Rehabilitation of Balance After Stroke With Multisensorial Training: A Single-Blind Randomized Controlled Study

Yelnik, A.; Breton, F. Le; Colle, F.; Bonan, Isabelle; Hugeron, C.; Egal, Véronique; Lebomin, Elizabeth; Regnaux, Jean‐Philippe; Pérennou, Dominic; Vicaut, Éric

doi:10.1177/1545968308315996

Cited by 65 publications

(55 citation statements)

References 38 publications

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“…The results illustrate that the agility exercise would be beneficial in reducing falls in chronic stroke patients who have altered motor coordination. Yelnik et al (2008) randomized 68 patients who had experienced a recent stroke but had reached the chronic recovery period (average of 7 months postevent). The experimental group (n = 33) patients received multisensorial training, and the control group (n = 35) received neurodevelopmental theory-based treatment for 1 hour, 5 days a week, for 4 weeks.…”

Section: Aerobic Exercises To Improve Balancementioning

confidence: 99%

The Effects of Exercise-Based Rehabilitation on Balance and Gait for Stroke Patients

Shaughnessy

2011

Journal of Neuroscience Nursing

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This review evaluated the effects of balance and/or gait exercise interventions for stroke survivors and summarized the available evidence on these exercise interventions. A search for studies published between January 2001 and January 2010 was performed using the keywords stroke, walking or balance, and physical activity or exercise. Seventeen randomized clinical trials were identified. The findings suggest that initiating early rehabilitation during acute to subacute stroke recovery can improve balance and walking capacity. The findings also demonstrate that at least 1 hour, three to five times per week, of balance training and 30 minutes, three to five times per week, of gait-oriented exercise are effective to improve balance and walking. This review confirms that balance and walking capacity are improved with specific exercise modalities. A combination of balance, gait, and aerobic exercises would be ideal.

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Section: Aerobic Exercises To Improve Balancementioning

confidence: 99%

The Effects of Exercise-Based Rehabilitation on Balance and Gait for Stroke Patients

Shaughnessy

2011

Journal of Neuroscience Nursing

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“…Twelve of these studies were experimental designs (RCTs/one prospective parallel group design) [10,[26][27][28][29][30][31][32][33][34][35][36], while five studies used an N-of-1/case report design to describe clinical practice with respect to a specific client/clients, with study design varying from a case report [37,38], to a case series, to a more sophisticated single subject research design (SSRDs) [40,41]. One other paper was a systematic review [11].…”

Section: Resultsmentioning

confidence: 99%

The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part II: intervention studies perspectives

Vaughan-Graham

Cott

Wright

2014

Disability and Rehabilitation

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The intervention studies, primarily RCT designs, have serious methodological concerns particularly related to study/treatment fidelity and measurement resulting in no clear clinical direction. Aspects such as theoretical framework, therapist skill, quality of movement measurement and individualized interventions require careful consideration in the design of Bobath studies. Implications for Rehabilitation Future intervention studies should be based on the current Bobath theoretical framework and key aspects of clinical practice. Study and treatment fidelity issues need to be carefully considered when interpreting the results of existing RCT's evaluating the Bobath concept. N-of-1 randomized, observational, factorial and mixed method study designs should be considered as alternative study options.

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“…[14][15][16] Hence to address this deficits of sensorimotor integration adaptation of regular physical therapy exercises with the use of vision and surface input manipulations along with sensory conflict conditions to challenge balance has shown to have positive effects on balance recovery. 17 Recent studies have shown that exercise interventions in the form of task oriented exercises which are intended to reinforce the relationship between training and functional performance, such as exercises in sitting, standing, walking and stair climbing as a strategy to improve balance and functional mobility in stroke patients. [18][19][20] Bayouk et al, in their study, found that task oriented balance training with altered sensory input shows significant improvement in standing balance in chronic stroke patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of Task Oriented Exercises with Altered Sensory Input on Balance and Functional Mobility in Chronic Stroke: A Pilot Randomized Controlled Trial

Kuberan

Joshua

et al. 2017

Bangladesh J Med Sci

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Background: Stroke subjects presented with greater postural instability which lead to challenge their balance control in sensory conflict conditions. Studies have shown that deficits of sensorimotor integration and an inability to select the appropriate sensory input are associated with balance measures following stroke.However, limited studies have been focused to sensorimotor integration in balance rehabilitation. Objective: Our study aimed to evaluate the Task Oriented Training (TOT) with sensory manipulation to enhance balance and functional mobility in chronic stroke subjects. Design: Randomized controlled pilot study. Setting: Department of Physiotherapy in a Tertiary care Hospital. Subjects: A convenience sample consisting of 26 hemi paretic subjects at least 6 months post stroke duration with Brunnstrom's recovery stage ≥5 for the lower limb and Berg Balance Score of 40 or above were randomly assigned control group (n=13) and in experimental group (n=13). Interventions: Control group received the conventional physical therapy and in the Experimental group received TOT with manipulations of sensory inputs and provision of sensory conflict for the trunk and lower limb focusing on balance and mobility were implemented for 15 sessions, 5 days a week for 3 weeks with each session of 45-60 mints duration. Outcome measures: Dynamic Gait Index (DGI), Timed Up and Go Test (TUGT) and Fall Efficacy Scale (FES) were analyzed before and after the training. Results: Post training there was a significant improvement in all the outcome measurements for both the groups. However components 3, 4 and 5 of DGI, TUGT and FES of experimental group had a highly significant statistical difference between-group analysis with p<.05. Conclusion:Task oriented exercises with altered sensory input was found to be effective in improving functional mobility in terms of dynamic balance and reduction in their fear of fall levels after a 3 week training program.

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Rehabilitation of Balance After Stroke With Multisensorial Training: A Single-Blind Randomized Controlled Study

Abstract: No evidence was found for the superiority of a multisensorial rehabilitation program in ambulatory patients with impairments beyond the time of inpatient therapy. Additional studies are recommended.

Cited by 65 publications

References 38 publications

The Effects of Exercise-Based Rehabilitation on Balance and Gait for Stroke Patients

The Effects of Exercise-Based Rehabilitation on Balance and Gait for Stroke Patients

The Bobath (NDT) concept in adult neurological rehabilitation: what is the state of the knowledge? A scoping review. Part II: intervention studies perspectives

Effects of Task Oriented Exercises with Altered Sensory Input on Balance and Functional Mobility in Chronic Stroke: A Pilot Randomized Controlled Trial

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