Effects of postural-control training with different sensory reweightings in a patient with body lateropulsion: a single-subject design study.
Physiother Theory Pract
; : 1-11, 2023 Nov 02.
Article
em En
| MEDLINE
| ID: mdl-37916486
ABSTRACT
INTRODUCTION:
Body lateropulsion (BL) is an active lateral tilt of the body during standing or walking that is thought to be affected by a lesion of the vestibulospinal tract (VST) and the subjective visual vertical (SVV) tilt. Interventions for BL have not been established.OBJECTIVE:
We examined the effects of postural-control training with different sensory reweighting on standing postural control in a patient with BL.METHODS:
The patient had BL to the left when standing or walking due to a left-side medullary and cerebellar infarct. This study was a single-subject A-B design with follow-up Phase A was postural-control training with visual feedback; phase B provided reweighting plantar somatosensory information. Postural control, VST excitability, and SVV were measured.RESULTS:
At baseline and phase A, the patient could not stand with eyes-closed on a rubber mat, but became able to stand in phase B. The mediolateral center of pressure (COP) position did not change significantly, but the COP velocity decreased significantly during phase B and the follow-up on the firm surface. VST excitability was lower on the BL versus the non-BL side, and the SVV deviated to the right throughout the study.CONCLUSION:
Postural-control training with reweighting somatosensory information might improve postural control in a patient with BL.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Physiother Theory Pract
Assunto da revista:
MEDICINA FISICA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Japão