Efficacy of different postural control training in elderly people with chronic cerebral ischemia

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OBJECTIVE

To evaluate the effectiveness of hardware training for postural control in elderly patients with chronic cerebral ischemia.

MATERIAL AND METHODS

We reviewed the Russian- and English-language articles in the PubMed, eLIBRARY.RU, CyberLeninka and Google Scholar databases over the past 15 years using the following keywords, as well as appropriate translations. The review included the studies that examined balance and postural control training in older patients with chronic cerebral ischemia and/or cognitive impairment.

RESULTS

Training on stable-platform improves proprioceptive control and basic stance performance with open and closed eyes. Treadmills with biofeedback have a positive effect on reactive balance and walking performance. Perturbation-based training is especially interesting since this method imitates situations of everyday life and forms optimal neuronal adaptations for prevention of falls due to specificity of objectives. Efficacy of virtual reality-based training is currently unclear and requires larger randomized trials regarding effectiveness in improving postural control in elderly patients with chronic cerebral ischemia.

CONCLUSION

Despite positive effect of hardware training of postural control, available studies are few in number and characterized by small sample size and short-term follow-up. Thus, we cannot draw clear conclusions about their effectiveness in elderly people with chronic cerebral ischemia. In addition, the most optimal combination of various hardware methods and their integration with traditional rehabilitation measures are still debatable. Thus, development and scientific substantiation of comprehensive postural control training program with hardware methods in elderly patients with chronic cerebral ischemia remains an urgent task today.

Keywords:

elderly

stable-platform

treadmill

biofeedback

perturbation-based training

chronic cerebral ischemia

postural disorders

Authors:

Litvina L.D.

Sechenov First Moscow State Medical University

ORCID: 0000-0002-9019-3525

Koneva E.S.

Sechenov First Moscow State Medical University;
A Group of Companied «MEDSI»

ORCID: 0000-0002-9859-194X

Received:

05.04.2024

Accepted:

27.04.2024

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