Vibrotactile neurofeedback balance training in patients with Parkinson's disease: Reducing the number of falls

The aim of this study was to assess effectiveness of balance training with a vibrotactile neurofeedback system in improving overall stability in patients with Parkinson's disease (PD).Ten patients diagnosed with idiopathic PD were included. Individualization of the rehabilitation program started with a body sway analysis of stance and gait tasks (Standard Balance Deficit Test, SBDT) by using the diagnostic tool of the applied device (Vertiguard®-RT). Those tasks with the poorest outcome as related to age- and gender-related controls were included in the training program (not more than six tasks). Improvement of postural stability was assessed by performing SBDT, Sensory Organization Test (SOT) of Computerized Dynamic Posturography (CDP), Dizziness Handicap Inventory (DHI), activity-specific balance confidence scale and recording the number of falls over the past three months. Furthermore, scores of SOT and DHI of 10 PD patients previously trained in an earlier study (by using CDP) were compared with results of those in the present study.After neurofeedback training (NFT), there was a statistically significant improvement in body sway (calculated over all training tasks), number of falls, and scores of SOT, DHI and ABC. In comparison with CDP-training, a statistically significant higher increase of SOT score was observed for patients after NFT with the Vertiguard-RT device compared to CDP training.Our results showed that a free-field vibrotactile NFT with Vertiguard®-RT device can improve balance in PD patients in everyday life conditions very effectively, which might led in turn to a reduction of falls.

► A free-field vibrotactile neurofeedback training can improve balance in PD patients. ► An important outcome was a significant reduction in falls during daily life. ► Training with more than 6 tasks would possibly further enhance the effectiveness. ► Future studies should investigate the long-term follow up.