Benefits of multi-session balance and gait training with multi-modal biofeedback in healthy older adults |
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Affiliation: | 1. University of Utah, Department of Orthopaedics, Salt Lake City, UT, United States;2. University of Utah, Department of Physical Therapy & Athletic Training, Salt Lake City, UT, United States;3. University of Colorado, Department of Physical Medicine and Rehabilitation, Aurora, CO, United States;4. University of Montana, School of Physical Therapy & Rehabilitation Science, Missoula, MT, United States;1. Division of Biokinesiology and Physical Therapy, University of Southern California, USA;2. Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Department of Orthopaedics, The Ohio State University, USA;3. Department of Physical Therapy, University of Delaware, USA;4. Department of Physical Therapy, University of Dayton, Raymond L. Fitz Hall, Room 209D, Dayton, OH, 45469-2925, USA |
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Abstract: | Real-time balance-relevant biofeedback from a wearable sensor can improve balance in many patient populations, however, it is unknown if balance training with biofeedback has lasting benefits for healthy older adults once training is completed and biofeedback removed. This study was designed to determine if multi-session balance training with and without biofeedback leads to changes in balance performance in healthy older adults; and if changes persist after training. 36 participants (age 60–88) were randomly divided into two groups. Both groups trained on seven stance and gait tasks for 2 consecutive weeks (3×/week) while trunk angular sway and task duration were monitored. One group received real-time multi-modal biofeedback of trunk sway and a control group trained without biofeedback. Training effects were assessed at the last training session, with biofeedback available to the feedback group. Post-training effects (without biofeedback) were assessed immediately after, 1-week, and 1-month post-training. Both groups demonstrated training effects; participants swayed less when standing on foam with eyes closed (EC), maintained tandem-stance EC longer, and completed 8 tandem-steps EC faster and with less sway at the last training session. Changes in sway and duration, indicative of faster walking, were also observed after training for other gait tasks. While changes in walking speed persisted post-training, few other post-training effects were observed. These data suggest there is little added benefit to balance training with biofeedback, beyond training without, in healthy older adults. However, transient use of wearable balance biofeedback systems as balance aides remains beneficial for challenging balance situations and some clinical populations. |
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Keywords: | Biofeedback Balance training Older adults Gait Balance |
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