Enhancing sensory acuity and balance function using near-sensory biofeedback-based perturbation intervention for individuals with traumatic brain injury.
NeuroRehabilitation
; 48(1): 29-37, 2021.
Article
em En
| MEDLINE
| ID: mdl-33386818
ABSTRACT
BACGROUND Interventions addressing balance dysfunction after traumatic brain injury (TBI) only target compensatory aspects and do not investigate perceptual mechanisms such as sensory acuity. OBJECTIVE:
To evaluate the efficacy of a novel intervention that integrates sensory acuity with a perturbation-based approach for improving the perception and functional balance after TBI.METHODS:
A two-group design was implemented to evaluate the effect of a novel, perturbation-based balance intervention. The intervention group (nâ=â5) performed the intervention with the sinusoidal (0.33, 0.5, and 1âHz) perturbations to the base of support with amplitudes derived using our novel outcome of sensory acuity - perturbation perception threshold (PPT). The efficacy is evaluated using changes in PPT and functional outcomes (Berg Balance Scale (BBS), Timed-up and Go (TUG), 5-meter walk test (5MWT), and 10-meter walk test (10MWT)).RESULTS:
There was a significant post-intervention change in PPT for 0.33âHz (pâ=â0.021). Additionally, clinically and statistically significant improvements in TUG (pâ=â0.03), 5MWT (pâ=â0.05), and 10MWT (pâ=â0.04) were observed.CONCLUSIONS:
This study provides preliminary efficacy of a novel, near-sensory balance intervention for individuals with TBI. The use of PPT is suggested for a comprehensive understanding and treatment of balance dysfunction. The promising results support the investigation in a larger cohort.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Biorretroalimentação Psicológica
/
Modalidades de Fisioterapia
/
Equilíbrio Postural
/
Retroalimentação Sensorial
/
Lesões Encefálicas Traumáticas
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article