Effect of vibration on postural control and gait of elderly subjects: a systematic review

Aboutorabi, Atefeh; Arazpour, Mokhtar; Bahramizadeh, Mahmood; Farahmand, Farzam; Fadayevatan, Reza

doi:10.1007/s40520-017-0831-7

Cited by 35 publications

(46 citation statements)

References 40 publications

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“…Concerning the rehabilitation of postural balance, different methods can be found in the current literature analyzing the effects of those interventions in different groups of the population. In that way, vestibular rehabilitation [14], vibration [15], and multimodal exercise show benefits on balance in the elderly. Innovative methods such as virtual reality [16], complementary therapies such as mind-body movements [17], treadmill training [18], and peripheral somatosensory stimulation [19] have been shown to have different benefits on balance after stroke.…”

Section: Instructionmentioning

confidence: 95%

Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Dominguez-Romero¹,

Molina-Aroca²,

Moral-Muñoz

et al. 2019

IJERPH

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Mechanical horse-riding simulators consist of a device that mimics the movement of a real horse, generating between 50 and 100 three-dimensional physical movements (forward and back, left and right, up and down). The main objective of this study is to analyze the effectiveness of mechanical horse-riding simulators to improve postural balance in subjects with neurological disorders. The search was conducted during January–March 2019 in PubMed, Physiotherapy Evidence Database (PEDro), Cochrane, Web of Science, CINAHL, and Scopus. The methodological quality of the studies was evaluated through the PEDro scale. A total of seven articles were included in this systematic review, of which four contributed information to the meta-analysis. Statistical analysis showed favorable results for balance in stroke patients, measured by the Berg Balance Scale (standardized mean difference (SMD) = 3.24; 95%; confidence interval (CI): 1.66–4.83). Not conclusive results were found in sitting postural balance, measured using the Gross Motor Function Measure-66 (GMFM-66) Sitting Dimension, in patients with cerebral palsy. Most studies have shown beneficial effects on postural balance compared with conventional physical therapy. However, due to the limited number of articles and their low methodological quality, no solid conclusions can be drawn about the effectiveness of this therapy.

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Section: Instructionmentioning

confidence: 95%

Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Dominguez-Romero¹,

Molina-Aroca²,

Moral-Muñoz

et al. 2019

IJERPH

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“…Some research studies have supported the use of stochastic resonance to improve balance and postural control in the elderly (Zhou, Lipsitz, Habtemariam, & Manor, 2016) and the diabetic population. The clinical and biomechanical effects of subthreshold random noise on the plantar surface of the foot in diabetic patients and older people have been demonstrated in some studies (Aboutorabi, Arazpour, Bahramizadeh, Farahmand, & Fadayevatan, 2018;Bagherzadeh Cham et al, 2016). In other studies, the noise was applied through vibrating actuators or motors that were embedded in shoe insoles to improve balance (Lipsitz et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Development and Validation of Wearable Inertial Sensor System for Postural Sway Analysis

Pollind

Soangra

2020

Measurement

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Postural sway analysis is an important tool in fall risk analysis. A traditional way to measure postural sway is through forceplates by mapping Center of Pressure (COP) excursions or tracking marker position using motion analysis camera system. However, these systems are expensive and lack portability to their usage in clinical environments. In this study, a wearable low-cost MEMS inertial sensor was developed and validated for its usage in postural sway assessment. This study had two important objectives 1) To develop and validate an Inertial Measurement Unit (IMU) for sway analysis 2) To assess the feasibility of IMU in detecting slight balance impairments due to reduced proprioception or induced subthreshold vibrations on the feet. Sway velocity, Root Mean Square (RMS), and sway path length could successfully differentiate postural changes due to varying proprioceptive and sub-threshold vibration conditions. Wearable sensors are easy-to-use, portable and accurate devices for postural sway assessment in clinics.

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“…Sensory information from somatosensory, vestibular, and visual systems is then integrated, and the relative weights placed on each of these inputs are dependent on the goals of the movement task and the environmental context (3). Stroke patients typically have decreased balance reaction times, postural sway strategies, and impaired body weight support of the hemiparetic limb (4). Balance impairment ranks first among stroke disorders.…”

Section: Introductionmentioning

confidence: 99%

Multi-Sensorimotor Training Improves Proprioception and Balance in Subacute Stroke Patients: A Randomized Controlled Pilot Trial

Lim

2019

Front. Neurol.

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Introduction: The objective was to determine whether advanced rehabilitation therapy combined with conventional rehabilitation therapy consisting of sensorimotor exercises would be superior to usual treadmill training for proprioception variation and balance ability in subacute stroke patients. Methods: Thirty subjects (post-stroke time period: 3.96 ± 1.19 months) were randomly assigned to either a multi-sensorimotor training group ( n = 19) or a treadmill training group ( n = 18). Both groups first performed conventional physical therapy for 30 min, after which the multi-sensorimotor training group performed multi-sensorimotor training for 30 min, and the treadmill training group performed treadmill gait training for 30 min. Both groups performed the therapeutic interventions 5 days per week for 8 weeks. The primary outcome (proprioception variation) was evaluated using an acryl panel and electrogoniometer. The secondary outcome (balance ability) was measured using the Biodex Balance system before intervention and after 8 weeks. Results: The multi-sensorimotor training and treadmill training groups showed significant improvement in proprioception variation and balance (overall, A-P and M-L) (all P < 0.05). In particular, the multi-sensorimotor training group showed more significant differences in proprioception variation ( P = 0.002) and anterior-posterior (A-P) balance ability ( P = 0.033) than the treadmill training group. Conclusions: The multi-sensorimotor training program performed on multiple types of sensory input had a beneficial effect on proprioception sense in the paretic lower limb and A-P balance. A large-scale randomized controlled study is needed to prove the effect of this training. Clinical Trial Registration: https://cris.nih.go.kr/cris/ , identifier KCT0003097.

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Effect of vibration on postural control and gait of elderly subjects: a systematic review

Abstract: Vibration was effective on balance improvement in elderly subject especially elderly with more balance deficiency and it can improve gait parameters in patients with greater baseline variability.

Cited by 35 publications

References 40 publications

Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Development and Validation of Wearable Inertial Sensor System for Postural Sway Analysis

Multi-Sensorimotor Training Improves Proprioception and Balance in Subacute Stroke Patients: A Randomized Controlled Pilot Trial

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