Use the Back button in your browser to see the other results of your search or to select another record.

Detailed Search Results

Kinect-based rapid movement training to improve balance recovery for stroke fall prevention: a randomized controlled trial
Junata M, Cheng KC-C, Man HS, Lai CW-K, Soo YO-Y, Tong RK-Y
Journal of NeuroEngineering & Rehabilitation 2021 Oct 11;18(150):Epub
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Falls are more prevalent in stroke survivors than age-matched healthy older adults because of their functional impairment. Rapid balance recovery reaction with adequate range-of-motion and fast response and movement time are crucial to minimize fall risk and prevent serious injurious falls when postural disturbances occur. A Kinect-based rapid movement training (RMT) program was developed to provide real-time feedback to promote faster and larger arm reaching and leg stepping distances toward targets in 22 different directions. OBJECTIVE: To evaluate the effectiveness of the interactive RMT and conventional balance training (CBT) on chronic stroke survivors' overall balance and balance recovery reaction. METHODS: In this assessor-blinded randomized controlled trial, chronic stroke survivors were randomized to receive twenty training sessions (60-min each) of either RMT or CBT. Pre- and post-training assessments included clinical tests, as well as kinematic measurements and electromyography during simulated forward fall through a "lean-and-release" perturbation system. RESULTS: Thirty participants were recruited (RMT = 16, CBT = 14). RMT led to significant improvement in balance control (Berg Balance Scale pre 49.13, post 52.75; p = 0.001), gait control (Timed-Up-and-Go Test pre 14.66 s, post 12.62 s; p = 0.011), and motor functions (Fugl-Meyer Assessment of Motor Recovery pre 60.63, post 65.19; p = 0.015), which matched the effectiveness of CBT. Both groups preferred to use their non-paretic leg to take the initial step to restore stability, and their stepping leg's rectus femoris reacted significantly faster post-training (p = 0.036). CONCLUSION: The RMT was as effective as conventional balance training to provide beneficial effects on chronic stroke survivors' overall balance, motor function and improving balance recovery with faster muscle response. TRIAL REGISTRATION: The study was registered at ClinicalTrials.gov (https://ClinicalTrials.gov/ct2/show/NCT03183635, NCT03183635) on 12 June 2017.

Full text (sometimes free) may be available at these link(s):      help