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Factors that influence quiet standing balance of patients with incomplete cervical spinal cord injuries

Title
Factors that influence quiet standing balance of patients with incomplete cervical spinal cord injuries
Authors
Lee G.E.Bae H.Yoon T.S.Kim J.S.Yi T.I.Park J.S.
Ewha Authors
윤태식
SCOPUS Author ID
윤태식scopus
Issue Date
2012
Journal Title
Annals of Rehabilitation Medicine
ISSN
2234-0645JCR Link
Citation
vol. 36, no. 4, pp. 530 - 537
Indexed
SCOPUS; KCI scopus
Abstract
Objective: To investigate the factors influencing the quiet standing balance of patients with incomplete cervical spinal cord injuries. Also to find the correlations between posturographic parameters and clinical balance tests as well as to find the correlation between posturographic parameters and functional independence. Method: We conducted a tetra-ataxiometric posturography, lower extremity motor score (LEMS), Korean version of the Berg Balance Scale (K-BBS), Timed Up and Go test (TUG), and Korean Version of the Modified Barthel Index (K-MBI) of 10 patients. 10 healthy adults carried out the posturography. We checked stability, weight distribution, Fourier and synchronization indices of eight positions, and the fall index of the posturography. Results: The patient group showed significantly higher stability and weight distribution indices in all eight positions. Stability indices significantly increased with eyes closed or standing on pillows. Weight distribution indices were significantly higher with eyes closed or the head bent backwards. The patient group showed significantly higher Fourier indices of low, low-medium, and high frequency in eight positions. The Fourier indices at high-medium frequency were significantly higher with eyes closed on pillows or in variable head positions. There were no significant differences of synchronization indices between the patient and the control group. The falling index of the patient group significantly correlated with K-BBS, TUG, and K-MBI. LEMS had significant correlation with some synchronization indices, but not with the falling index. Conclusion: The quiet standing balance of the patients was influenced by somatosensory limitations or insufficient visual compensation. We should try to improve the postural balance and functional independence of patients through proper proprioceptive and lower extremity strength training for better postural and pedal control, and to make efforts to minimize environmental hazards. © 2012 by Korean Academy of Rehabilitation Medicine.
DOI
10.5535/arm.2012.36.4.530
Appears in Collections:
의과대학 > 의학과 > Journal papers
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