Exploration of a novel physical therapy protocol that uses a sensory substitution device to improve the standing postural balance of children with balance disorders.

Autor: Surkar SM; Department of Physical Therapy, College of Allied Health Sciences, Greenville, NC, USA.; Department of Physical Therapy, Munroe Meyer Institute of Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA., Harbourne R; Department of Physical Therapy, John G. Rangos School of Health Sciences, Duquesne University, Pittsburgh, PA, USA., Corr B; Department of Physical Therapy, Munroe Meyer Institute of Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA., Arpin D; Department of Physical Therapy, Munroe Meyer Institute of Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA., J Kurz M; Department of Physical Therapy, Munroe Meyer Institute of Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, NE, USA.
Jazyk: angličtina
Zdroj: Physiotherapy theory and practice [Physiother Theory Pract] 2022 May; Vol. 38 (5), pp. 637-647. Date of Electronic Publication: 2020 Jul 02.
DOI: 10.1080/09593985.2020.1786869
Abstrakt: Objective: To explore if an intensive balance training protocol that incorporated the BrainPort sensory substitution device improves the standing postural balance of children with balance disorders.
Methods: Eight children with balance disorders received 8-weeks of balance training while using the BrainPort device. Pre- and post-intervention changes in the Bruininks-Oseretsky Test of Motor Proficiency balance subtest (BOT-2) scores, standing duration on an unstable surface, and center of pressure (COP) sway were assessed.
Results: Post-intervention, the BOT-2 balance subtest scores increased by 29.6% and demonstrated clinically meaningful improvements. Overall, the standing duration with vision increased. The standing duration on the unstable surface without vision increased significantly from pre- to post-intervention. However, anterior-posterior (AP) and medial-lateral (ML) sway did not change post-intervention. The children also reported new functional activities (i.e. riding a bike, standing on unsteady or narrow surfaces).
Conclusion: Balance training with the BrainPort sensory substitution device has the potential to result in clinically relevant improvements in the standing postural balance of children with balance disorders.
Databáze: MEDLINE
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