Immediate effect of adding mirror visual feedback to lateral weight-shifting training on the standing balance control of the unilateral spatial neglect model

Meidian, Abdul Chalik; Yige, Song; Irfan, Muhammad; Rahayu, Umi Budi; Amimoto, Kazu

doi:10.1589/jpts.33.809

Cited by 1 publication

(2 citation statements)

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“…With respect to the behavior parameters, the AP training group in this study showed significantly better balance control with improved lower extremity motor ability than the control group. This was similar to the findings of previous studies in which visual feedback training was found to improve balance and motor function [12,[38][39][40]. Lauziere et al reported a strong relationship between motor function of the paretic lower extremity, balance control, weight bearing distribution, and gait asymmetry in stroke patients [5].…”

Section: Discussionsupporting

confidence: 90%

“…Asymmetric weight bearing and increased compensation from the non-paretic leg contribute to the deficits in balance control commonly observed after stroke [19]. In a study, visual feedback rhythmic weight-shift training (balance master) was found to improve dynamic balance function in hemiplegic stroke patients, resulting in a lower incidence of falls, although not statistically significant [39]. The improvements in weight distribution, symmetric gait pattern, and lower extremity motor ability in stroke patients who received the AP training may have influenced the improvement in balance ability.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Anterioposterior Weight-Shift Training with Visual Biofeedback in Patients with Step Length Asymmetry after Subacute Stroke

Jo,

Kim,

Kim

et al. 2023

JPM

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Step length asymmetry is a characteristic feature of gait in post-stroke patients. A novel anterioposterior weight-shift training method with visual biofeedback (AP training) was developed to improve the forward progression of the trunk. This study aimed to investigate the effect of AP training on gait asymmetries, patterns, and gait-related function in subacute stroke patients. Forty-six subacute stroke patients were randomly assigned to the AP training group or the control group. The AP training group received conventional gait training and AP training five times per week for 4 weeks. The control group received the same intensity of conventional gait training with patient education for self-anterior weight shifting. Plantar pressure analysis, gait analysis, energy consumption, and gait-related behavioral parameters were assessed before and after training. The AP training group showed significant improvement in step length asymmetry, forefoot contact area and pressure, Berg balance scale score, and Fugl-Meyer assessment scale of lower extremity score compared to the control group (p < 0.05). However, there was no significant between-group difference with respect to energy cost and kinetic and kinematic gait parameters. In conclusion, AP training may help improve the asymmetric step length in stroke patients, and also improve anterior weight shifting, balance, and motor function in subacute stroke survivors.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%