Della Pietà C1, Maistrello L1, Boscolo E2, Magnanini D2, Vianello V2, Vendramin A2, Rossi S2, Agostini M1, Turolla A1
1Fondazione Ospedale San Camillo IRCCS, Laboratory of Neurorehabilitation Technologies, Venezia, Italy, 2Fondazione Ospedale San Camillo IRCCS, Neurorehabilitation Department, Venezia, Italy
Background: Balance control is a complex body function resulting from integration of sensory system inputs with central neural processing and effective motor output. Impairments of balance and mobility are common complications in patients with neurological diseases, due to detriment of visual, vestibular, and/or somato-sensory systems, thus affecting activities of daily living (ADLs).
Purpose: To estimate the effect and associated clinical features of using SBM, for treatment of balance impairment in neurological conditions.
Methods: The whole sample consisted of 127 patients (80 men and 47 women), who had different neurological conditions as: Multiple Sclerosis (n=37), Stroke (n=60), Traumatic Brain Injury (n=14) and Parkinson's Disease (n=16). Patients were assessed before and after 13 sessions (1h/die x 3 weeks). Clinical outcome measures were Berg Balance scale and Tinetti scale; whereas instrumental measure was Sensory Organization Test (SOT).
Results: Overall, SOT did not change significantly after treatment (p = 0.24), whereas both the Berg (p = 0.04) and Tinetti scale (p = 0.03) improved significantly.
The analyses based on group diagnoses, showed that Tinetti and Berg scales improved significantly after treatment in all groups (p 0.05), except in TBI group (Tinetti P=0.15; Berg P=0.11). Sot measure change within groups treatment in all groups (p 0.05), except in Parkinson´s patients (P=0.24).
The generalised linear regression model (GLM), estimated considering the whole sample, showed that none of the demographic characteristics (i.e. age, gender, diagnosis) were statistically related to clinical measures Berg and Tinetti.
The GLM estimated for SOT showed that improvement after treatment is influenced by score before treatment and significantly associated with Parkinson (P=0.007) and Multiple Sclerosis (P=0.018).
Conclusion(s): The Smart Balance Master training program could improve the balance ability in patients with neurological disease. SOT measure can be a useful instrument to detect balance improvement in patients with Multiple Sclerosis or Parkinson disease.
Implications: The use of sensorised balance board, together with sensory-motor tests for balance impairments are useful clinical tools for rehabilitation, moreover different parameters should be considered according to patients' diagnoses.
Keywords: balance, Smart Balance Master, neurological patients
Funding acknowledgements: no funding acknowledgements
Purpose: To estimate the effect and associated clinical features of using SBM, for treatment of balance impairment in neurological conditions.
Methods: The whole sample consisted of 127 patients (80 men and 47 women), who had different neurological conditions as: Multiple Sclerosis (n=37), Stroke (n=60), Traumatic Brain Injury (n=14) and Parkinson's Disease (n=16). Patients were assessed before and after 13 sessions (1h/die x 3 weeks). Clinical outcome measures were Berg Balance scale and Tinetti scale; whereas instrumental measure was Sensory Organization Test (SOT).
Results: Overall, SOT did not change significantly after treatment (p = 0.24), whereas both the Berg (p = 0.04) and Tinetti scale (p = 0.03) improved significantly.
The analyses based on group diagnoses, showed that Tinetti and Berg scales improved significantly after treatment in all groups (p 0.05), except in TBI group (Tinetti P=0.15; Berg P=0.11). Sot measure change within groups treatment in all groups (p 0.05), except in Parkinson´s patients (P=0.24).
The generalised linear regression model (GLM), estimated considering the whole sample, showed that none of the demographic characteristics (i.e. age, gender, diagnosis) were statistically related to clinical measures Berg and Tinetti.
The GLM estimated for SOT showed that improvement after treatment is influenced by score before treatment and significantly associated with Parkinson (P=0.007) and Multiple Sclerosis (P=0.018).
Conclusion(s): The Smart Balance Master training program could improve the balance ability in patients with neurological disease. SOT measure can be a useful instrument to detect balance improvement in patients with Multiple Sclerosis or Parkinson disease.
Implications: The use of sensorised balance board, together with sensory-motor tests for balance impairments are useful clinical tools for rehabilitation, moreover different parameters should be considered according to patients' diagnoses.
Keywords: balance, Smart Balance Master, neurological patients
Funding acknowledgements: no funding acknowledgements
Topic: Neurology; Neurology
Ethics approval required: No
Institution: Fondazione Ospedale San Camillo IRCCS, Venezia, Italy
Ethics committee: comitato etico per sperimentazione clinica provincia venezia IRCCS San Camillo
Reason not required: This is a retrospective study, informed consent was obtained from all patients included in the study.
All authors, affiliations and abstracts have been published as submitted.
