Open AccessEffects of visual feedback balance training with the Pro-kin system on walking and self-care abilities in stroke patients
Author(s) -
Zhang Min,
Hong You,
Hongxia Zhang,
Wenxue Zhao,
Tingting Han,
Jia Liu,
Shangrong Jiang,
Xianhui Feng
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000022425
Subject(s) - balance (ability) , berg balance scale , medicine , dynamic balance , physical medicine and rehabilitation , physical therapy , stroke (engine) , mechanical engineering , physics , quantum mechanics , engineering
Some scholars’ studies have demonstrated that Pro-kin balance system training is able to promote the recovery of the balance function in stroke patients. The present study has expanded on those studies, and was not merely limited to studying balance, but also encompassed walking and self-care abilities of the patients; furthermore, the association among balance and walking and self-care abilities was also explored. A total of 40 stroke patients were randomly and equally divided into 2 groups: the control group (n = 20) and the treatment group (n = 20). Both groups underwent conventional balance training, although the treatment group also underwent visual feedback balance training with the Pro-kin system. The balance function was assessed using the Berg Balance Scale (BBS), the Timed “Up & Go” (TUG) test, and Pro-kin system parameters. The Pro-kin system parameters included the perimeter and ellipse area, which were both tested once with eyes open (EO) and eyes closed (EC). Walking ability was assessed using the Holden Walking Ability Scale, according to the Functional Ambulation Classification (FAC). The self-care abilities were assessed with the Barthel Index (BI). The tests were conducted prior to training, and 3 weeks after the end of the training programme. No significant differences were noted among the groups before the training. After 3 weeks of training, for both the groups, significant improvements in balance and the walking and self-care abilities were noted: The BBS value was significantly increased ( P < .05), whereas the TUG, perimeter, and ellipse area with EO and EC measurements were significantly decreased after treatment ( P < .05). The FAC and BI readings were significantly increased after treatment ( P < 0.05), and the treatment group outperformed the control group ( P < .05). Furthermore, the balance function was shown to be strongly correlated with the walking and self-care abilities ( P < .01). The present study has demonstrated that the use of the Pro-kin visual feedback balance training system in combination with conventional training is a viable method for improving walking and self-care abilities of stroke patients.