Abstract
Postural control has been defined as the ability to maintain, achieve or restore a state of balance during any posture or activity (van Diest et al. in J Neuroeng Rehabil 10:101, [1]; Pollock et al. in Clin Rehabil 14:402–406, [2]). Appropriate postural control is an absolute pre-requisite for activities of daily living and requires several different motor skills to be effective. To maintain a stable upright stance, with adaptive strategies for orientation and balance, information processed through the somatosensory (70%), visual (10%) and vestibular (20%) systems needs to be integrated (Horak in Age Ageing 35(Suppl 2):ii7–ii11, [3]; Laughton et al. in Gait Posture 18:101–108, [4]), and a complex interplay between sensory and motor systems (Bekkers et al. in Front Hum Neurosci 8:939, [5]) is required in order to control the multisegmental body system and interlimb coupling (Jancová in Acta Med Hradec Král Univ Carol Fac Med Hradec Král 51:129–137, [6]).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
van Diest M, Lamoth CJC, Stegenga J, Verkerke GJ, Postema K. Exergaming for balance training of elderly: state of the art and future developments. J Neuroeng Rehabil. 2013;10:101. https://doi.org/10.1186/1743-0003-10-101.
Pollock AS, Durward BR, Rowe PJ, Paul JP. What is balance? Clin Rehabil. 2000;14:402–6.
Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35(Suppl 2):ii7–11. https://doi.org/10.1093/ageing/afl077.
Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, Phillips E, Lipsitz LA, Collins JJ. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003;18:101–8.
Bekkers EMJ, Dockx K, Heremans E, Vercruysse S, Verschueren SMP, Mirelman A, Nieuwboer A. The contribution of proprioceptive information to postural control in elderly and patients with Parkinson’s disease with a history of falls. Front Hum Neurosci. 2014;8:939. https://doi.org/10.3389/fnhum.2014.00939.
Jancová J. Measuring the balance control system—review. Acta Med Hradec Král Univ Carol Fac Med Hradec Král. 2008;51:129–37.
Li Y, Levine WS, Loeb GE. A two-joint human posture control model with realistic neural delays. IEEE Trans Neural Syst Rehabil Eng Publ IEEE Eng Med Biol Soc. 2012;20:738–48. https://doi.org/10.1109/TNSRE.2012.2199333.
Paillard T, Noé F. Techniques and methods for testing the postural function in healthy and pathological subjects. Biomed Res Int. 2015;2015:891390. https://doi.org/10.1155/2015/891390.
Winter DA. Biomechanics and motor control of human movement. Wiley; 2009.
Winter D. Human balance and posture control during standing and walking. Gait Posture. 1995;3:193–214. https://doi.org/10.1016/0966-6362(96)82849-9.
Horlings CGC, Küng UM, Honegger F, Van Engelen BGM, Van Alfen N, Bloem BR, Allum JHJ. Vestibular and proprioceptive influences on trunk movements during quiet standing. Neuroscience. 2009;161:904–14. https://doi.org/10.1016/j.neuroscience.2009.04.005.
Creath R, Kiemel T, Horak F, Peterka R, Jeka J. A unified view of quiet and perturbed stance: simultaneous co-existing excitable modes. Neurosci Lett. 2005;377:75–80. https://doi.org/10.1016/j.neulet.2004.11.071.
Pinter IJ, van Swigchem R, van Soest AJK, Rozendaal LA. The dynamics of postural sway cannot be captured using a one-segment inverted pendulum model: a PCA on segment rotations during unperturbed stance. J Neurophysiol. 2008;100:3197–208. https://doi.org/10.1152/jn.01312.2007.
Boonstra TA, Schouten AC, van der Kooij H. Identification of the contribution of the ankle and hip joints to multi-segmental balance control. J Neuroeng Rehabil. 2013;10:23. https://doi.org/10.1186/1743-0003-10-23.
Williams MA, Soiza RL, Jenkinson AM, Stewart A. EXercising with Computers in Later Life (EXCELL)—pilot and feasibility study of the acceptability of the Nintendo® WiiFit in community-dwelling fallers. BMC Res Notes. 2010;3:238. https://doi.org/10.1186/1756-0500-3-238.
Robinson J, Dixon J, Macsween A, van Schaik P, Martin D. The effects of exergaming on balance, gait, technology acceptance and flow experience in people with multiple sclerosis: a randomized controlled trial. BMC Sports Sci Med Rehabil. 2015;7:8. https://doi.org/10.1186/s13102-015-0001-1.
Harris DM, Rantalainen T, Muthalib M, Johnson L, Teo W-P. Exergaming as a viable therapeutic tool to improve static and dynamic balance among older adults and people with iIdiopathic Parkinson’s disease: a systematic review and meta-analysis. Front Aging Neurosci. 2015;7. https://doi.org/10.3389/fnagi.2015.00167.
Miller KJ, Adair BS, Pearce AJ, Said CM, Ozanne E, Morris MM. Effectiveness and feasibility of virtual reality and gaming system use at home by older adults for enabling physical activity to improve health-related domains: a systematic review. Age Ageing. 2014;43:188–95. https://doi.org/10.1093/ageing/aft194.
Kim JH, Jang SH, Kim CS, Jung JH, You JH. Use of virtual reality to enhance balance and ambulation in chronic stroke: a double-blind, randomized controlled study. Am J Phys Med Rehabil Assoc Acad Physiatr. 2009;88:693–701. https://doi.org/10.1097/PHM.0b013e3181b33350.
Hung J-W, Chou C-X, Hsieh Y-W, Wu W-C, Yu M-Y, Chen P-C, Chang H-F, Ding S-E. Randomized comparison trial of balance training by using exergaming and conventional weight-shift therapy in patients with chronic stroke. Arch Phys Med Rehabil. 2014;95:1629–37. https://doi.org/10.1016/j.apmr.2014.04.029.
Deutsch JE, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88:1196–207. https://doi.org/10.2522/ptj.20080062.
Esculier J-F, Vaudrin J, Bériault P, Gagnon K, Tremblay LE. Home-based balance training programme using Wii Fit with balance board for Parkinsons’s disease: a pilot study. J Rehabil Med. 2012;44:144–50. https://doi.org/10.2340/16501977-0922.
Betker AL, Desai A, Nett C, Kapadia N, Szturm T. Game-based exercises for dynamic short-sitting balance rehabilitation of people with chronic spinal cord and traumatic brain injuries. Phys Ther. 2007;87:1389–98. https://doi.org/10.2522/ptj.20060229.
Valle MS, Casabona A, Cavallaro C, Castorina G, Cioni M. Learning upright standing on a multiaxial balance board. PLoS ONE. 2015;10:e0142423. https://doi.org/10.1371/journal.pone.0142423.
Fitzgerald D, Trakarnratanakul N, Smyth B, Caulfield B. Effects of a wobble board-based therapeutic exergaming system for balance training on dynamic postural stability and intrinsic motivation levels. J Orthop Sports Phys Ther. 2010;40:11–9. https://doi.org/10.2519/jospt.2010.3121.
Piron L, Turolla A, Agostini M, Zucconi CS, Ventura L, Tonin P, Dam M. Motor learning principles for rehabilitation: a pilot randomized controlled study in poststroke patients. Neurorehabil Neural Repair. 2010;24(6):501–8.
Piron L, Turolla A, Agostini M, Zucconi C, Cortese F, Zampolini M, Tonin P. Exercises for paretic upper limb after stroke: a combined virtual-reality and telemedicine approach. J Rehab Med. 2009;41(12):1016–20.
Turolla A, Dam M, Ventura L, Tonin P, Agostini M, Zucconi C, Kiper P, Cagnin A, Piron L. Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial. J Neuroeng Rehabil. 2013;1(10):85.
Kiper P, Agostini M, Luque-Moreno C, Tonin P, Turolla A. Reinforced feedback in virtual environment for rehabilitation of upper extremity dysfunction after stroke: preliminary data from a randomized controlled trial. Biomed Res Int. 2014;2014:752128.
Luque-Moreno C, Oliva-Pascual-Vaca A, Kiper P, Rodríguez-Blanco C, Agostini M, Turolla A. Virtual reality to assess and treat lower extremity disorders in post-stroke patients. Methods Inf Med. 2016;55(1):89–92.
Jelcic N, Cagnin A, Meneghello F, Turolla A, Ermani M, Dam M. Effects of lexical-semantic treatment on memory in early Alzheimer disease: an observer-blinded randomized controlled trial. Neurorehabil Neural Repair. 2012;26(8):949–56.
Agostini M, Garzon M, Benavides-Varela S, De Pellegrin S, Bencini G, Rossi G, Rosadoni S, Mancuso M, Turolla A, Meneghello F, Tonin P. Telerehabilitation in poststroke anomia. Biomed Res Int. 2014;2014:706909.
Bobbert MF, Schamhardt HC. Accuracy of determining the point of force application with piezoelectric force plates. J Biomech. 1990;23(7):705–10.
Clark RA, Bryant AL, Pua Y, McCrory P, Bennell K, Hunt M. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait Posture. 2010;31(3):307–10.
Prieto TE, Myklebust JB, Hoffmann RG, Lovett EG, Myklebust BM. Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng. 1996;43(9):956–66.
Genthon N, Gissot AS, Froger J, Rougier P, Pérennou D. Posturography in patients with stroke estimating the percentage of body weight on each foot from a single force platform. Stroke. 2008;39(2):489.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Pirini, M. et al. (2018). Postural Rehabilitation Within the VRRS (Virtual Reality Rehabilitation System) Environment. In: Sandrini, G., Homberg, V., Saltuari, L., Smania, N., Pedrocchi, A. (eds) Advanced Technologies for the Rehabilitation of Gait and Balance Disorders. Biosystems & Biorobotics, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-72736-3_24
Download citation
DOI: https://doi.org/10.1007/978-3-319-72736-3_24
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-72735-6
Online ISBN: 978-3-319-72736-3
eBook Packages: EngineeringEngineering (R0)