Effect of Pro-kin visual feedback balance training system on gait stability in patients with cerebral small vessel disease

WeiJing Zhao, Hong You, Shangrong Jiang, Hongxia Zhang, Yanling Yang, Min Zhang, WeiJing Zhao, Hong You, Shangrong Jiang, Hongxia Zhang, Yanling Yang, Min Zhang

Abstract

Due to the indistinct nature of symptoms for Cerebral Small Vessel Disease (CSVD), diagnosis is often missed. With significant deterioration of movement disorder, risk of falls increases dramatically.Comparison study was conducted to explore the association between balance function and gait instability, and the treatment effectiveness of visual feedback balance training on the gait disorder in CSVD patients.Fifty-six patients with CSVD were studied. They were randomly divided into observation and control groups, and were given conventional gait rehabilitation training, including single-leg weight, shift of the center of gravity, step and hip extension training, stepping up and down on stairs with the affected leg, standing up with hip extension and support of the leg, lateral walking, and in situ walking. Training was performed twice a day for 20 minutes each for 4 consecutive weeks. In addition, the observation group received balance training using Pro-Kin visual feedback balance training system. Both groups were evaluated prior and post-treatment using the Tinetti Scale and the Pro-Kin Visual Feedback Balance Training System. For the Tinetti Scale, lower score indicates more serious gait balance dysfunction. For the Pro-Kin, greater length means poorer balance function. Larger area means poorer balance function. Smaller value of the 2 parameters indicates better balance function.After training, the trajectory lengths and areas of orbital motions were significantly decreased (P < .05). However greater decrease was seen in the observation group (P < .01). The trajectory length and area for both groups were less when the eyes open than closed (P < .01). The Tinetti scores for balance and gait functions of both groups improved significantly (P < .05). However, the observation group showed even greater results than the control group (P < .01). Results from Person test showed there was a significant correlation between balance and gait functions.Combination of visual feedback balance training with conventional rehabilitation treatment could gain a greater result than conventional rehabilitation alone. It indicates that balance training may serve as an additional method for gait stability training for CSVD patients.

Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Pro-kin visual feedback balance training system.
Figure 2
Figure 2
Static balance training interface.
Figure 3
Figure 3
Dynamic balance training interface.

References

    1. Smith EE, Schneider JA, Wardlaw JM, et al. Cerebral microinfarts: the invisible lesions. Lancet Neurol 2012;11:272–82.
    1. Baezner H, Hennerici M. From trepidant abasia to motor network failure-gait disorders as a consequence of subcortical vascular encephalopathy (SVE): review of historical and contemporary concepts. J Neurolo Sci 2005;229–230:81–8.
    1. You H, Zhang H, Liu J, et al. Effect of balance training with Pro-kin System on balance in patients with white matter lesions. Medicine 2017;96:e9057.
    1. Chinese Medical Association-Neurology Branch, consensus on the diagnosis and treatment of cerebral vascular disease in China. Chin J Neurol 2015;48:838–44.
    1. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34:119–26.
    1. Lewis C. Banlance. Gait test Proved Simple Yet Useful. P T Bull 1993;2:9.
    1. Wang W, Lu W, Li L, et al. Application of walking training based on Bobath concept in patients with stroke in convalescence. Chin J Rehabil Med 2012;27:1124–8.
    1. Canbek J, Fulk G, Nof L, et al. Test-retest reliability and construct validity of the Tinetti performance oriented mobility assessment in people with stroke. J Neurol Phys Ther 2013;37:14–9.
    1. Wang H, ZHANG S, Liu X, et al. Correlation analysis of balance function assessed by dynamic balance instrument and Berg scale in patients with hemiplegia. Chin J Rehabil Med 2013;28:339–43.
    1. Xiaoxia D, Xinming L, Yueping Z, et al. Effects of Pro-Kin balance training on balance and the risk of fall in stroke patients. Chin J Rehabil 2017;32:196–8.
    1. Xu H-P, Quan L-J, Qiu Z, et al. Study on validity and reliability of PRO-KIN balance instrument for predicting fall in elderly people. J Nanchang Univ (Med Sci) 2012;52:34–7.
    1. Sai CF, Thomas B, Sudlow CL. Epidemiology of stroke and its subtypes in Chinese VS white populations: a systematic review. Neurology 2013;81:264–72.
    1. Saini M, Ikram K, Hilal S, et al. Silent stroke: not listened to rather than silent. Stroke 2012;43:3102–4.
    1. Zhu Y. Sports symptoms of cerebral vascular disease[C]//Compendium of the 17th National Conference on Neurology, Chinese Medical Association (I) 2014.
    1. Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther 1996;76:576–83.
    1. Zong L, Jiang K, Cui L, et al. Analysis of gait and balance disorders in 57 patients with cerebral vascular disease. Chin J Stroke 2015;10:1000–5.
    1. Xu M, Gao F, Chen H, et al. Correlation analysis of factors affecting human Gait balance. Control Eng 2017;24:140–1.
    1. Jingjie He, Tong Zhang Analysis of the treatment outcome of the rehabilitation of Parkinson's disease. Chin J Rehabil Med 2002;17:311–2.

Source: PubMed

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