Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: a randomized controlled trial.
Arch Phys Med Rehabil
; 85(2): 274-8, 2004 Feb.
Article
em En
| MEDLINE
| ID: mdl-14966713
ABSTRACT
OBJECTIVE:
To test the hypothesis that balance rehabilitation with visual cue deprivation improves balance more effectively than rehabilitation with free vision.DESIGN:
Single-blind, randomized controlled trial.SETTING:
Public rehabilitation center in France.PARTICIPANTS:
Twenty patients with hemiplegia after a single-hemisphere stroke that occurred at least 12 months before the study. INTERVENTION Patients were randomly assigned to 1 of 2 balance rehabilitation programs-with and without visual cue deprivation. In all other respects, the programs were identical. Each lasted for 1 hour and was implemented 5 days a week for 4 weeks. All patients completed the program. Mean outcome measures Balance under 6 sensory conditions was assessed by computerized dynamic posturography (EquiTest), gait velocity, timed stair climbing, and self-assessment of ease of gait before and after program completion.RESULTS:
After completing the program, balance, gait velocity, and self-assessment of gait improved significantly in all patients. The improvements in gait velocity (P= .03) and timed stair climbing (P= .01) correlated significantly with improved balance. Balance improved more in the vision-deprived group than in the free-vision group.CONCLUSIONS:
Balance improved more after rehabilitation with visual deprivation than with free vision. Visual overuse may be a compensatory strategy for coping with initial imbalance exacerbated by traditional rehabilitation.
Buscar no Google
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Privação Sensorial
/
Percepção Visual
/
Sinais (Psicologia)
/
Equilíbrio Postural
/
Reabilitação do Acidente Vascular Cerebral
/
Hemiplegia
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
Aspecto:
Patient_preference
Limite:
Humans
/
Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2004
Tipo de documento:
Article