OBJECTIVES: (1) To evaluate the learning potential and performance improvements during standing balance training with visual feedback (VBT) in individuals with incomplete spinal cord injury (SCI) and (2) to determine whether standing static and dynamic stability during training-irrelevant tasks can be improved after the VBT. SETTING: National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan. METHODS: Six participants with chronic motor and sensory incomplete SCI who were able to stand for at least 5 min without any form of assistive device performed the VBT, 3 days per week, for a total of 12 sessions. During the training, participants stood on a force platform and were instructed to shift their center of pressure in the indicated directions as represented by a cursor on a monitor. The performance and the rate of learning were monitored throughout the training period. Before and after the program, static and dynamic stability was assessed. RESULTS: All participants showed substantial improvements in the scores, which varied between 236±94 and 130±14% of the initial values for different exercises. The balance performance during training-irrelevant tasks was significantly improved: for example, the area inside the stability zone after the training reached 221±86% of the pre-training values. CONCLUSION: Postural control can be enhanced in individuals with incomplete SCI using VBT. All participants showed substantial improvements during standing in both game performance and training-irrelevant tasks after the VBT.
OBJECTIVES: (1) To evaluate the learning potential and performance improvements during standing balance training with visual feedback (VBT) in individuals with incomplete spinal cord injury (SCI) and (2) to determine whether standing static and dynamic stability during training-irrelevant tasks can be improved after the VBT. SETTING: National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan. METHODS: Six participants with chronic motor and sensory incomplete SCI who were able to stand for at least 5 min without any form of assistive device performed the VBT, 3 days per week, for a total of 12 sessions. During the training, participants stood on a force platform and were instructed to shift their center of pressure in the indicated directions as represented by a cursor on a monitor. The performance and the rate of learning were monitored throughout the training period. Before and after the program, static and dynamic stability was assessed. RESULTS: All participants showed substantial improvements in the scores, which varied between 236±94 and 130±14% of the initial values for different exercises. The balance performance during training-irrelevant tasks was significantly improved: for example, the area inside the stability zone after the training reached 221±86% of the pre-training values. CONCLUSION: Postural control can be enhanced in individuals with incomplete SCI using VBT. All participants showed substantial improvements during standing in both game performance and training-irrelevant tasks after the VBT.
Authors: Janelle Unger; Katherine Chan; Carol Y Scovil; B Catharine Craven; Avril Mansfield; Kei Masani; Kristin E Musselman Journal: Phys Ther Date: 2019-04-01
Authors: Avril Mansfield; Anthony Aqui; Julia E Fraser; Roshanth Rajachandrakumar; Bimal Lakhani; Kara K Patterson Journal: Exp Brain Res Date: 2016-10-05 Impact factor: 1.972
Authors: Mrinal Rath; Albert H Vette; Shyamsundar Ramasubramaniam; Kun Li; Joel Burdick; Victor R Edgerton; Yury P Gerasimenko; Dimitry G Sayenko Journal: J Neurotrauma Date: 2018-07-05 Impact factor: 5.269
Authors: Dimitry G Sayenko; Mrinal Rath; Adam R Ferguson; Joel W Burdick; Leif A Havton; V Reggie Edgerton; Yury P Gerasimenko Journal: J Neurotrauma Date: 2018-12-15 Impact factor: 5.269