Haptic-based perception-empathy biofeedback system for balance rehabilitation in patients with chronic stroke: Concepts and initial feasibility study

Yasuda, Kazuhiro; Saichi, Kenta; Kaibuki, Naomi; Harashima, Hiroaki; Iwata, Hiroyasu

doi:10.1016/j.gaitpost.2018.04.013

Cited by 11 publications

(5 citation statements)

References 47 publications

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“…We previously found that 4 week vibrotactile BF training did not induce significant changes in traditional CoP measures (i.e., sway area, mean velocity) in chronic stroke patients (Yasuda et al, 2018). Thus, it is possible that vibrotactile BF may affect only the temporal structure of CoP trajectories.…”

Section: Discussionmentioning

confidence: 92%

“…Vibrotactile biofeedback (BF) application to the trunk is a promising method for restoring balance ability (e.g., Dozza et al, 2007; Bechly et al, 2013). However, we previously found that a 4 week vibrotactile BF training did not induce significant changes on several center of pressure (CoP) measures (i.e., sway area, path length) in chronic stroke patients (Yasuda et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Balance Training With a Vibrotactile Biofeedback System Affects the Dynamical Structure of the Center of Pressure Trajectories in Chronic Stroke Patients

Kodama

Yasuda

Kuznetsov

et al. 2019

Front. Hum. Neurosci.

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Haptic-based vibrotactile biofeedback (BF) is a promising technique to improve rehabilitation of balance in stroke patients. However, the extent to which BF training changes temporal structure of the center of pressure (CoP) trajectories remains unknown. This study aimed to investigate the effect of vibrotactile BF training on the temporal structure of CoP during quiet stance in chronic stroke patients using detrended fluctuation analysis (DFA). Nine chronic stroke patients (age; 81.56 ± 44 months post-stroke) received a balance training regimen using a vibrotactile BF system twice a week over 4 weeks. A Wii Balance board was used to record five 30 s trials of quiet stance pre- and post-training at 50 Hz. DFA revealed presence of two linear scaling regions in CoP indicating presence of fast- and slow-scale fluctuations. Averaged across all trials, fast-scale fluctuations showed persistent dynamics (α = 1.05 ± 0.08 for ML and α = 0.99 ± 0.17 for AP) and slow-scale fluctuations were anti-persistent (α = 0.35 ± 0.05 for ML and α = 0.32 ± 0.05 for AP). The slow-scale dynamics of ML CoP in stroke patients decreased from pre-training to post-BF training (α = 0.40 ± 0.13 vs. 0.31 ± 0.09). These results suggest that the vibrotactile BF training affects postural control strategy used by chronic stroke patients in the ML direction. Results of the DFA are further discussed in the context of balance training using vibrotactile BF and interpreted from the perspective of intermittent control of upright stance.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Balance Training With a Vibrotactile Biofeedback System Affects the Dynamical Structure of the Center of Pressure Trajectories in Chronic Stroke Patients

Kodama

Yasuda

Kuznetsov

et al. 2019

Front. Hum. Neurosci.

Self Cite

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“…Visual cues were usually active during training, which can lead to visual reliance and high cognitive effort [ 50 , 51 ]. They provided detailed biofeedback through graphs and scenarios modulated on shape, color, and size according to the control strategy.…”

Section: Discussionmentioning

confidence: 99%

Robotic Biofeedback for Post-Stroke Gait Rehabilitation: A Scoping Review

Pinheiro

Figueiredo

Cerqueira

et al. 2022

Sensors

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This review aims to recommend directions for future research on robotic biofeedback towards prompt post-stroke gait rehabilitation by investigating the technical and clinical specifications of biofeedback systems (BSs), including the complementary use with assistive devices and/or physiotherapist-oriented cues. A literature search was conducted from January 2019 to September 2022 on Cochrane, Embase, PubMed, PEDro, Scopus, and Web of Science databases. Data regarding technical (sensors, biofeedback parameters, actuators, control strategies, assistive devices, physiotherapist-oriented cues) and clinical (participants’ characteristics, protocols, outcome measures, BSs’ effects) specifications of BSs were extracted from the relevant studies. A total of 31 studies were reviewed, which included 660 stroke survivors. Most studies reported visual biofeedback driven according to the comparison between real-time kinetic or spatiotemporal data from wearable sensors and a threshold. Most studies achieved statistically significant improvements on sensor-based and clinical outcomes between at least two evaluation time points. Future research should study the effectiveness of using multiple wearable sensors and actuators to provide personalized biofeedback to users with multiple sensorimotor deficits. There is space to explore BSs complementing different assistive devices and physiotherapist-oriented cues according to their needs. There is a lack of randomized-controlled studies to explore post-stroke stage, mental and sensory effects of BSs.

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“…In this respect, till today, several randomized clinical trials tried to evaluate the walking abilities using numerous approaches and exercises on treadmills, with also the application of obstacle crossing or other cognitive distractions, to evaluate their usability as adjuvant therapies in improving walking rehabilitation among people with stroke [ 18 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 ]. Thus far, the results from these trials suggest that for patients with stroke, retraining gait with the use of a treadmill and a percentage of their body weight supported (e.g., Lokomat ® robotic assistive device) or assisted through several wearables, resulted in improved postural abilities over those with no support on their body weight [ 18 , 24 , 36 , 41 , 44 , 71 , 73 , 74 , 75 , 76 ]. Variations of the intensity (e.g., speed) or of the type of the exercises (e.g., obstacles-crossing training or cognitive distractions) and the virtual reality environment or incorporation of exergames seems to be also beneficial on patients’ balance, upper limb motor function, and generally in cognitive and functional outcomes in patients recovering from stroke [ 19 , 42 , 70 , 72 , 77 , 78 , 79 , 80 ].…”

Section: Physiotherapy Interventions In the Elderly With Ndsmentioning

confidence: 99%

A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

Spanakis

Xylouri

Patelarou

et al. 2022

IJERPH

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Neurological physiotherapy adopts a problem-based approach for each patient as determined by a thorough evaluation of the patient’s physical and mental well-being. Τhis work aims to provide a literature review of physical therapy interventions in the elderly with neurological diseases (NDs) and discuss physiotherapy procedures and methods that utilize cutting-edge technologies for which clinical studies are available. Hence, the review focuses on acute NDs (stroke), deteriorating NDs (Parkinson’s disease), and age-related cognitive impairment. The most used physiotherapy procedures on which clinical data are available are balance and gait training (robot-assisted or not), occupational therapy, classical physiotherapy, walking and treadmill training, and upper limb robot-assisted therapy. Respectively, the most often-used equipment are types of treadmills, robotic-assisted equipment (Lokomat® and Gait Trainer GT1), and portable walkway systems (GAITRite®), along with state-of-the-art technologies of virtual reality, virtual assistants, and smartphones. The findings of this work summarize the core standard tools and procedures, but more importantly, provide a glimpse of the new era in physiotherapy with the utilization of innovative equipment tools for advanced patient monitoring and empowerment.

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Haptic-based perception-empathy biofeedback system for balance rehabilitation in patients with chronic stroke: Concepts and initial feasibility study

Cited by 11 publications

References 47 publications

Balance Training With a Vibrotactile Biofeedback System Affects the Dynamical Structure of the Center of Pressure Trajectories in Chronic Stroke Patients

Balance Training With a Vibrotactile Biofeedback System Affects the Dynamical Structure of the Center of Pressure Trajectories in Chronic Stroke Patients

Robotic Biofeedback for Post-Stroke Gait Rehabilitation: A Scoping Review

A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders

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