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KMID : 0357220070190060037
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Journal of Korean Society Physical Therapy
2007 Volume.19 No. 6 p.37 ~ p.41
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The Effects of the Proprioceptive Control and Visual Feedback for the Limits of Stability in Patients with Chronic Hemiplegia
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Hwang Byoung-Yong
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Abstract
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Purpose: Hemiplegic patients usually present with difficulties in maintaining their balance. Balance retraining is a major component of a rehabilitation program for patients with neurological impairments. This study compared the effects of prorpioceptive exercise and visual feedback program on the limits of stability (LOS) in chronic hemiplegia patients.
Methods: Thirty subjects (mean age ) were recruited. The subjects were divided into a proprioceptive group and a visual group. The subjects for the proprioceptive group participated in the proprioceptive exercise program for 4 weeks, and the visual group were treated with visual feedback training using a Balance Master.
Results: At the 4 week follow-up test, the LOS in the proprioceptive group improved significantly in all directions (p<0.05). However, improvement was only observed in the forward direction in the visual feedback group. Therefore, the proprioceptive control approach improves the LOS in chronic hemiplegia patients.
Conclusion: These results suggest that compared with physical therapy alone using a proprioceptive control approach to hemiplegia, there was no additional benefit of visual feedback training, such as Balance Master, when administrated in combination with other physical therapy interventions.
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KEYWORD
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Chronic hemiplegia, limits of stability, proprioceptive control, visual feedback training
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