Factors that Influence Quiet Standing Balance of Patients with Incomplete Cervical Spinal Cord Injuries
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Objective To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography.Results The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards.
Abstract
Objective To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography.Results The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards.
참고문헌 (20)
- Patrick M, "A comparison of spinal cord injury (SCI) consumers", staff preference for walking: a pilot study, 2003, pp.26, 41~
- Harkema SJ, "Balance and ambulation improvements in individuals with chronic incomplete spinal cord injury using locomotor training–based rehabilitation", Arch Phys Med Rehabil, 20(1), pp.1~10 (2011)
- 김명옥, "급성기 후 척수손상 환자에서 보행척도로서 Berg 균형검사의 의의", Annals of Rehabilitation Medicine, 34(5), pp.513~517 (2010), 대한재활의학회
- Morganti B, "Walking index for spinal cord injury (WISCI): criterion validation", Spinal Cord, 43, pp.27~33 (2004)
- Jacobson GP, "Handbook of balance function testing", pp.259~307 (1993), Singular Pub Group
- Nashner LM, "Dynamic posturography in the diagnosis and management of dizziness and balance disorders", Neurol Clin, 8, pp.331~349 (1990)
- Yelnik A, "Clinical tools for assessing balance disorders", Neurophysiol Clin, 38, pp.439~445 (2008)
- 김충린, "네 개의 독립 힘판 균형 측정기를 이용한 균형 조절 능력의 평가", Annals of Rehabilitation Medicine, 33(4), pp.429~435 (2009), 대한재활의학회
- 김보련, "파킨슨병 환자에서 Tetrax를 이용한 균형 능력의 평가", Annals of Rehabilitation Medicine, 33(5), pp.538~546 (2009), 대한재활의학회
- Blum L, "Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review", Phys Ther, 88, pp.559~566 (2008)
- Ditunno JF Jr, "Validity of the walking scale for spinal cord injury and other domains of function in a multicenter clinical trial", Neurorehabil Neural Repair, 21, pp.539~550 (2007)
- Podsiadlo D, "The timed” Up & Go”: a test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39, pp.142~148 (1991)
- Van Hedel HJ, "Assessing walking ability in subjects with spinal cord injury: validity and reliability of 3 walking tests", Arch Phys Med Rehabil, 86, pp.190~196 (2005)
- Wirz M, "Effectiveness of automated locomotor training in patients with chronic incomplete spinal cord injury: a multicenter trial", Arch Phys Med Rehabil, 86, pp.672~680 (2005)
- Hocking C, "Sensitivity of Shah, Vanclay and Cooper’s modified Barthel Index", Clin Rehabil, 13, pp.141~147 (1999)
- 정한영, "한글판 수정바델지수(K-MBI)의 개발: 뇌졸중 환자 대상의 다기관 연구", Annals of Rehabilitation Medicine, 31(3), pp.283~297 (2007), 대한재활의학회
- Chon JM, "Assessment of fall risk in patients with osteoporosis by posturography", Clinical pain, 9, pp.27~31 (2010)
- Braddom RL, "Physical medicine and rehabilitation,3rd ed", pp.489~ (2007), Elsevier Inc
- Afifi AK, "Functional neuroanatomy, 2nd ed", pp.412~419 (2005), Mc Graw Hill
- Kohen-Raz R, "Application of tetra-ataxiametric posturography in clinical and developmental diagnosis", Percept Mot Skills, 73, pp.635~656 (1991)