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The effects of neck muscle vibration on postural orientation and spatial perception: A systematic review. Neurophysiol Clin 2020; 50:227-267. [DOI: 10.1016/j.neucli.2019.10.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 10/06/2019] [Accepted: 10/06/2019] [Indexed: 11/17/2022] Open
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Jamal K, Leplaideur S, Rousseau C, Cordillet S, Raillon AM, Butet S, Cretual A, Bonan I. The effects of repetitive neck-muscle vibration on postural disturbances after a chronic stroke. Neurophysiol Clin 2020; 50:269-278. [PMID: 32245547 DOI: 10.1016/j.neucli.2020.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2019] [Revised: 01/22/2020] [Accepted: 01/22/2020] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE We aimed to test a repeated program of vibration sessions of the neck muscles (rNMV) on postural disturbances and spatial perception in patients with right (RBD) versus left (LBD) vascular brain damage. METHODS Thirty-two chronic stroke patients (mean age 60.9±10 yrs and mean time since stroke 4.9±4 yrs), 16 RBD and 16 LBD, underwent a program of 10 sessions of NMV over two weeks. Posturography parameters (weight-bearing asymmetry (WBA), Xm, Ym, and surface), balance rating (Berg Balance Scale (BBS), Timed Up and Go (TUG)), space representation (subjective straight ahead (SSA), longitudinal body axis (LBA), subjective visual vertical (SVV)), and post-stroke deficiencies (motricity index, sensitivity, and spasticity) were tested and the data analyzed by ANOVA or a linear rank-based model, depending on whether the data were normally distributed, with lesion side and time factor (D-15, D0, D15, D21, D45). RESULTS The ANOVA revealed a significant interaction between lesion side and time for WBA (P<0.0001) with a significant shift towards the paretic lower limb in the RBD patients only (P=0.0001), whereas there was no effect in the LBD patients (P=0.98). Neither group showed a significant modification of spatial representation. Nonetheless, there was a significant improvement in motricity (P=0.02), TUG (P=0.0005), and BBS (P<0.0001) in both groups at the end of treatment and afterwards. CONCLUSIONS rNMV appeared to correct WBA in RBD patients only. This suggests that rNMV could be effective in treating sustainable imbalance due to spatial cognition disorders.
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Affiliation(s)
- Karim Jamal
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, Rennes, France; M2S laboratory-EA 1274, University of Rennes 2, Rennes, France.
| | - Stéphanie Leplaideur
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, Rennes, France; Neurology Physical and Rehabilitation Medicine Department, CMRRF KERPAPE, France; Unit EMPENN, INSERM, INRIA, Unit 1228 University Rennes 1, Rennes, France
| | - Chloé Rousseau
- Department of Clinical Pharmacology, Clinical Investigation, Center INSERM 1414, University Hospital of Rennes, Rennes, France
| | - Sébastien Cordillet
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, Rennes, France
| | - Annelise Moulinet Raillon
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, Rennes, France; Physical and rehabilitation medicine department, Hospital of Saint-Vallier, Saint-Vallier, France
| | - Simon Butet
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, Rennes, France
| | - Armel Cretual
- M2S laboratory-EA 1274, University of Rennes 2, Rennes, France
| | - Isabelle Bonan
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, Rennes, France; M2S laboratory-EA 1274, University of Rennes 2, Rennes, France
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Egocentric processing in the roll plane and dorsal parietal cortex: A TMS-ERP study of the subjective visual vertical. Neuropsychologia 2019; 127:113-122. [DOI: 10.1016/j.neuropsychologia.2019.02.023] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2018] [Revised: 01/29/2019] [Accepted: 02/28/2019] [Indexed: 11/18/2022]
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Luvizutto GJ, Neto EDM, Resende LADL, Nunes HRDC, Betting LEGG, Bazan R. Crossed Leg Sign Is Associated With Severity of Unilateral Spatial Neglect After Stroke. Front Neurol 2018; 9:256. [PMID: 29720958 PMCID: PMC5915465 DOI: 10.3389/fneur.2018.00256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 04/03/2018] [Indexed: 11/23/2022] Open
Abstract
Background The crossed leg sign in patients with right hemisphere stroke is thought to be associated with perceptual disorders, such as unilateral spatial neglect (USN). The aim of this study was to compare the crossed leg sign with the severity of USN during the acute phase of stroke. Experimental procedures This was an observational and prospective clinical study of individuals with a diagnosis of right parietal stroke, as confirmed by neuroimaging. The occurrence of the crossed leg sign, the time at which this occurred after the stroke, and a clinical diagnosis of USN were measured and recorded. The patients’ age, sex, and lesion severity, as determined by the National Institutes of Health Stroke Scale and Glasgow coma scale, were included in the analyses as confounding variables. The outcome of interest was the degree of USN, as measured by the cancellation and bisection tests. Binary logistic regression was used to analyze the effect of crossed leg syndrome on the severity of USN. In the adjusted multiple regression model, a p-value of <0.05 was considered statistically significant. Results Overall, 60 patients were included in this study. There were no associations between patient demographics and the presence of the crossed leg sign. There was, however, an association between the crossed leg sign and the absolute value of the deviation in the line bisection test (B = −0.234; p = 0.039). The crossed leg sign was not associated with other measures of USN. Conclusion Based on the results of our study, we can conclude that a crossed leg sign in the acute phase of stroke is associated with USN severity, specifically the misinterpretation of the midline.
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Affiliation(s)
- Gustavo José Luvizutto
- Department of Applied Physical Therapy, Institute of Health Sciences, Federal University of Triângulo Mineiro (UFTM), Uberaba, Brazil
| | | | - Luiz Antônio de Lima Resende
- Department of Neurology, Psychology and Psychiatry, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - Hélio Rubens de Carvalho Nunes
- Department of Public Health, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - Luiz Eduardo Gomes Garcia Betting
- Department of Neurology, Psychology and Psychiatry, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, Brazil
| | - Rodrigo Bazan
- Department of Neurology, Psychology and Psychiatry, Botucatu School of Medicine, University Estadual Paulista Júlio de Mesquita Filho (UNESP), Botucatu, Brazil
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Haarman JAM, Maartens E, van der Kooij H, Buurke JH, Reenalda J, Rietman JS. Manual physical balance assistance of therapists during gait training of stroke survivors: characteristics and predicting the timing. J Neuroeng Rehabil 2017; 14:125. [PMID: 29197402 PMCID: PMC5712141 DOI: 10.1186/s12984-017-0337-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Accepted: 11/23/2017] [Indexed: 11/25/2022] Open
Abstract
Background During gait training, physical therapists continuously supervise stroke survivors and provide physical support to their pelvis when they judge that the patient is unable to keep his balance. This paper is the first in providing quantitative data about the corrective forces that therapists use during gait training. It is assumed that changes in the acceleration of a patient’s COM are a good predictor for therapeutic balance assistance during the training sessions Therefore, this paper provides a method that predicts the timing of therapeutic balance assistance, based on acceleration data of the sacrum. Methods Eight sub-acute stroke survivors and seven therapists were included in this study. Patients were asked to perform straight line walking as well as slalom walking in a conventional training setting. Acceleration of the sacrum was captured by an Inertial Magnetic Measurement Unit. Balance-assisting corrective forces applied by the therapist were collected from two force sensors positioned on both sides of the patient’s hips. Measures to characterize the therapeutic balance assistance were the amount of force, duration, impulse and the anatomical plane in which the assistance took place. Based on the acceleration data of the sacrum, an algorithm was developed to predict therapeutic balance assistance. To validate the developed algorithm, the predicted events of balance assistance by the algorithm were compared with the actual provided therapeutic assistance. Results The algorithm was able to predict the actual therapeutic assistance with a Positive Predictive Value of 87% and a True Positive Rate of 81%. Assistance mainly took place over the medio-lateral axis and corrective forces of about 2% of the patient’s body weight (15.9 N (11), median (IQR)) were provided by therapists in this plane. Median duration of balance assistance was 1.1 s (0.6) (median (IQR)) and median impulse was 9.4Ns (8.2) (median (IQR)). Although therapists were specifically instructed to aim for the force sensors on the iliac crest, a different contact location was reported in 22% of the corrections. Conclusions This paper presents insights into the behavior of therapists regarding their manual physical assistance during gait training. A quantitative dataset was presented, representing therapeutic balance-assisting force characteristics. Furthermore, an algorithm was developed that predicts events at which therapeutic balance assistance was provided. Prediction scores remain high when different therapists and patients were analyzed with the same algorithm settings. Both the quantitative dataset and the developed algorithm can serve as technical input in the development of (robot-controlled) balance supportive devices.
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Affiliation(s)
- Juliet A M Haarman
- Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AH, Enschede, the Netherlands. .,Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands. .,Roessingh Research and Development, Roessinghsbleekweg 33b, PO Box 310, 7500 AH, Enschede, the Netherlands.
| | - Erik Maartens
- Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AH, Enschede, the Netherlands.,Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands
| | - Herman van der Kooij
- Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands
| | - Jaap H Buurke
- Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AH, Enschede, the Netherlands.,Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands
| | - Jasper Reenalda
- Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AH, Enschede, the Netherlands.,Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands
| | - Johan S Rietman
- Roessingh Research and Development, Roessinghsbleekweg 33b, 7522 AH, Enschede, the Netherlands.,Department of Biomechanical Engineering, University of Twente, Drienerlolaan 5, 7522 NB, Enschede, the Netherlands
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Leplaideur S, Leblong E, Jamal K, Rousseau C, Raillon AM, Coignard P, Damphousse M, Bonan I. Short-term effect of neck muscle vibration on postural disturbances in stroke patients. Exp Brain Res 2016; 234:2643-51. [PMID: 27165509 DOI: 10.1007/s00221-016-4668-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Accepted: 04/28/2016] [Indexed: 01/01/2023]
Abstract
Balance disorders after stroke have a particularly detrimental influence on recovery of autonomy and walking. The present study is aimed at assessing the effect of proprioceptive stimulation by neck muscle vibration (NMV) on the balance of patients with right hemispheric lesion (RHL) and left hemispheric lesion (LHL). Thirty-one (31) patients (15 RHL and 16 LHL), mean age 61.5 years (±10.6), mean delay 3.1 (±1.6) months after one hemispheric stroke were included in this prospective study. The mean position in mediolateral and anteroposterior plane of the CoP (center of pressure) and the surface were evaluated using a force platform at rest and immediately after 10 min of vibration on the contralesional dorsal neck muscle. NMV decreases the lateral deviation balance induced by the stroke. Twenty patients (64.5 %) experienced a visual illusion of light spot moving toward the side opposite stimulus. These patients showed more improvement by vibration than those without visual illusion. There was an interaction between sensitivity and side of stroke on the effect of NMV. Proprioceptive stimulation by NMV reduces postural asymmetry after stroke. This short-term effect of the vibration is more effective in patients susceptible to visual illusion. This result was consistent with a central effect of NMV on the structures involved in the elaboration of perception of body in space.
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Affiliation(s)
- Stéphanie Leplaideur
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, 2 Rue Henri Le Guilloux, 35033, Rennes, France.
- Neurology Physical and Rehabilitation Medicine Department, KERPAPE, BP 78, 56275, Ploemeur Cedex, France.
| | - Emilie Leblong
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, 2 Rue Henri Le Guilloux, 35033, Rennes, France
| | - Karim Jamal
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, 2 Rue Henri Le Guilloux, 35033, Rennes, France
| | - Chloé Rousseau
- Department of Clinical Pharmacology, Clinical Investigation Center INSERM 1414, University Hospital of Rennes, 2 Rue Henri Le Guilloux, 35033, Rennes, France
| | - Annelise Moulinet Raillon
- Physical and Rehabilitation Medicine Department, Hospital of Boulogne sur Mer, 33 Rue Jacques Monod, 62200, Boulogne sur Mer, France
| | - Pauline Coignard
- Neurology Physical and Rehabilitation Medicine Department, KERPAPE, BP 78, 56275, Ploemeur Cedex, France
| | - Mireille Damphousse
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, 2 Rue Henri Le Guilloux, 35033, Rennes, France
| | - Isabelle Bonan
- Physical and Rehabilitation Medicine Department, University Hospital of Rennes, 2 Rue Henri Le Guilloux, 35033, Rennes, France
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