Balance Training Of Posture Instability Using Computerized Dynamic Posturography In Hemiplegic Patients

الملخص EN

Objective : Study the Berg Balance Scale as a measure of balance functional impairment as well as effects of visual feedback balance training on static and dynamic standing balance using Computerized Dynamic Petrography (CDP), before and after a rehabilitation program in hemiplegic patients.

Methodology : Thirty-one hemiplegic ambulatory stroke patients admitted to the Balance Neurocom Clinic (Kuwait) and 19 age-matched apparently healthy controls were subjected to this study.

All patients and controls were evaluated clinically with brief neurological examination and a study of postural stability (PS) and balance using the Berg Balance Scale and CDP.

All patients received a rehabilitation training program including visual biofeedback training using CDP once weekly in addition to conventional physical therapy (three times / weekly) for 3 months.

All patients and controls were re-evaluated 3 months after the rehabilitation training program.

Results : A significant increase in the Berge Balance Scale was observed after as compared to results before treatment in stroke patients (p < 0.05).

Moreover, a highly significant increase was found for composite equilibrium score (ES) after as compared to results before treatment in stroke patients (p < 0.001).

Also, a significant increase in static & dynamic balance functions was observed after treatment as compared with results before rehabilitation of stroke patients (p < 0.05).

Conclusion : Improvement in static and dynamic equilibrium found after the training program reflects an increase in muscle strength of the paretic side to improve the posture control system in stroke patients.

Also, dynamic posturography is a valuable training tool in the assessment of improvement of the equilibrium performance in those patients.