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Platform training and postural stability in hemiplegia.

S Hocherman, R Dickstein, T Pillar

    Archives of Physical Medicine and Rehabilitation
    |October 1, 1984
    PubMed
    Summary
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    Moving platform training significantly improved balance and maximal movement amplitude in hemiplegic patients post-cerebrovascular accident (CVA). Impaired patients showed the greatest gains, indicating effective rehabilitation for stroke survivors.

    Area of Science:

    • Neurorehabilitation
    • Biomechanics
    • Clinical Neurology

    Background:

    • Cerebrovascular accident (CVA) often leads to hemiplegia, impairing balance and mobility.
    • Restoring postural control is crucial for functional recovery in stroke survivors.

    Purpose of the Study:

    • To investigate the effects of moving platform training on balance and maximal movement amplitude in hemiplegic patients.
    • To assess changes in weight distribution and muscle activation patterns.

    Main Methods:

    • Thirteen hemiplegic patients underwent 15 sessions of moving platform training over three weeks.
    • Maximal movement amplitude (MMA), weight distribution, and tibialis anterior (TA) muscle EMG were measured.
    • A control group of 11 hemiplegic patients was used for comparison.

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    Main Results:

    • Ten of thirteen experimental patients showed over a two-fold increase in MMA.
    • Patients with greater initial impairment experienced the most significant MMA improvements (five- to seven-fold).
    • Experimental group demonstrated significant improvement in weight distribution; controls did not.

    Conclusions:

    • Moving platform training enhances postural stability and mobility in hemiplegic patients.
    • The training is particularly beneficial for individuals with more severe initial impairments.
    • Improvements in stance are not solely due to increased muscle activation in the affected limb.