PMID- 21878206
OWN - NLM
STAT- MEDLINE
DCOM- 20111027
LR  - 20161125
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 92
IP  - 9
DP  - 2011 Sep
TI  - Tongue-based biofeedback for balance in stroke: results of an 8-week pilot study.
PG  - 1364-70
LID - 10.1016/j.apmr.2011.03.030 [doi]
AB  - OBJECTIVE: To assess balance recovery and quality of life after tongue-placed 
      electrotactile biofeedback training in patients with stroke. DESIGN: Prospective 
      multicenter research design. SETTING: Outpatient rehabilitation clinics. 
      PARTICIPANTS: Patients (N=29) with chronic stroke. INTERVENTIONS: Patients were 
      administered 1 week of therapy plus 7 weeks of home exercise using a novel tongue 
      based biofeedback balance device. MAIN OUTCOME MEASURES: The Berg Balance Scale 
      (BBS), Timed Up and Go (TUG), Activities-Specific Balance Confidence (ABC) Scale, 
      Dynamic Gait Index (DGI), and Stroke Impact Scale (SIS) were performed before and 
      after the intervention on all subjects. RESULTS: There were statistically and 
      clinically significant improvements from baseline to posttest in results for the 
      BBS, DGI, TUG, ABC Scale, and some SIS domains (Mobility, Activities of Daily 
      Living/Instrumental Activities of Daily Living, Social, Physical, Recovery 
      domains). Average BBS score increased from 35.9 to 41.6 (P<.001), and DGI score, 
      from 11.1 to 13.7 (P<.001). Time to complete the TUG decreased from 24.7 to 20.7 
      seconds (P=.002). Including the BBS, DGI, TUG, and ABC Scale, 27 subjects 
      improved beyond the minimal detectable change with 95% certainty (MDC-95) or 
      minimal clinically important difference (MCID) in at least 1 outcome and 3 
      subjects improved beyond the MDC-95 or MCID in all outcomes. CONCLUSIONS: 
      Electrotactile biofeedback seems to be a promising integrative method to balance 
      training. A future randomized controlled study is needed.
CI  - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Badke, Mary Beth
AU  - Badke MB
AD  - Department of Orthopedics and Rehabilitation, University of Wisconsin, Madison, 
      WI, USA. mbadke5@aol.com
FAU - Sherman, Jack
AU  - Sherman J
FAU - Boyne, Pierce
AU  - Boyne P
FAU - Page, Stephen
AU  - Page S
FAU - Dunning, Kari
AU  - Dunning K
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Multicenter Study
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Aged
MH  - Biofeedback, Psychology/instrumentation/*methods
MH  - Chronic Disease
MH  - Female
MH  - Gait
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pilot Projects
MH  - *Postural Balance
MH  - Prospective Studies
MH  - Quality of Life
MH  - Recovery of Function
MH  - Stroke/physiopathology
MH  - *Stroke Rehabilitation
MH  - *Tongue
EDAT- 2011/09/01 06:00
MHDA- 2011/10/28 06:00
CRDT- 2011/09/01 06:00
PHST- 2010/11/10 00:00 [received]
PHST- 2011/03/23 00:00 [revised]
PHST- 2011/03/29 00:00 [accepted]
PHST- 2011/09/01 06:00 [entrez]
PHST- 2011/09/01 06:00 [pubmed]
PHST- 2011/10/28 06:00 [medline]
AID - S0003-9993(11)00248-6 [pii]
AID - 10.1016/j.apmr.2011.03.030 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2011 Sep;92(9):1364-70. doi: 10.1016/j.apmr.2011.03.030.