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  4. A rehabilitation tool for functional balance using altered gravity and virtual reality

A rehabilitation tool for functional balance using altered gravity and virtual reality

Journal of NeuroEngineering and Rehabilitation, 2007 · DOI: 10.1186/1743-0003-4-25 · Published: July 10, 2007

Assistive TechnologyNeurorehabilitationRehabilitation

Simple Explanation

This research introduces a new rehabilitation tool designed to improve balance and gait in patients who have difficulties due to conditions like spinal cord injury or hip fractures. The tool combines altered gravity with a virtual reality environment to make balance training more effective. The system involves subjects lying in a tilted position while interacting with a virtual environment that simulates an upright posture. This setup allows them to practice balance without the risk of falling, which is particularly beneficial for frail patients. A study with healthy subjects showed that training in this environment improved both strength and balance. This suggests the potential for this tool to provide early and effective rehabilitation for patients with balance and gait issues.

Study Duration
4 weeks
Participants
24 healthy subjects (two groups of 12)
Evidence Level
Not specified

Key Findings

  • 1
    Combined strength and balance training in a tilted virtual environment improves upright balance function and muscular strength.
  • 2
    Balance improvements are linked to enhanced use of somatosensory and visual information, rather than vestibular tilt orientation mechanisms.
  • 3
    Postural corrections were implemented more quickly after training, as indicated by a shorter critical time parameter in the Stabilogram-Diffusion analysis.

Research Summary

The study introduces a novel moveable clinical device intended for functional rehabilitation of strength and balance, allowing mediolateral APAs to occur across a wide range of gravity-like loads, which current BWS systems cannot provide. The system complements existing technologies by offering a unique training stimulus important for independent upright stance and gait, while minimizing the risk of falls for frail patients. Results from a training study with healthy individuals showed that combined strength and balance training in a tilted environment improves upright strength and balance function concurrently.

Practical Implications

Clinical Rehabilitation

The moveable clinical device can be used for functional rehabilitation of strength and balance in patients with gait and balance problems.

Countermeasure Training

The training method could be used for astronauts to improve postural control and training efficiency in microgravity conditions.

Enhanced Balance Training

The system allows natural mediolateral APAs to occur across a wide range of gravity-like loads, an important balance related stimulus that currently used BWS systems cannot provide.

Study Limitations

  • 1
    Study conducted on healthy individuals, further studies needed on patients.
  • 2
    Vestibular tilt orientation mechanism cannot be used for balancing.
  • 3
    Not specified

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