Balance disorders after brain injury
Conditions
Interventions
Intervention group:comprehensive rehabilitation therapy
Sponsors
Beijing Bo'ai Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Meeting the clinical diagnostic criteria for brain injury (such as stroke / brain trauma, etc.), confirmed by head CT or MRI; 2. Having clear balance disorders, with a Fugl-Meyer balance scale score of less than 14 points; 3. Possessing basic functional abilities: able to independently maintain a sitting position for >= 30 minutes, able to complete the action of standing up from a sitting position without assistance from others, and able to stand independently for >= 1 minute (meeting the basic implementation conditions for balance tests and rehabilitation treatments); 4. Clear consciousness (GCS score >= 13 points), able to cooperate with evaluations and treatments; 5. Age 18-70 years old, any gender; 6. Patients or legal guardians have signed the informed consent form; 7. No severe cognitive impairment (MMSE score >= 21 points).
Exclusion criteria
Exclusion criteria: 1. Severe dysfunction of major organs such as the heart, liver, and kidneys or malignant tumors; 2. Severe mental disorders, communication barriers or inability to cooperate with assessment and treatment; 3. Previous history of musculoskeletal diseases, Parkinson's disease, spinal cord lesions, etc., affecting balance and gait; 4. Head skin damage, infection or allergy to fNIRS sensors; 5. Plans to receive other intervention measures during treatment that may affect rehabilitation outcomes; 6. High expected rate of loss to follow-up (no fixed contact information, living in a different place).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Balance function indicators: Utilize a dynamic-static balance testing system to conduct sit-to-stand balance and single-foot balance tests, and quantify parameters such as the COP oscillation area; | — |
Secondary
| Measure | Time frame |
|---|---|
| Plantar Pressure and Gait Indicators: Plantar pressure and gait assessment system, collecting relative pressure of the left and right feet (%), average pressure (kPa), contact time (s), absolute peak pressure (kPa), pressure/pressure-time curve and integral (kPa·s), etc.;Cortical activation indicators: Using fNIRS technology to detect the oxygenated hemoglobin (HbO?) concentration in the PFC, PMC, and SMA regions while the patient stands on one foot, calculating activation intensity (peak, mean), latency (s), and bilateral symmetry index.; | — |
Countries
China
Contacts
Public ContactZhang Xin
Beijing Bo'ai Hospital
Outcome results
None listed