Skip to main content

Technology for Standing up and Balance Training in Rehabilitation of People with Neuromuscular Disorders

  • Chapter
  • First Online:
Recent Advances in Technologies for Inclusive Well-Being

Part of the book series: Intelligent Systems Reference Library ((ISRL,volume 119 ))

  • 1100 Accesses

Abstract

People with neuromuscular disorders often suffer for gait and balance problems. Most of them are unable to stand up. Recent technologies do not specifically address these problems but offer an excellent tool for expanding possibilities and accelerate rehabilitation process. In this chapter we present virtual reality supported balance training, a haptic floor as an add-on for enhanced balance training and a postural response assessment and progressing from sit-to-stand with controlled active support. Experimental studies have been carried out with our developed novelties in healthy and neurologically impaired persons in order to demonstrate the feasibility of the approach. The haptic floor causes postural strategy changes when adding visual feedback, while the virtual reality balance training appeared to be also clinically effective in the small scale study. On the other hand the sit-to-stand trainer enables adjustable training conditions and facilitates the subject’s voluntary activity. The device can also mimic the natural like standing up. All technological novelties have been tested in the preliminary case and proof-of-concept studies in the clinical environment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Yang YR, Tsai MP, Chuang TY, Sung WH, Wang RY (2008) Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture. 28(2):201–206

    Article  Google Scholar 

  2. Holden MK, Dyar T (2002) Virtual environment training: a new tool for neurorehabilitation. Neurol Report 26(2):62–71

    Article  Google Scholar 

  3. Cikajlo I, Rudolf M, Goljar N, Burger H, Matjačić Z (2012) Telerehabilitation using virtual reality task can improve balance in patients with stroke. Disabil Rehabil 34(1):13–18

    Article  Google Scholar 

  4. Darekar A, McFadyen BJ, Lamontagne A, Fung J (2015) Efficacy of virtual reality-based intervention on balance and mobility disorders post-stroke: a scoping review. J Neuroeng Rehabil 12(1):46

    Article  Google Scholar 

  5. Deutsch JE, Merians AS, Adamovich S, Poizner H, Burdea GC (2004) Development and application of virtual reality technology to improve hand use and gait of individuals post-stroke. Restor Neurol Neurosci 22:371–386

    Google Scholar 

  6. Visell Y, Law A, Cooperstock JR (2009) Touch is everywhere: floor surfaces as ambient haptic interfaces. IEEE Trans Haptics 2(3):148–159

    Article  Google Scholar 

  7. Moore SP, Rushmer DS, Windus SL, Nashner LM (1988) Human automatic postural responses: responses to horizontal perturbations of stance in multiple directions. Exp Brain Res 73(3):648–658

    Article  Google Scholar 

  8. Garland SJ, Gray VL, Knorr S (2009) Muscle activation patterns and postural control following stroke. Mot Control 13(4):387–411

    Article  Google Scholar 

  9. Henry SM, Fung J, Horak FB (1998) EMG responses to maintain stance during multidirectional surface translations. J Neurophysiol 80(4):1939–1950

    Google Scholar 

  10. Cikajlo I, Oblak J, Matjacic Z (2011) Haptic floor for virtual balance training. In: 2011 IEEE world haptics conference, pp 179–184

    Google Scholar 

  11. Keshner EA, Streepey J, Dhaher Y, Hain T (2007) Pairing virtual reality with dynamic posturography serves to differentiate between patients experiencing visual vertigo. J Neuroeng Rehabil 4:24

    Article  Google Scholar 

  12. Burnfield JM, Shu Y, Buster TW, Taylor AP, McBride MM, Krause ME (2012) Kinematic and electromyographic analyses of normal and device-assisted sit-to-stand transfers. Gait Posture 36:516–522

    Article  Google Scholar 

  13. Burnfield JM, McCrory B, Shu Y, Buster TW, Taylor AP, Goldman AJ (2013) Comparative kinematic and electromyographic assessment of clinician- and device-assisted sit-to-stand transfers in patients with stroke. Phys Therapy 93(10):1331–1341

    Google Scholar 

  14. Langhammer B, Stanghelle JK (2000) Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clin Rehabil 14(4):361–369

    Article  Google Scholar 

  15. Berg K, Wood-Dauphinee S, Williams JI (1995) The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med 27(1):27–36

    Google Scholar 

  16. Ng SS, Hui-Chan CW (2005) The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil 86(8):1641–1647

    Article  Google Scholar 

  17. Cikajlo I, Krpič A (2014) Postural responses of young adults to collision in virtual world combined with horizontal translation of haptic floor. IEEE Trans Neural Syst Rehabil Eng 22(4):899–907

    Article  Google Scholar 

  18. Jacobs JV, Horak FB (2007) External postural perturbations induce multiple anticipatory postural adjustments when subjects cannot pre-select their stepping foot. Exp Brain Res 179(1):29–42

    Article  Google Scholar 

  19. Marigold DS, Eng JJ, Dawson AS, Inglis JT, Harris JE, Gylfadottir S (2005) Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke. J Am Geriatr Soc 53(3):416–423

    Article  Google Scholar 

  20. Krpič A, Cikajlo I, Savanović A, Matjačić Z (2014) A haptic floor for interaction and diagnostics with goal based tasks during virtual reality supported balance training. Slov Med J 83(2)

    Google Scholar 

  21. Oblak J, Matjačić Z (2013) Aufstehtrainer: Patentschrift DE 10 2012 102 699 B4 2013.10.17. [München]: Deutsches Patent- und Markenamt

    Google Scholar 

  22. Matjačić Z, Zadravec M, Oblak J (2016) Sit-to-stand trainer: an apparatus for training “Normal-Like” sit to stand movement. IEEE Trans Neural Syst Rehabil Eng [Epub ahead of print] 24(6): 639–649, doi: 10.1109/TNSRE.2015.2442621

Download references

Acknowledgements

The authors acknowledge the financial support of the Slovenian Research Agency (Grant No. P2-0228) and the Slovenian Technology Agency (Grant No. P-MR-10/07). The operation was partly financed by the European Union, European Social Fund.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Imre Cikajlo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Cikajlo, I., Olenšek, A., Zadravec, M., Matjačić, Z. (2017). Technology for Standing up and Balance Training in Rehabilitation of People with Neuromuscular Disorders. In: Brooks, A., Brahnam, S., Kapralos, B., Jain, L. (eds) Recent Advances in Technologies for Inclusive Well-Being. Intelligent Systems Reference Library, vol 119 . Springer, Cham. https://doi.org/10.1007/978-3-319-49879-9_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-49879-9_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49877-5

  • Online ISBN: 978-3-319-49879-9

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics