 , 46 , 47 , 48 ]. Clinical measures will also be used to assess changes in postural performance in the elderly.…”

Section: Methodsmentioning

confidence: 99%

“…The present investigation will utilize the CoP sway area (CoP area ) as a dependable and credible indicator of postural control across diverse clinical and nonclinical populations, as demonstrated by previous studies [ 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. CoP area serves as a comprehensive metric of the balance control system’s capacity to sustain a stable upright posture, and higher values of CoP area signify suboptimal balance control.…”

Section: Methodsmentioning

confidence: 99%

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Telerehabilitation in Low-Resource Settings to Improve Postural Balance in Older Adults: A Non-Inferiority Randomised Controlled Clinical Trial Protocol

Gatica-Rojas,

Cartes-Velásquez

2023

IJERPH

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Background: Several exercise methods with virtual reality devices have been used in treatments for older adults and patients with neurodegenerative diseases, although the mechanisms continue to be elucidated. The aim of this study is to establish the feasibility and effectiveness of a rehabilitation programme using low-cost virtual reality aimed at improving postural balance in older adults. It also seeks to compare low-cost virtual reality under two delivery modalities, telerehabilitation (TR) in elderly centres and face-to-face (FtF) in rehabilitation centres. Methods: The study is set up as a non-inferiority two-arm parallel triple-blind randomised controlled clinical trial. Sixteen persons aged 65 to 75-years-old will be included. Eighteen Wii therapy sessions (25–30 min) will be provided through both FtF (control group, n = 8) and TR (exposure group, n = 8), both with a Nintendo Wii balance board. Data will be collected at baseline (week 0), during the Wii therapy sessions (weeks 2, 4, and 6), and during the follow-up (weeks 8 and 10). The primary outcome will be the area of centre-of-pressure (CoP) sway; secondary outcomes will be medial–lateral and anterior–posterior velocity and standard deviation of CoP; and tertiary outcomes will be clinical measures: single-leg stand, timed up-and-go tests, Barthel Index, and Tinetti’s scale. Statistical analyses will be performed using SPSS 20.00 for Windows. The trial adheres to the Declaration of Helsinki and the Chilean laws of rights and duties of the patient and research in humans. Ethical approval was obtained from the Ethics Committee of the University of Talca. Written informed consent will be obtained from participants. Discussion: In this trial, older adults from a Chilean city with a large rural and underserved population share will be included to test the feasibility and effectiveness of a rehabilitation programme using low-cost VR aimed at improving postural balance to generate evidence to support decision makers generating public health policy. Trial registration: Australian New Zeeland Clinical Trials Registration (ACTRN12621001380886).

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Telerehabilitation in Low-Resource Settings to Improve Postural Balance in Older Adults: A Non-Inferiority Randomised Controlled Clinical Trial Protocol

Gatica-Rojas,

Cartes-Velásquez

2023

IJERPH

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“…Using centre-of-pressure (CoP) sway area (CoP area ) results from earlier studies [ 11 , 22 ], to achieve an 80% statistical power with an alpha level of 0.05 and considering a standard deviation of 4.974 cm 2 (after a 6-weeks intervention), we calculated a required minimum of 20 participants in each group (FtF and TR). This sample size includes a 5% attrition, which yields a total sample size of n = 40.…”

Section: Methodsmentioning

confidence: 99%

“…In total, participants in both groups (FtF and TR) will receive 18 exergaming sessions divided in 3 sessions per week every other day (Monday, Wednesday, and Friday) over a period of 6 weeks. Each session will last for 25 minutes in which each participant will perform three series of exergames with 2-minutes rest in between games as we previously described [ 22 ]. The first two series will include Snowboard, Penguin Slide, and Super Hula Hoop.…”

Section: Methodsmentioning

confidence: 99%

Postural control telerehabilitation with a low-cost virtual reality protocol for children with cerebral palsy: Protocol for a clinical trial

Gatica-Rojas,

Cartes-Velásquez,

Soto-Poblete

et al. 2023

PLoS ONE

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Objective To establish the feasibility and effectiveness of a rehabilitation programme using low-cost virtual reality aimed at improving postural control in children with cerebral palsy—spastic hemiplegia. It also aims to compare the effectiveness of this programme under two delivery modalities, telerehabilitation (TR) and face-to-face (FtF). Methods This is a registered randomized controlled clinical trial protocol (ACTRN12621000117819). Eighteen sessions of low-cost virtual reality therapy will be provided through both, FtF and TR modalities using a Nintendo Wii balance board. Each programme will last for 6 weeks and will consist of 3 sessions per week of 25 minutes each. Twenty patients diagnosed with cerebral palsy—spastic hemiplegia will be recruited for each group: FtF or TR (n = 40). Participants will be assessed at baseline, by the end of weeks 2, 4, and 6, and at weeks 8 and 10 (post-intervention follow-ups). The primary outcome will be the Center of Pressure sway area (CoParea); secondary outcomes will be standard deviation and velocity of the CoP in the mediolateral and anterior-posterior directions; tertiary outcomes will include the Modified-Modified Ashworth Scale for lower limbs, Modified Ashworth Scale for upper limbs, timed up-and-go tests, the timed one-leg standing and 6-minute walk test. Results This study provides an assessment of the feasibility and effectiveness of an affordable rehabilitation programme using low-cost virtual reality aimed at improving postural control in children with cerebral palsy. Conclusion The designed rehabilitation programme using low-cost virtual reality may improve postural control in children with cerebral palsy—spastic hemiplegia. The TR modality is likely to be as effective as the FtF modality. The TR programme has been designed to overcome access barriers to physiotherapy services for children with cerebral palsy in low-resource settings, remote areas, and in restricted mobility contexts.

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“…La evaluación del balance se hace en dos fases: Una fase de vista al frente en la que el participante fija su mirada en una cruz de color negro ubicado en la pared a una distancia de 150 cm, en tanto que la otra fase se realiza con los ojos cerrados. Cada fase se repite tres veces de manera alternada en cada uno de los sujetos, escogiendo al azar una de ellas para el análisis (Gatica, Velásquez, Méndez, Guzmán & Manterola, 2014). Las ventajas de utilizar la plataforma de fuerza posturográfica son muy convenientes ya que es considerado un implemento de laboratorio muy eficiente para localizar el centro de presión (CP).…”

Section: Plataformas De Equilibrio Estáticounclassified

Métodos de evaluación del equilibrio estático y dinámico en niños de 8 a 12 años (Evaluation methods of static and dynamic balance in children aged 8 to 12 years old)

Villalobos-Samaniego

Rivera-Sosa

Ramos-Jiménez

et al. 2019

Retos

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El equilibrio es una de las capacidades motrices, fundamentales para las actividades diarias y el aprendizaje deportivo, por lo que su fortalecimiento desde las etapas tempranas del niño redunda en un mejor desempeño físico y favorece su gusto por involucrarse en actividades no sedentarias. Objetivo: Analizar las metodologías actuales para evaluar el equilibrio estático y dinámico en niños de ocho a 12 años sin discapacidad. Método: Fueron incluidos los estudios publicados entre 2000 y 2019, escritos en inglés y en español, donde participaban niños típicos o regulares, entre 8 y 12 años de edad, textos completos y que utilizaron una metodología de evaluación del equilibrio estático y/o dinámico con las palabras claves: Equilibrio y/o balance; equilibrio y/o entrenamiento, equilibrio y/o evaluación. Los estudios se clasificaron en: evaluación del equilibrio estático, equilibrio dinámico y estudios que conjuntan equilibrio dinámico y estático. Resultados: Dieciocho estudios cumplieron los criterios de inclusión para la revisión. Doce estudios hicieron uso de instrumentos que evaluaron el equilibrio estático y dinámico, cuatro el equilibrio estático y dos el dinámico. Conclusiones: Las baterías de evaluación del equilibrio siguen siendo muy utilizadas debido a su fácil realización y requerir pocos materiales para su aplicación. Sin embargo, las plataformas de evaluación del equilibrio son cada vez más utilizadas debido a su gran confiabilidad y rapidez en la obtención de los resultados.Summary. Balance is one of the fundamental motor skills for daily activities and sports learning, so strengthening it from early stages of childhood results in better physical performance, as well as it favors their preference towards engaging in non-sedentary activities. Objective: To analyze the current methodologies employed to evaluate static and dynamic balance in children without disability aged eight to 12 years old. Method: Studies published between 2000 and 2019, written in English and Spanish, with typical or regular children between 8 and 12 years of age as samples, presenting full texts, and using static and / or dynamic balance evaluation methodologies were included. Keywords were used as follows: Balance and / or balance; balance and / or training, balance and / or evaluation. The studies were classified into: evaluation of static balance, dynamic balance, and studies that combine dynamic and static balance. Results: Eighteen studies met the inclusion criteria for the review. Twelve studies made use of instruments that evaluated the static and dynamic balance, four the static balance, and two the dynamic balance. Conclusions: balance evaluation batteries are still widely used due to their easy implementation and require few materials for their application. However, balance assessment platforms are increasingly used due to their great reliability and speed in obtaining results.

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Diferencias en el balance de pie en pacientes con parálisis cerebral y niños con desarrollo típico

Cited by 13 publications

References 27 publications

Telerehabilitation in Low-Resource Settings to Improve Postural Balance in Older Adults: A Non-Inferiority Randomised Controlled Clinical Trial Protocol

Telerehabilitation in Low-Resource Settings to Improve Postural Balance in Older Adults: A Non-Inferiority Randomised Controlled Clinical Trial Protocol

Postural control telerehabilitation with a low-cost virtual reality protocol for children with cerebral palsy: Protocol for a clinical trial

Métodos de evaluación del equilibrio estático y dinámico en niños de 8 a 12 años (Evaluation methods of static and dynamic balance in children aged 8 to 12 years old)

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