Balance training with a vibrotactile biofeedback system affects the dynamical structure of the center of pressure trajectories in chronic stroke patients

Kentaro Kodama, Kazuhiro Yasuda*, Nikita A. Kuznetsov, Yuki Hayashi, Hiroyasu Iwata

*この研究の対応する著者

研究成果: Article査読

6 被引用数 (Scopus)

抄録

Haptic-based vibrotactile biofeedback (BF) is a promising technique to improve rehabilitation of balance in stroke patients. However, the extent to which BF training changes temporal structure of the center of pressure (CoP) trajectories remains unknown. This study aimed to investigate the effect of vibrotactile BF training on the temporal structure of CoP during quiet stance in chronic stroke patients using detrended fluctuation analysis (DFA). Nine chronic stroke patients (age; 81.56 ± 44 months post-stroke) received a balance training regimen using a vibrotactile BF system twice a week over 4 weeks. A Wii Balance board was used to record five 30 s trials of quiet stance pre- and post-training at 50 Hz. DFA revealed presence of two linear scaling regions in CoP indicating presence of fast- and slow-scale fluctuations. Averaged across all trials, fast-scale fluctuations showed persistent dynamics (α = 1.05 ± 0.08 for ML and α = 0.99 ± 0.17 for AP) and slow-scale fluctuations were anti-persistent (α = 0.35 ± 0.05 for ML and α = 0.32 ± 0.05 for AP). The slow-scale dynamics of ML CoP in stroke patients decreased from pre-training to post-BF training (α = 0.40 ± 0.13 vs. 0.31 ± 0.09). These results suggest that the vibrotactile BF training affects postural control strategy used by chronic stroke patients in the ML direction. Results of the DFA are further discussed in the context of balance training using vibrotactile BF and interpreted from the perspective of intermittent control of upright stance.

本文言語English
論文番号84
ジャーナルFrontiers in Human Neuroscience
13
DOI
出版ステータスPublished - 2019 2月 1

ASJC Scopus subject areas

  • 神経心理学および生理心理学
  • 神経学
  • 精神医学および精神衛生
  • 生物学的精神医学
  • 行動神経科学

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