Effects of practicing tandem gait with and without vibrotactile biofeedback in subjects with unilateral vestibular loss.
Artikel i vetenskaplig tidskrift, 2007

Subjects with unilateral vestibular loss exhibit motor control impairments as shown by body and limb deviation during gait. Biofeedback devices have been shown to improve stance postural control, especially when sensory information is limited by environmental conditions or pathologies such as unilateral vestibular loss. However, the extent to which biofeedback could improve motor performance or learning while practicing a dynamic task such as narrow gait is still unknown. In this cross-over design study, 9 unilateral vestibular loss subjects practiced narrow gait with and without wearing a trunk-tilt, biofeedback device in 2 practice sessions. The biofeedback device informed the subjects of their medial-lateral angular tilt and tilt velocity during gait via vibration of the trunk. From motion analysis and tilt data, the performance of the subjects practicing tandem gait were compared over time with and without biofeedback. By practicing tandem gait, subjects reduced their trunk-tilt, center of mass displacement, medial-lateral feet distance, and frequency of stepping error. In both groups, use of tactile biofeedback consistently increased postural stability during tandem gait, beyond the effects of practice alone. However, one single session of practice with biofeedback did not result in conclusive short-term after-effects consistent with short-term retention of motor performance without this additional biofeedback. Results from this study support the hypothesis that tactile biofeedback acts similar to natural sensory feedback to improve dynamic motor performance but does not facilitate a recalibration of motor performance to improve function after short-term use.

methods

Gait

Posture

Middle Aged

physiopathology

Female

Male

Motor Skills

physiology

physiology

rehabilitation

Humans

Short-Term

Psychology

Postural Balance

physiology

physiology

Biofeedback

Adult

Learning

Vestibular Diseases

Task Performance and Analysis

Memory

Författare

Marco Dozza

Chalmers, Tillämpad mekanik, Fordonssäkerhet

SAFER - Fordons- och Trafiksäkerhetscentrum

Conrad Wall

Robert J Peterka

Lorenzo Chiari

Fay B Horak

Journal of Vestibular Research: Equilibrium and Orientation

0957-4271 (ISSN)

Vol. 17 4 195-204

Ämneskategorier

Annan teknik

Annan medicin och hälsovetenskap

Annan naturvetenskap

PubMed

18525145

Mer information

Skapat

2017-10-08