Article

A systematic review by Barclay-Goddard et al (2004) reported that force platform
feedback improved stance symmetry but not sway, clinical balance outcomes, or
measures of independence in adults with stroke. However, the role of computerized
dynamic posturography (CDP) systems was not explored. The purpose of this case
report was to describe a CDP training program to improve balance and reduce fall
risk in a patient with a diagnosis of chronic stroke. A 61-year-old patient 8
years poststroke participated in 1 hour of CDP training, three times a week over
a period of 6 weeks. Examination was conducted before and after intervention
using the Sensory Organization Test (SOT), Limits of Stability (LOS) test, and
Weight Bearing/Squat Symmetry test on a CDP system, and clinical testing with the
Berg Balance Scale (BBS), Timed Up and Go (TUG), Activities-specific Balance
Confidence (ABC) scale, 30-second Chair Stand (CS), and range of motion of the
ankle joints. The patient improved in sensory integration abilities on the SOT
for conditions 4, 5, and 6, and maximum excursion abilities improved by a range
of 23-103% on the LOS test. Scores on the BBS increased from 37/56 to 47/56,
which indicated reduced fall risk and her ABC score improved from 50% to 70%.
Ankle ROM improved bilaterally by 6 to 8 degrees. This CDP training program
showed promise as a systematic, objective method to reduce fall risk with
improved overground performance of balance tasks in an individual with chronic
stroke.

Langue : ANGLAIS