Balance training using an interactive game to enhance the use of the affected side after stroke

Shih Hsiang Ciou, Yuh Shyan Hwang, Chih Chen Chen, Shih Ching Chen, Shih Wei Chou, Yu Luen Chen

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

[Purpose] Stroke and other cerebrovascular diseases are major causes of adult mobility problems. Be cause stroke immobilizes the affected body part, balance training uses the healthy body part to complete the target movement. The muscle utilization rate on the stroke affected side is often reduced which further hinders affected side functional recovery in rehabilitation. [Subjects and Methods] This study tested a newly-developed interact ive device with two force plates to measuring right and left side centers of pressure, to establish its efficacy in the improvement of the static standing ability of patients with hemiplegia. An interactive virtual reality game with different side reaction ratios was used to improve patient balance. The feasibility of the proposed approach was experimentally demonstrated. [Results] Although the non-affected-side is usually used to support the body weight in the standing position, under certain circumstances the patients could switch to using the affected side. A dramatic improvement in static standing balance control was achieved in the eyes open condition. [Conclusion] The proposed dual force plate technique used in this study separately measured the affected and non-affected-side centers of pressure. Based on this approach, different side ratio integration was achieved using an interactive game that helped stroke patients improve balance on the affected side. Only the patient who had suffered stroke relatively recently benefited significantly. The proposed technique is of little benefit for patients whose mobility has stagnated to a certain level.

Original languageEnglish
Pages (from-to)3855-3861
Number of pages7
JournalJournal of Physical Therapy Science
Volume27
Issue number12
DOIs
Publication statusPublished - Dec 28 2015

Keywords

  • Affected side
  • Standing balance
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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