Rehabilitation of balance after stroke with multisensorial training:A single-blind randomized controlled study
Abstract
OBJECTIVE: To compare 2 rehabilitation strategies to improve balance after stroke: (1) a multisensorial approach based on higher intensity of balance tasks and exercise during visual deprivation and (2) a conventional neurodevelopmentaltheory-based treatment (NDT) that used a general approach for sensorimotor rehabilitation. METHODS: This prospective, multicenter, randomized, parallel-group study measured outcomes with blinded assessors. Sixty-eight patients able to walk without human assistance were entered from 3 to 15 months (mean, 7 months) after a first hemispheric stroke. They received 20 sessions in 4 weeks of NDT or multisensorial rehabilitation. On day 0, day 30, and day 90, assessment included the Berg Balance Scale (BBS), posturography, gait (velocity, double stance phase, climbing 10 steps, amount of walking per day), the Functional Independence Measure, and the Nottingham Health Profile. RESULTS: All subjects improved significantly in balance and walking parameters. Regarding the main dependent variable (BBS on day 30), no difference between groups was found. Analysis of secondary outcomes suggested small differences in favor of the experimental group, but the differences are not likely to be clinically relevant. CONCLUSION: No evidence was found for the superiority of a multisensorial rehabilitation program in ambulatory patients with impairments beyond the time of inpatient therapy. Additional studies are recommended.
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- Authors
- Yelnik, A. P., Le Breton, F., Colle, F. M., Bonan, I. V., Hugeron, C., Egal, V., Lebomin, E., Regnaux, J.-P., Pérennou, D., & Vicaut, E.
- Affiliations
- Hôpital Fernand-Widal (FR)
- Physical Medicine and Rehabilitation Department, G.H. Lariboisière-F. Widal, Université Paris 7, Paris
- Hôpital Raymond-Poincaré (FR)
- Physical Medicine and Rehabilitation Department, Hôpital Raymond Poincaré, Université Versailles, Garches
- CHU Dijon Bourgogne (FR)
- Unité de Recherche Clinique, G.H. Lariboisière-E.Widal, Université Paris 7, Paris France
- Corresponding author
- Yelnik, Alain P.
- Venue
- Neurorehabilitation and neural repair
- Publisher
- SAGE Publications
- Published
- 2008-05-16
- Volume
- 22
- Issue
- 5
- Pages
- 468-476
- ISSN
- 0888-4390 (ISSN-L)
- 1545-9683
- 1552-6844
- OpenAlex
- W1975790462
- Cited by
- 74
- References
- 39
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2022: 7 · 2021: 6 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 5 · 2016: 1 · 2015: 10 · 2014: 12 · 2013: 7 · 2012: 3
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurorehabilitation and neural repair (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Keywords
- stroke rehabilitation, balance, neurodevelopmental treatment, visual deprivation, sensorimotor rehabilitation, postural control, gait, Berg Balance Scale, posturography, functional independence
- MeSH terms
- Stroke Rehabilitation, Adult, Aged, Postural Balance, Female, Humans, Male, Middle Aged, Psychomotor Performance, Sensation Disorders, Cohort Studies, Exercise, Single-Blind Method, Walking, Treatment Outcome, Recovery of Function, Stroke, Feedback, Sensory
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