Cybermedlife - Therapeutic Actions Biodex Balance System

Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: a randomised trial.

Abstract Title: Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: a randomised trial. Abstract Source: J Physiother. 2012 ;58(2):97-104. PMID: 22613239 Abstract Author(s): Narcis Gusi, Jose Carmelo Adsuar, Hector Corzo, Borja Del Pozo-Cruz, Pedro R Olivares, Jose A Parraca Article Affiliation: Faculty of Sport Sciences, University of Extremadura, Spain. Abstract: QUESTION: What is the effect of a balance training protocol with the Biodex Balance System in institutionalised older people with fear of falling? DESIGN: Randomised controlled trial with concealed allocation and assessor blinding. PARTICIPANTS: Forty older people who lived in a nursing home and had fear of falling. INTERVENTION: The experimental group completed a 12-week balance training protocol based on balancing/rebalancing training with the Biodex Balance System, with two sessions per week. During the training period, participants in both groups received the same multidisciplinary care (such as physiotherapy, occupational therapy and nursing) that they usually received in the nursing home. OUTCOME MEASURES: The primary outcome was fear of falling (Falls Efficacy Scale International questionnaire). Secondary outcomes were dynamic balance (Fall Risk Test) and isometric strength (torque of knee flexor and extensor isometric strength measured with an isokinetic dynamometer). Outcome measures were taken before and after the training program protocol. RESULTS: Compared to the control group, the exercise group had significantly greater improvements at 12 weeks in fear of falling (by 8 points, 95% CI 4 to 12), in dynamic balance (by 2 degrees, 95% CI 1 to 3), and in isometric strength of the knee flexors (by 7Nm, 95% CI 3 to 11) and knee extensors (by 7Nm, 95% CI 1 to 13). CONCLUSION: The training program was feasible and effective in reducing fear of falling and improving dynamic balance and isometric strength in institutionalised older people with fear of falling. TRIAL REGISTRATION: ISRCTN21695765. Article Published Date : Dec 31, 2011
Therapeutic Actions Biodex Balance System

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Combined effects of knee brace, laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients.

Combined effects of knee brace, laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients. Gait Posture. 2018 Jan 29;61:243-249 Authors: Khan SJ, Khan SS, Usman J, Mokhtar AH, Abu Osman NA Abstract OBJECTIVE: To test the hypothesis that toe-in gait (TI) will further reduce first peak (Knee Adduction Moment) KAM and decrease balance when combined with a knee brace (KB) and laterally wedged insoles (LWI) in medial knee osteoarthritis (kOA) patients. PARTICIPANTS: Twenty patients with bilateral symptomatic medial kOA. INTERVENTIONS: 4-point leverage-based KB, full-length LWI with 5° inclination and toe-in gait (TI). MAIN OUTCOME MEASURES: First and second peak knee adduction moment (fKAM and sKAM respectively), balance and pain. METHODS: The fKAM and sKAM were determined from 3-dimensional gait analysis with six randomized conditions: (1) N (without any intervention), (2) KB, (3) KB + TI, (4) LWI, (5) LWI + TI, (6) KB + LWI + TI. Balance was assessed by Biodex Balance System using three stability settings, (i) Static (ii) Moderate dynamic setting for fall risk (FR12) and (iii) High dynamic setting for fall risk (FR8). RESULTS: The reduction in fKAM and sKAM was greatest (19.75% and 12%) when TI was combined with KB and LWI respectively. No change in balance was observed when TI combined with KB, and LWI and when used concurrently with both the orthosis at static and FR12 conditions. Significant balance reduction was found at FR8 for KB + TI (22.22%), and KB + LWI + TI (35.71%). Pain increased significantly for KB (258%), KB + TI (305%), LWI + TI (210%) and KB + LWI + TI (316%). LWI showed no effect on pain. CONCLUSIONS: There is a synergistic effect of TI when combined with KB and LWI concurrently in sKAM reduction. However, the concurrent use of TI, KB and LWI decreases balance and pain as assessed on a highly dynamic platform. PMID: 29413792 [PubMed - as supplied by publisher]