الفهرس 
Title : Visual feedback versus sensory integration on risk of falling and postural instability in patients with parkinsonism
AbstractOnly 14 pages are availabe for public view
 |  | from | 276 |  |  |
| | | from | 276 | | |
Abstract
Background: Among the core symptoms of Parkinson disease (PD), postural instability is probably the most relevant problem that causes reduced mobility, falling and poor quality of life. Falling is a potentially disabling problem for many PD patients leading to loss of functional independence and social isolation. Purpose: The aim of this study was to compare the efficacy of visual feedback versus sensory integration training on risk of falling and postural instability in idiopathic PD patients. Subjects and methods: Forty patients with idiopathic Parkinson disease (PD) aged from 55 to 75 years participated in this study. Patients were randomly assigned into two equal groups, (group A): received visual feedback training on Biodex balance system and (group B): received sensory integration training. The treatment program was conducted three times per week, for four successive weeks. Postural stability index, limits of stability, risk of falling index and sway index in four conditions of modified clinical test of sensory integration of balance (M-CTSIB) were measured before and after completion of treatment sessions. Results: There was a significant reduction of all postural stability indices, risk of falling index and sway index in the four conditions of M-CTSIB and a significant increase in limits of stability indices in both groups post treatment (p<0.05). Moreover, there was a significant difference between both groups in all measured variables post treatment in favor of group A (p<0.05). The overall improvement percentage for all variables was 52.11% for group (A) and 26.51% for group (B) which indicates that the improvement was significantly higher in group (A) compared to group (B) (p=0.0001). Conclusion: Visual feedback training program is a more beneficial modality than sensory integration training that can be used to decrease risk of falling and improve postural instability in PD patients