Treatment of balance with Computerised Dynamic Posturography therapy in chronic hemiplegic patients


Creative Commons License

Doğaner I., ALGUN Z. C.

South African Journal of Physiotherapy, vol.79, no.1, 2023 (ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 79 Issue: 1
  • Publication Date: 2023
  • Doi Number: 10.4102/sajp.v79i1.1918
  • Journal Name: South African Journal of Physiotherapy
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, Directory of Open Access Journals
  • Keywords: balance, chronic hemiplegic falls, Computerised Dynamic Posturography, hemiplegia, Sensory Organisation Test
  • Istanbul Medipol University Affiliated: Yes

Abstract

Background: As patients with hemiplegia have a high risk of falling, it is important to develop a fall rehabilitation plan and/or apply personalised treatment when necessary. Objectives: We aimed to evaluate the effects of individualised treatment with Computerised Dynamic Posturography (CDP) on balance in patients with and without a history of chronic hemiplegic falls. Method: Forty patients with hemiplegia (time post-stroke: 8–18 months) between 40 and 70 years of age in the Istanbul Yeniyüzyıl University, Gaziosmanpaşa Hospital participated in our study. The patients were divided into two groups: Group 1, falling history (n = 20) and Group 2, no falling history (n = 20). The patients in both groups were included in a traditional rehabilitation programme for 5 weeks, 5 days a week, for 1 h. The group with a history of falls also received individualised CDP treatment for 20 min, 3 days a week, for 5 weeks. Patients were evaluated with a Sensory Organisation Test (SOT) and a Berg Balance Scale (BBS). Results: In Group 1, a significant improvement was determined in the after-treatment SOT 5 values compared with the before treatment SOT 5 values (p = 0.022). Significant improvement was found in BBS (p = 0.003) and SOT 6 (p = 0.022) values in Group 2. There was no statistically significant difference in improvement between the two groups (p ≥ 0.05). Conclusion: Larger samples and longer duration of individualised CDP therapy studies may be required to improve balance with chronic hemiplegia and a history of falls. Clinical Implications: In addition to traditional therapy, individualised CDP treatment may be beneficial for patients with a history of post-stroke falls.