Effect of Plantar Vibration on Static and Dynamic Balance

Effect of Plantar Vibration on the Static and Dynamic Balance in Stroke Patients

The aim of this study is to have a positive effect on the static and dynamic balance of vibration applied to the foot base in stroke patients.

Kırıkkale University Faculty of Medicine Physical Therapy will be hospitalized in the USA clinic and volunteers will be involved in stroke rehabilitation. The patients who meet the inclusion criteria and who are excluded from the exclusion criteria will be randomized according to the order of arrival and will be divided into two groups as the education group and the control group. Patients will be taken to the control and study group respectively in order of arrival. If the next patient falls outside the inclusion criteria of the study, randomization will be applied to the next patient. Patients in the control group will be given routine conventional physiotherapy in 4-week and 60-minute sessions. The training group will be given routine conventional physiotherapy in 4-week and 45-minute sessions.In addition, three sessions a week will be applied to the soles of the feet for 15 minutes with a 15-100 Hz vibration device on both sides of the soles of the feet before conventional physical therapy. Individuals before; age, gender, marital status, nutritional characteristics, habits, smoking and alcohol, auxiliary devices, background information, family history, educational status, social security, previous or current occupation, frequency of fall, cause of fall and drugs used will be questioned. Static and dynamic equilibrium parameters will be evaluated at the beginning of the study and at the end of the 4th week.

Inclusion Criteria:

• 45-70 years of age stroke areas
• Cognitive and non-communication problems
• Volunteer to join the work
• Those with less than 150 kilos
• Can walk 10 meters independently (with assistive device if available)
• Patients with a maximum level of 2-3 spasticity according to the Modified Ashworth Scale
• Patients at least 8 weeks after stroke diagnosis

Exclusion Criteria:

• People who are not stable due to vital signs
• Those with coronary heart disease
• Open wounds under the soles of the feet
• Being spastic at the level that will block the base touch
• Pathological conditions affecting lower limb sense (diabetic peripheral neuropathy, post- fracture surgery)
• 20 seconds independent standing
• Mini Mental Test score below 24
• Multiple sclerosis, Parkinson's disease, etc.
• Those with vision problems
• Patients with thoracolumbar surgery
• Patients with spinal canal stenosis