Balance Rehabilitation by Moving Platform and Exercises in Patients With Neuropathy or Vestibular Deficit Antonio Nardone, MD, PhD, Marco Godi, PT, Alessia.

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Presentation transcript:

Balance Rehabilitation by Moving Platform and Exercises in Patients With Neuropathy or Vestibular Deficit Antonio Nardone, MD, PhD, Marco Godi, PT, Alessia Artuso, MD, Marco Schieppati, MD Archives of Physical Medicine and Rehabilitation Volume 91, Issue 12, Pages 1869-1877 (December 2010) DOI: 10.1016/j.apmr.2010.09.011 Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Flow chart of study. Archives of Physical Medicine and Rehabilitation 2010 91, 1869-1877DOI: (10.1016/j.apmr.2010.09.011) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 (A, B) Static balance evaluation in EC condition. Body SA from (A) patients with vestibular disorders and (B) patients with neuropathy. (C, D) Subjective scores of stability during quiet stance EC in (C) patients with vestibular disorders and (D) patients with neuropathy. (E, F) POMA scores from (E) patients with vestibular disorders and (F) patients with neuropathy. The 3 pairs of bars indicate evaluations at t0, t1, and t2. White columns indicate the EX-powered platform group; dark columns, powered platform-EX group. *Significant differences. Values shown as mean ± SEM. Archives of Physical Medicine and Rehabilitation 2010 91, 1869-1877DOI: (10.1016/j.apmr.2010.09.011) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Comparison of the magnitude of effects produced in patients with vestibular disorders and patients with neuropathy by both treatments on quality of balance, measured by using POMA, subjective score of stance stability, and body SA with EC. Symbols correspond to SMDs ± 95% confidence intervals. Positive values indicate that treatment was more effective in patients with vestibular disorders than patients with neuropathy; negative values, treatment was more effective in patients with neuropathy than patients with vestibular disorders. Archives of Physical Medicine and Rehabilitation 2010 91, 1869-1877DOI: (10.1016/j.apmr.2010.09.011) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 Assessment of EX or powered platform effects by indexes of head anteroposterior (A-P) displacement while balancing with EC on a powered platform continuously oscillating in the horizontal plane at 0.2Hz. Patients with vestibular and neuropathy are collapsed. Mean data obtained for the 2 treatment orders are shown at the 3 evaluation times. At the end of both treatments, all patients reduced their head A-P displacement on the oscillating powered platform to the same extent. However, EX alone was ineffective in reducing head oscillation. Moreover, when EXs were administered to patients after the powered platform treatment, no further reduction in head oscillation was observed. Abbreviation: PL, powered platform. Archives of Physical Medicine and Rehabilitation 2010 91, 1869-1877DOI: (10.1016/j.apmr.2010.09.011) Copyright © 2010 American Congress of Rehabilitation Medicine Terms and Conditions