TY - JOUR
T1 - Clinical observational gait analysis to evaluate improvement of balance during gait with vibrotactile biofeedback
AU - Janssen, M.
AU - Pas, R.
AU - Aarts, J.
AU - Janssen-Potten, Y.
AU - Vles, H.
AU - Nabuurs, C.
AU - van Lummel, R.
AU - Stokroos, R.
AU - Kingma, H.
PY - 2012/1/1
Y1 - 2012/1/1
N2 - BACKGROUND AND PURPOSE: This study explores the effect of vibrotactile biofeedback on gait in 20 patients with bilateral vestibular areflexia using observational gait analysis to score individual balance. MethoDS: A tilt sensor mounted on the head or trunk is used to detect head or body tilt and activates, via a microprocessor, 12 equally distributed vibrators placed around the waist. Two positions of the tilt sensor were evaluated besides no biofeedback in three different gait velocity tasks (slow/fast tandem gait, normal gait on foam) resulting in nine different randomized conditions. Biofeedback activated versus inactivated was compared. Twenty patients (10 males, 10 females, age 39-77 years) with a bilateral vestibular areflexia or severe bilateral vestibular hyporeflexia, severe balance problems and frequent falls participated in this study. RESULTS: Significant improvements in balance during gait were shown in our patients using biofeedback and sensor on the trunk. Only two patients showed a significant individual gait improvement with the biofeedback system, but in the majority of our patients, it increased confidence and a feeling of balance. CONCLUSION: This study indicates the feasibility of vibrotactile biofeedback for vestibular rehabilitation and to improve balance during gait.
AB - BACKGROUND AND PURPOSE: This study explores the effect of vibrotactile biofeedback on gait in 20 patients with bilateral vestibular areflexia using observational gait analysis to score individual balance. MethoDS: A tilt sensor mounted on the head or trunk is used to detect head or body tilt and activates, via a microprocessor, 12 equally distributed vibrators placed around the waist. Two positions of the tilt sensor were evaluated besides no biofeedback in three different gait velocity tasks (slow/fast tandem gait, normal gait on foam) resulting in nine different randomized conditions. Biofeedback activated versus inactivated was compared. Twenty patients (10 males, 10 females, age 39-77 years) with a bilateral vestibular areflexia or severe bilateral vestibular hyporeflexia, severe balance problems and frequent falls participated in this study. RESULTS: Significant improvements in balance during gait were shown in our patients using biofeedback and sensor on the trunk. Only two patients showed a significant individual gait improvement with the biofeedback system, but in the majority of our patients, it increased confidence and a feeling of balance. CONCLUSION: This study indicates the feasibility of vibrotactile biofeedback for vestibular rehabilitation and to improve balance during gait.
U2 - 10.1002/pri.504
DO - 10.1002/pri.504
M3 - Article
C2 - 21207506
SN - 1358-2267
VL - 17
SP - 4
EP - 11
JO - Physiotherapy Research International
JF - Physiotherapy Research International
IS - 1
ER -