Restoration of the Gravity Center with Computerized Dynamic Posturography in Post Stroke Rehabilitation

Abstract

Purpose: To know the effect of a personalized rehabilitation program on balance parameters was examined according to the balance test results in chronic stroke hemiparetic patients with and without a fall history.Methods: 70 patients aged 45 (+/- 5)-70 (+/- 5) years who had stroke history 6-18 months ago were included in the study. We applied both rehabilitation and custom training to the group with a fall history. Only rehabilitation was applied to the group without any history of falls. Rehabilitation included active-assistive joint movements, strengthening program, neuromuscular electrical stimulation, balance training in parallel bars. The rehabilitation program was administered for 1 hour, five days a week for eight weeks. Balance evaluation was performed by using Computerized Dynamic Posturography (BDP) device (NeuroCom Balance Manager®), and Sensory Organization Test (SOT), Stability Limits Test (LOS), Rhythmic Weight Shifting Test (RWS) results obtained for both groups.Results: In the chronic stroke group with a fall history, statistically significant improvement was observed in SOTcomposite and RWS-F/B after treatment compared to pre-treatment (p = 0.035 and p = 0.031). In the chronic stroke group without a history of falling, the statistical significance was observed in the SOT5, SOT composite, and RWS-F/B after treatment (p = 0.045; p = 0.014 and p = 0.009).Conclusion: We think that BDP balance assessment and personalized rehabilitation in chronic stroke patients are essential in guiding strategies for coping with the balance disorders encountered in chronic stroke patients with and without a history of falls.