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  4. A new balance assessment tool for quantifying balance impairment in patients with motor incomplete spinal cord injury: Pilot study

A new balance assessment tool for quantifying balance impairment in patients with motor incomplete spinal cord injury: Pilot study

The Journal of Spinal Cord Medicine, 2023 · DOI: 10.1080/10790268.2021.1992592 · Published: January 1, 2023

Spinal Cord InjuryRehabilitation

Simple Explanation

This study introduces a new tool, FRA510S, to quantitatively assess balance in patients with incomplete spinal cord injury (SCI). It aims to provide objective measurements of balance impairment, which can be more precise than traditional manual assessments. The FRA510S measures body sway and center of pressure (CoP) using digital equipment, allowing for accurate evaluation of even minor balance disturbances. The equipment objectively identifies how much a person sways and how their center of pressure shifts. By comparing the FRA510S results with existing balance assessments, like the Berg Balance Scale (BBS) and Five Times Sit-to-Stand Test (FTSST), the study demonstrates its potential to provide comprehensive information about balance and gait rehabilitation for SCI patients.

Study Duration
January-December, 2018
Participants
14 patients with motor incomplete spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    The FRA510S equipment provides quantitative values for balance function, offering a more objective way to assess balance compared to traditional methods.
  • 2
    The FRA510S showed agreement with existing balance assessments like the Berg Balance Scale (BBS) and Five Times Sit-to-Stand Test (FTSST), particularly in specific testing conditions.
  • 3
    The study found that somatosensory function, as indicated by SSEP results, plays a key role in postural control and balance recovery in patients with incomplete SCI.

Research Summary

This pilot study evaluated the FRA510S, a new balance assessment tool, in patients with motor incomplete spinal cord injury (SCI). The aim was to quantitatively assess balance impairment and determine its role in comprehensive balance assessment. The study compared FRA510S results with existing balance assessments (BBS, FTSST, SCIM) and electrophysiological examinations (SSEP) in 14 patients. The FRA510S measures sway index (SW) and stability index (ST) under different sensory conditions. The results showed agreement between the FRA510S and existing balance assessments, and indicated that somatosensory function is important for balance control. The FRA510S offers a quantitative way to evaluate balance and may provide additional information for falls and gait rehabilitation in SCI patients.

Practical Implications

Comprehensive Balance Assessment

The FRA510S, combined with neurological, electrophysiological, and clinical tests, can provide comprehensive information related to falls and gait rehabilitation in patients with SCI.

Tailored Rehabilitation Strategies

By identifying specific sensory deficits through the FRA510S, rehabilitation programs can be tailored to address individual patient needs, focusing on visual, vestibular, or somatosensory systems.

Objective Monitoring of Balance Recovery

The quantitative nature of the FRA510S allows for objective monitoring of balance recovery during rehabilitation, helping to guide treatment adjustments and track progress over time.

Study Limitations

  • 1
    Small sample size limits the statistical power and generalizability of the findings.
  • 2
    Cross-sectional design prevents the assessment of long-term balance recovery patterns.
  • 3
    Retrospective nature of the study limits the ability to control for confounding factors.

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