Use of low-cost plank for balance assessment of hemiparetic individuals

Authors

  • Ana Caroline dos Santos Barbosa UEPA
  • Caroline Prudente Dias UEPA
  • Marta Caroline Araújo da Paixão UEPA
  • Regina da Rocha Corrêa UEPA
  • Larissa Salgado de Oliveira Rocha UEPA

DOI:

https://doi.org/10.33233/fb.v21i5.3911

Keywords:

stroke, postural balance, physical therapy, paresis, low-cost technology, health evaluation

Abstract

Introduction: In hemiparesis the inadequate weight-bearing in the lower limbs generate balance deficits, and balance planks are essential for evaluation. Objective: To verify the clinical applicability of a low-cost board and the Berg Balance Scale (BBS) in the assessment of balance and weight distribution in the lower limbs of hemiparetic patients. Methods: A pilot, cross-sectional, quantitative, technological innovation study that carried out an evaluation of 21 individuals affected by stroke with a low-cost plank. Results: Ischemic stroke and right hemiparesis were predominant. In the evaluation with the plank, participants with right hemiparesis unloaded more weight in the hindfoot region, with both feet together and hip width, while those with left hemiparesis showed differences in positions, with feet together, as most unloaded the weight in the forefoot region, while with feet hip width unloaded in the hindfoot region. As for the assessment by BBS, the functional activities that needed more support obtained lower averages; however, there was no statistically significant correlation with the positions on the board. Conclusion: Health assessment using the low-cost plank becomes an important tool to identify changes in balance and carry out appropriate interventions, however it does not correlate with Berg Balance Scale.

Author Biographies

Ana Caroline dos Santos Barbosa, UEPA

Discente do curso de Fisioterapia da Universidade do Estado do Pará, Belém, PA, Brasil

Caroline Prudente Dias, UEPA

Discente do curso de Fisioterapia da Universidade do Estado do Pará, Belém, PA, Brasil

Marta Caroline Araújo da Paixão, UEPA

Discente do curso de Fisioterapia da Universidade do Estado do Pará, Belém, PA, Brasil

Regina da Rocha Corrêa, UEPA

Discente do curso de Fisioterapia da Universidade do Estado do Pará, Belém, PA, Brasil

Larissa Salgado de Oliveira Rocha, UEPA

D.Sc., Docente do Curso de Fisioterapia da Universidade do Estado do Pará, Belém, PA, Brasil

References

Boukadida A, Piotte F, Dehail P. Determinants of sit-to-stand tasks in individuals with hemiparesispost stroke: A review. Ann Phys Rehabil Med 2015;58(3):167-72. doi: 10.1016/j.rehab.2015.04.007

Wist S, Clicaz J, Sattelmayer M. Muscle strengthening for hemiparesis after stroke: A meta-analysis. Ann Phys Rehabil Med 2016;59(2):114-24. doi: 10.1016/j.rehab.2016.02.001

Lima L, Fagundes D, Menezes M, Prado M, Favero M. Reabilitação do equilí­brio postural com o uso de jogos de realidade virtual. Revista Cientí­fica da Faculdade de Educação e Meio Ambiente 2017;8:161-74. doi: 10.31072/rcf.v8i1.443

Oliveira E, Moraes L, Santos J, Ozu M, Misao M. Upper limb weight-bearing effect on the body alignment of individuals with cerebral palsy who have spastic hemiparesis: a randomized clinical trial. Fisioter Mov 2019;32(1). doi: 10.1590/1980-5918.032.ao16

Felipe FA, Carvalho FO, Silva ER, Santos NGL, Fontes PA, Almeida AS et al. Evaluation instruments for physical therapy using virtual reality in stroke patients: a systematic review. Physiotherapy 2020;106:194-210. doi: 10.1016/j.physio.2019.05.005

Asseldonk E, Buurke J, Bloem B, Renzenbrink J, Nene V, Helm F et al. Disentangling the contribution of the paretic and non-paretic ankle to balance control in stroke patients. Experimental Neurology 2006;201(2):441-51. doi: 10.1016/j.expneurol.2006.04.036

Hatem S, Saussez G, Della Faille M. Rehabilitation of motor function after stroke: A multiple systematic review focused on techniques to stimulate upper extremity recovery. Frontiers in Human Neuroscience 2016;10:442.

Verí­ssimo L, Sampaio L, Castilho G. Desenvolvimento de um aplicativo para dispositivos móveis de avaliação do equilí­brio e risco de quedas em idosos. Rev Bras Geriatr Gerontol 2017;20(6):811-19. doi: 10.1590/1981-22562017020.170017

Karuka A, Silva J, Navega M. Análise da concordância entre instrumentos de avaliação do equilí­brio corporal em idosos. Braz J Phys Ther 2011;460-6. doi: 10.1590/S1413-35552011000600006

Goble J, Cone L, Fling W. Using the Wii Fit as a tool for balance assessment and neurorehabilitation: the first half decade of "Wii-search". J Neuroeng Rehabil 2014;11:12. doi: 10.1186/1743-0003-11-12

Noveletto F, Soares AV, Mello BA, Sevegnani CN, Eichinger FLF, Hounsell MS et al. Biomedical serious game system for balance rehabilitation of hemiparetic stroke patients. IEEE Trans Neural Syst Rehabil Eng 2018;26(11):2179-88. doi: 10.1109/tnsre.2018.2876670

Holanda LJ, Silva PMM, Morya E. Instrumentação de recursos tecnológicos no processo de formação do fisioterapeuta. Cadernos de educação, saúde e fisioterapia 2017;4(8):135-42. doi: 10.22533/at.ed.90118021214

Brandt T, Strupp M. General vestibular testing. Clin Neurophysiol 2005;116(2):406-26.

Miyamoto S, Lombardi Junior I, Berg K, Ramos L, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res 2004;37:1411-14. doi: 10.1590/S0100-879X2004000900017

Barbosa D, Trojahn M, Porto D, Hentschke G, Hentschke V. Strength training protocols in hemiparetic individuals post stroke: a systematic review. Fisioter Mov 2018;31. doi: 10.1590/1980-5918.031.ao27

Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M et al. Executive summary: heart disease and stroke statistics 2016 update: a report from the American Heart Association. Circulation 2016;133(4):447-54. doi: 10.1161/CIR.0000000000000366

Oliveira M, Demartino A, Rodrigues L, Gomes R. Os instrumentos de avaliação de atividade dos membros superiores contemplam as tarefas mais realizadas em domicí­lio por pessoas com hemiparesia. Cad Bras Ter Ocup 2018;26(4):809-27. doi: 10.4322/2526-8910.ctoAO1219

Medeiros C, Silva O, Araújo J, Souza D, Cacho E, Cacho R. Perfil social e funcional dos usuários da estratégia saúde da famí­lia com acidente vascular encefálico. Rev Bras Ciênc Saúde 2017;21:211-20.

Araujo L, Souza G, Dias P, Nepomuceno R, Cola C. Principais fatores de risco para o acidente vascular encefálico e suas consequências: uma revisão de literatura. Revista Interdisciplinar do Pensamento Cientí­fico 2017;3:283-96.

Kam D, Kamphuis JF, Weerdesteyn V, Geurts ACH. The effect of weight-bearing asymmetry on dynamic postural stability in people with chronic stroke. Gait Posture 2017;53:5-10. doi: 10.1016/j.gaitpost.2016.12.019

Pollock A, Grey C, Culham E, Durward B, Langhorne P. Interventions for improving sit?to?stand ability following stroke. Cochrane DatabaseSyst Rev 2014;(5). doi: 10.1002/14651858

Bonan I, Butet S Jamal K, Yelnik A, Tasseel P, Leplaideurad S. Difference between individuals with left and right hemiparesis in the effect of gluteus medius vibration on body weight shifting. Neurophysiol Clin 2017;47(5-6):419-26. doi: 10.1016/j.neucli.2017.08.002

Sherrington C, Fairhall N, Wallbank G, Tiedemann A, Michaleff Z, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev 2019;(1). doi: 10.1002/14651858.CD012424.pub2

Medeiros C, Fernandes S, Souza D, Guedes D, Cacho E, Cacho R. Comprometimento motor e risco de quedas em pacientes pós-AVC. Rev Bras Ciênc Mov 2019;27:42-9.

Santos F, Mendes F, Woellner S, Borges N, Soares A. Use of visual feedback for balance training in hemiparetic stroke patients. Fisioter Mov 2015;28(2):241-9.

Najafi Z, Rezaeitalab F, Yaghubi M, Manzari Z. The effect of biofeedback on the motor– muscular situation in rehabilitation of stroke patients: a randomized controlled trial. J Caring Sci 2018;7:89-93.

Published

2020-11-19