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Updated: Aug 26, 2026

A Human-machine-interface Integrating Low-cost Sensors with a Neuromuscular Electrical Stimulation System for Post-stroke Balance Rehabilitation
Published on: April 12, 2016
Reliance on visual information after stroke. Part II: Effectiveness of a balance rehabilitation program with visual
Isabelle V Bonan1, Alain P Yelnik, Florence M Colle
1Department of Physical Medicine and Rehabilitation, GH Lariboissiere-F. Widal, Paris, France. isabelle.bonan@lrb.ap-hop-paris.fr
Objective:
To test the hypothesis that balance rehabilitation with visual cue deprivation improves balance more effectively than rehabilitation with free vision.
Design:
Single-blind, randomized controlled trial.
Setting:
Public rehabilitation center in France.
Participants:
Twenty patients with hemiplegia after a single-hemisphere stroke that occurred at least 12 months before the study.
Intervention:
Patients were randomly assigned to 1 of 2 balance rehabilitation programs-with and without visual cue deprivation. In all other respects, the programs were identical. Each lasted for 1 hour and was implemented 5 days a week for 4 weeks. All patients completed the program. Mean outcome measures Balance under 6 sensory conditions was assessed by computerized dynamic posturography (EquiTest), gait velocity, timed stair climbing, and self-assessment of ease of gait before and after program completion.
Results:
After completing the program, balance, gait velocity, and self-assessment of gait improved significantly in all patients. The improvements in gait velocity (P= .03) and timed stair climbing (P= .01) correlated significantly with improved balance. Balance improved more in the vision-deprived group than in the free-vision group.
Conclusions:
Balance improved more after rehabilitation with visual deprivation than with free vision. Visual overuse may be a compensatory strategy for coping with initial imbalance exacerbated by traditional rehabilitation.
