Task-orienting and biofeedback: effects on weight-bearing in hemiparetic subjects

Authors

  • Fernanda Trípoli Universidade Estadual de Campinas
  • Sofia Rael Moreira Universidade Estadual de Campinas
  • Telma Dagmar Oberg Universidade Estadual de Campinas
  • Núbia Maria Freire Vieira Lima Universidade Estadual de Campinas

DOI:

https://doi.org/10.11606/issn.2317-0190.v15i4a102994

Keywords:

Stroke, Paresis, Body Weight, Rehabilitation

Abstract

Hemiparetic individuals display asymmetric weight-bearing in the orthostatic posture, which limits the performance of daily living activities. The recognition of this asymmetry and weight transference capacity constitutes an important aspect of rehabilitation. The objective was to analyze the weight transference during the oriented activity and after feedback in hemiparetic subjects. A total of 28 hemiparetic individuals were enrolled in the study. They were assessed by two digital scales during the activities with their feet placed 20 cm apart, with their eyes open, with visual deprivation, with the affected lower limb forward and backward, and auditive and visual feedback. There was an increase of 11.36% in the weight-bearing on the affected lower limb, backward; 4.54% after visual feedback and 45.45% after auditive feedback. In contrast, there was a decrease in the weight-bearing of 4.54% after visual deprivation and 6.81% in forward weight-shift on the paretic limb (p<0.001). It was observed that the use of external feedback (mirror and verbal command by the therapist) and forward weight shifting with the paretic limb were useful for weight redistribution between the lower limbs in stroke patients.

Downloads

Download data is not yet available.

References

Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44.

Mudie MH, Winzeler-Mercay U, Radwan S, Lee L. Training symmetry of weight distribution after stroke: a randomized controlled pilot study comparing task-related reach, Bobath and feedback training approaches. Clin Rehabil. 2002;16(6):582-92.

Cheng PT, Wang CM, Chung CY, Chen CL. Effects of visual feedback rhythmic weightshift training on hemiplegic stroke patients. Clin Rehabil. 2004;18(7):747-53.

Marigold DS, Eng JJ. The relationship of asymmetric weight-bearing with postural sway and visual reliance in stroke. Gait Posture. 2006;23(2):249-55.

Cruz CF. Biofeedback e exterocepção no controle do movimento humano voluntário. Rev Digital - Buenos Aires [periódico na Internet]. 2005;10(88). Avaliable from: http://www.efdeportes.com/efd88/mov.htm

Barra J, Chauvineau V, Ohlmann T, Gresty M, Pérennou D. Perception of longitudinal body axis in patients with stroke: a pilot study. J Neurol Neurosurg Psychiatry. 2007;78(1):43-8.

Anker LC, Weerdesteyn V, van Nes IJ, Nienhuis B, Straatman H, Geurts AC. The relation between postural stability and weight distribution in healthy subjects. Gait Posture. 2008;27(3):471-7.

Neckel N, Pelliccio M, Nichols D, Hidler J. Quantification of functional weakness and abnormal synergy patterns in the lower limb of individuals with chronic stroke. J Neuroeng Rehabil. 2006;3:17.

Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil. 1988;69(6):395-400.

Goldie PA, Matyas TA, Evans OM, Galea M, Bach TM. Maximum voluntary weightbearing by the affected and unaffected legs in standing following stroke. Clin Biomech (Bristol, Avon). 1996;11(6):333-342.

Pyöriä O, Era P, Talvitie U. Relationships between standing balance and symmetry measurements in patients following recent strokes (3 weeks or less) or older strokes (6 months or more). Phys Ther. 2004;84(2):128-36.

Costa MCF, Bezerra PP, Oliveira APR. Impacto da hemiparesia na simetria e na transferência de peso: repercussões no desempenho funcional. Rev Neuroc. 2006;14(2):10-3.

Cheng PT, Wu SH, Liaw MY, Wong AM, Tang FT. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001;82(12):1650-4.

Dault MC, de Haart M, Geurts AC, Arts IM, Nienhuis B. Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients. Hum Mov Sci. 2003;22(3):221-36.

Malviya A, Richards J, Jones RK, Udwadia A, Doyle J. Reproducibilty of partial weight bearing. Injury. 2005;36(4):556-9.

Howe TE, Taylor I, Finn P, Jones H. Lateral weight transference exercises following acute stroke: a preliminary study of clinical effectiveness. Clin Rehabil. 2005;19(1):45-53.

Hurkmans HL, Bussmann JB, Benda E, Verhaar JA, Stam HJ. Techniques for measuring weight bearing during standing and walking. Clin Biomech (Bristol, Avon). 2003;18(7):576-89.

Miyamoto ST, Lombardi Junior I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res. 2004;37(9):1411-21.

Maki T, Quagliato EMAB, Cacho EWA, Paz LPS, Nascimento NH, Inoue MMEA, et al. Estudo de confiabilidade da aplicação da escala de Fugl-Meyer no Brasil. Rev Bras Fisioter 2006;10(2):177-83.

Laufer Y, Dickstein R, Resnik S, Marcovitz E. Weight-bearing shifts of hemiparetic and healthy adults upon stepping on stairs of various heights. Clin Rehabil. 2000;14(2):125-9.

Bonan IV, Yelnik AP, Colle FM, Michaud C, Normand E, Panigot B, et al. Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85(2):274-8.

Goldie P, Evans O, Matyas T Performance in the stability limits test during rehabilitation following stroke. Gait Posture. 1996;4:315-322.

Hesse S, Jahnke MT, Schreiner C, Mauritz KH. Gait symmetry and functional walking performance in hemiparetic patients prior to and after a 4-week rehabilitation programme. Gait Posture 1993;(3):166-171.

Schauer M, Mauritz KH. Musical motor feedback (MMF) in walking hemiparetic stroke patients: randomized trials of gait improvement. Clin Rehabil. 2003;17(7):713-22.

Published

2008-12-09

Issue

Section

Original Article

How to Cite

1.
Trípoli F, Moreira SR, Oberg TD, Lima NMFV. Task-orienting and biofeedback: effects on weight-bearing in hemiparetic subjects. Acta Fisiátr. [Internet]. 2008 Dec. 9 [cited 2024 Jul. 18];15(4):220-4. Available from: https://periodicos.usp.br/actafisiatrica/article/view/102994