Article

The purpose of this study was to assess the preliminary efficacy and
feasibility of smartphone-based visual feedback trunk control training (SPVFTCT)
for improving balance and trunk performance in stroke patients. DESIGN: Twenty-four patients who had experienced a stroke more than 6 months previously
and could sit and walk independently participated in the study. The participants
were allocated to a SPVFTCT (n = 12) or to a control group
(n = 12). Both groups
completed five 80-minute sessions per week of conventional rehabilitation for 4
weeks. The SPVFTCT group additionally received three 20-minute sessions per week
of SPVFTCT for 4 weeks. The outcome was assessed using static balance assessment,
the modified functional reach test, the timed up and go test, and the trunk
impairment scale. Feasibility of SPVFTCT was evaluated by retention, adherence,
acceptability, and safety. RESULTS: The static balance assessment, modified
functional reach test, timed up and go test, and trunk impairment scale scores in
the SPVFTCT group improved significantly compared to those in the control group
(P < 0.05). In the SPVFTCT group, retention and adherence rates were 100% and
97%, respectively. All participants reported that SPVFTCT was enjoyable, easy to
use, and helpful for their recovery. CONCLUSIONS: The SPVFTCT approach is a
feasible method to improve balance and trunk performance in stroke patients. TO
CLAIM CME CREDITS: Complete the self-assessment activity and evaluation online at
http://www.physiatry.org/JournalCME CME OBJECTIVES:: Upon completion of this
article, the reader should be able to: (1) Understand the role of trunk control
in postural stability and functional improvement; (2) Describe the benefits of
smartphone-based visual feedback trunk control training (SPVFTCT); and (3)Discuss
the feasibility of incorporating smartphone-based visual feedback trunk control
training in stroke rehabilitation. LEVEL: Advanced ACCREDITATION: : The
Association of Academic Physiatrists is accredited by the Accreditation Council
for Continuing Medical Education to provide continuing medical education for
physicians. The Association of Academic Physiatrists designates this activity for
a maximum of 1.5 AMA PRA Category 1 Credit(s).
Physicians should only claim
credit commensurate with the extent of their participation in the activity.

Langue : ANGLAIS