Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis

Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif


Fatma Ibrahim, Gehan M Ahmed, Waleed T Mansour, Ahmed H Elsheshiny, Khaled H. Yousef, Hosam M Alsaid, Mohamed H Aboueleni, Abdelaziz Abdelaziz Elsherif – Torso based balance weighting versus tailored physical therapy program in postural control in patients with multiple sclerosis. Fizjoterapia Polska 2022; 22(4); 142-147

DOI: https://doi.org/10.56984/8ZG1A66hK

Abstract
Purpose. To compare between the effect of torso based balance weighting and tailored physical therapy program on balance and postural control in ataxic MS patients. Methods. Ninety patients diagnosed as ataxic multiple sclerosis with impaired balance and postural control were selected from outpatient clinic of two hospitals. The patients randomly assigned into two groups, group (A: n = 30) received torso-based balance weighting and selected physical therapy program and group (B; n = 60) received tailored physiotherapy program and the same selected physical therapy program. Treatment lasted eight weeks, three times per week. Pre- and post-treatment assessment using berg balance scale and overall stability index were done for all patients. Results. Post-treatment comparisons between the two groups showed a statistically significant improvement in Berg balance (p < 0.05) in favor of group (B) and both groups showed clinical improvement. Conclusion. The tailored physical therapy program was more statistically effective in improving balance disorders than torso based balance weighting in ataxic MS patients, and there was clinical effect on improving postural control of both groups.

Keywords
multiple sclerosis, postural control, torso based balance weighting, tailored physical therapy

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The application of the Balance Trainer parapodium in the therapy of children with cerebral palsy

Agata Michalska, Jolanta Dudek, Mieczysława Bieniek, Anna Tarasow-Zych, Kamila Zawadzka

Agata Michalska, Jolanta Dudek, Mieczysława Bieniek, Anna Tarasow-Zych, Kamila Zawadzka – The application of the Balance Trainer parapodium in the therapy of children with cerebral palsy. Fizjoterapia Polska 2011; 11(3); 273-285

Abstract
Inconstant clinical image and functional state of patients with cerebral palsy as well as difficulties in achievements of intended therapy aims put forward the need for constant searching for new improvement methods by the physiotherapists. The Balance Trainer – static-dynamic parapodium equipped with Balance-Soft computer program – is the device which can be applied in the therapy and diagnostics of persons with cerebral palsy. The aim of the thesis is to estimate the possibilities to apply the Balance Trainer device in the therapy of the children with cerebral palsy. Children and youth (7 subjects) with different forms of ICP, assessed using GMFCS (levels I-IV) scale were qualified for the study. The subjects were initially examined using Balance Trainer parapodium. The tests involved assessment of gravity centre location (balance test), deflection test and the assessment of the ability to perform intended movements in the frontal and sagittal plane. Next, their posture was controlled in standing position and the initially performed tests were repeated. All the results were statistically analysed. In children with lower GMFCS levels (I-II) the treatment brought about better results than in these with higher levels of impairment (III-IV), although a therapeutic success was achieved in each case.Using the Balance Trainer device in the treatment of children with cerebral palsy one can improve both the postural control and movement coordination. The improvement level depends on the form of cerebral palsy and the functional deficiency.
Key words:
Cerebral Palsy, Postural control, static-dynamic parapodium
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5-7岁间患自闭症谱系障碍儿童的平衡评估

Alicja Salwach, Aleksandra Czaplińska, Sylwia Potępa, Małgorzata Domagalska-Szopa, Andrzej Szopa

A. Salwach, A. Czaplińska, S. Potępa, M. Domagalska-Szopa, A. Szopa – Evaluation of balance in 5-7-year-old children with autism spectrum disorder. Fizjoterapia Polska 2019; 19(1); 38-44

摘要
自闭症谱系障碍为一系列广泛症状,呈现出在沟通、社会发展和陈规定型行为模式等领域上的缺乏。自闭症的症状也出现在社交互动、情绪障碍、体感障碍及注意力问题等问题上,患自闭症的儿童经常被诊断出有感觉处理障碍。儿童发展中非常重要的能力是保持平衡,使其能在支撑平面上控制重心,适当的平衡为顺利完成多项日常活动所不可或缺的因素,平衡发展的延迟将阻碍日后的运动发展,并影响孩童与同龄人交流的机会。
研究目的在客观评估患自闭症谱系障碍儿童的同等技能。
材料及方法:共30名5-7岁患自闭症谱系障碍的儿童参与试验,其中包括22名男孩及8名女孩,采用富勒頓高級平衡計分錶規模 (FAB) 测试作为平衡评估。
结果:各年龄组间取得的测试结果不同,但这些差异并不显著,而在各年龄组的串联步态测试中则出现显著差异。
结果:患自闭症谱系障碍的儿童中出现同等技能失调。

关键词:
自闭症、平衡、姿势控制

 

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