Influence of a portable audio-biofeedback device on structural properties of postural sway

被引：67
作者：
Dozza M. [1 ,2 ]
Chiari L. [1 ]
Chan B. [2 ]
Rocchi L. [1 ]
Horak F.B. [2 ]
Cappello A. [1 ]
机构：
[1] Department of Electronics, Computer Science, and Systems, University of Bologna, Bologna
[2] Neurological Science Institute, Oregon Health and Science University, Portland, OR
来源：
Journal of NeuroEngineering and Rehabilitation | / 2卷 / 1期
关键词：
Postural Control System; Biofeedback System; Trunk Acceleration; Stabilogram Diffusion Analysis; Trunk Level;
D O I：
10.1186/1743-0003-2-13
中图分类号：
学科分类号：
摘要：
Background: Good balance depends on accurate and adequate information from the senses. One way to substitute missing sensory information for balance is with biofeedback technology. We previously reported that audio-biofeedback (ABF) has beneficial effects in subjects with profound vestibular loss, since it significantly reduces body sway in quiet standing tasks. Methods: In this paper, we present the effects of a portable prototype of an ABF system on healthy subjects' upright stance postural stability, in conditions of limited and unreliable sensory information. Stabilogram diffusion analysis, combined with traditional center of pressure analysis and surface electromyography, were applied to the analysis of quiet standing tasks on a Temper foam surface with eyes closed. Results: These analyses provided new evidence that ABF may be used to treat postural instability. In fact, the results of the stabilogram diffusion analysis suggest that ABF increased the amount of feedback control exerted by the brain for maintaining balance. The resulting increase in postural stability was not at the expense of leg muscular activity, which remained almost unchanged. Conclusion: Examination of the SDA and the EMG activity supported the hypothesis that ABF does not induce an increased stiffness (and hence more co-activation) in leg muscles, but rather helps the brain to actively change to a more feedback-based control activity over standing posture. © 2005 Dozza et al; licensee BioMed Central Ltd.
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  • [1] Horak F.B., Shupert C.L., Mirka A., Components of postural dyscontrol in the elderly: A review, Neurobiol Aging, 10, pp. 727-738, (1989)
  • [2] Lord S.R., Ward J.A., Age-associated differences in sensori-motor function and balance in community dwelling women, Age Ageing, 23, pp. 452-460, (1994)
  • [3] Corriveau H., Prince F., Hebert R., Raiche M., Tessier D., Maheux P., Ardilouze J.L., Evaluation of postural stability in elderly with diabetic neuropathy, Diabetes Care, 23, pp. 1187-1191, (2000)
  • [4] Horak F.B., Macpherson J.M., Postural equilibrium and orientation, Published for the American Physiology Society by Oxford University Press, pp. 255-292, (1996)
  • [5] Horak F.B., Hlavacka F., Somatosensory loss increases vestibulospinal sensitivity, J Neurophysiol, 86, pp. 575-585, (2001)
  • [6] Moore S., Woollacott M., The use of biofeedback to improve postural stability, Phys Ther Practice, 2, pp. 1-19, (1993)
  • [7] Wall III C., Weinberg M.S., Schmidt P.B., Krebs D.E., Balance prosthesis based on micromechanical sensors using vibrotactile feedback of tilt, IEEE Trans Biomed Eng, 48, pp. 1153-1161, (2001)
  • [8] Tyler M., Danilov Y., Bach Y.R., Closing an open-loop control system: Vestibular substitution through the tongue, J Integr Neurosci, 2, pp. 159-164, (2003)
  • [9] Chiari L., Dozza M., Cappello A., Horak F.B., Macellari V., Giansanti D., An accelerometry-based system for balance improvement using audio-biofeedback, IEEE Trans Biomed Eng, (2005)
  • [10] Bazzarelli M., Durdle N., Lou E., Raso J., Hill D., A wearable networked embedded system for the treatment of scoliosis, Stud Health Technol Inform, 91, pp. 383-386, (2002)
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