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Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?

The paper aims to investigate the usefulness of training in improving mobility and reducing the risk of falls of patients with osteoarthritis by using a force plate and virtual reality as rehabilitation tools. The study involved 72 women randomly divided into two equal groups: the force plate traini...

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Autores principales: Sadura-Sieklucka, Teresa, Czerwosz, Leszek Tomasz, Kądalska, Ewa, Kożuchowski, Marcin, Księżopolska-Orłowska, Krystyna, Targowski, Tomasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10136542/
https://www.ncbi.nlm.nih.gov/pubmed/37190594
http://dx.doi.org/10.3390/brainsci13040629
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author Sadura-Sieklucka, Teresa
Czerwosz, Leszek Tomasz
Kądalska, Ewa
Kożuchowski, Marcin
Księżopolska-Orłowska, Krystyna
Targowski, Tomasz
author_facet Sadura-Sieklucka, Teresa
Czerwosz, Leszek Tomasz
Kądalska, Ewa
Kożuchowski, Marcin
Księżopolska-Orłowska, Krystyna
Targowski, Tomasz
author_sort Sadura-Sieklucka, Teresa
collection PubMed
description The paper aims to investigate the usefulness of training in improving mobility and reducing the risk of falls of patients with osteoarthritis by using a force plate and virtual reality as rehabilitation tools. The study involved 72 women randomly divided into two equal groups: the force plate training group, which underwent virtual balance training with visual motor feedback, and the gym training group, which received conventional balance training only. The functional balance assessment was performed before and after the rehabilitation by computerized posturography in a relaxed upright position with open and closed eyes, with visual motor feedback. In the FPT group in the feedback measurement, the mean radius of sways was 30% smaller after rehabilitation (p < 0.00002); the feedback coordination coefficient was more than 10% bigger after rehabilitation (p < 0.001) and reached 92%, which is excellent for elderly people. Total stagnation and stumbling reported by patients decreased after rehabilitation compared to the first examination. Both tested forms of training can contribute to reducing the risk of falls. However, a more significant improvement was obtained in the force plate training group perhaps because the physical effort on a force plate trains the precise movements needed to reposition the centre of gravity without generating excessive inertia forces responsible for loss of balance and falls. Perhaps the most desirable method of intervention is to train a person’s ability to perform slow but definite body movements.
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spelling pubmed-101365422023-04-28 Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65? Sadura-Sieklucka, Teresa Czerwosz, Leszek Tomasz Kądalska, Ewa Kożuchowski, Marcin Księżopolska-Orłowska, Krystyna Targowski, Tomasz Brain Sci Article The paper aims to investigate the usefulness of training in improving mobility and reducing the risk of falls of patients with osteoarthritis by using a force plate and virtual reality as rehabilitation tools. The study involved 72 women randomly divided into two equal groups: the force plate training group, which underwent virtual balance training with visual motor feedback, and the gym training group, which received conventional balance training only. The functional balance assessment was performed before and after the rehabilitation by computerized posturography in a relaxed upright position with open and closed eyes, with visual motor feedback. In the FPT group in the feedback measurement, the mean radius of sways was 30% smaller after rehabilitation (p < 0.00002); the feedback coordination coefficient was more than 10% bigger after rehabilitation (p < 0.001) and reached 92%, which is excellent for elderly people. Total stagnation and stumbling reported by patients decreased after rehabilitation compared to the first examination. Both tested forms of training can contribute to reducing the risk of falls. However, a more significant improvement was obtained in the force plate training group perhaps because the physical effort on a force plate trains the precise movements needed to reposition the centre of gravity without generating excessive inertia forces responsible for loss of balance and falls. Perhaps the most desirable method of intervention is to train a person’s ability to perform slow but definite body movements. MDPI 2023-04-06 /pmc/articles/PMC10136542/ /pubmed/37190594 http://dx.doi.org/10.3390/brainsci13040629 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sadura-Sieklucka, Teresa
Czerwosz, Leszek Tomasz
Kądalska, Ewa
Kożuchowski, Marcin
Księżopolska-Orłowska, Krystyna
Targowski, Tomasz
Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?
title Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?
title_full Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?
title_fullStr Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?
title_full_unstemmed Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?
title_short Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?
title_sort is balance training using biofeedback effective in the prophylaxis of falls in women over the age of 65?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10136542/
https://www.ncbi.nlm.nih.gov/pubmed/37190594
http://dx.doi.org/10.3390/brainsci13040629
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