Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy

BACKGRAUND: Violation of gait and body balance in patients with diabetic polyneuropathy actualizes the development of new effective measures of motor rehabilitation. In this regard, an observation was carried out in which biofeedback training was used for the reference reaction in the conditions of...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: N. D. Babanov, D. V. Frolov, E. V. Krukov, E. N. Panova, O. V. Kubryak
Formato: article
Lenguaje:EN
RU
Publicado: Endocrinology Research Centre 2021
Materias:
Acceso en línea:https://doaj.org/article/c84dbdb343944d53a062a83101c59c2d
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:c84dbdb343944d53a062a83101c59c2d
record_format dspace
spelling oai:doaj.org-article:c84dbdb343944d53a062a83101c59c2d2021-11-14T09:00:23ZStudy of motor load regulation training with visual feedback in patients with diabetic polyneuropathy2072-03512072-037810.14341/DM12371https://doaj.org/article/c84dbdb343944d53a062a83101c59c2d2021-02-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/12371https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378BACKGRAUND: Violation of gait and body balance in patients with diabetic polyneuropathy actualizes the development of new effective measures of motor rehabilitation. In this regard, an observation was carried out in which biofeedback training was used for the reference reaction in the conditions of variable feedback parameters.AIMS: To investigate the effect of a stepwise change in the depth of feedback (sensitivity) in a motor-cognitive task with visual feedback on the reference response to the result of its execution.METHODS: Single-sample observational observation with controlled conditions. 27 patients with diabetic polyneuropathy. All patients were treated according to modern standards. The observation was performed in one series at the beginning of the course of inpatient treatment. Estimation of body balance on a power platform — stabiloplatform) — stabilometry. The procedure included 5 stages of management, in which the patient followed the instructions (training) in which there was a stepwise increase in the depth of feedback («sensitivity») at each stage from 10 to 50% of the conditional «normal», with a step of 10%. A quantitative assessment of the external result (execution of instructions) and parameters of regulation of the vertical posture was carried out.RESULTS: All patients included in the follow-up showed that the implementation of instructions with increasing depth of feedback decreased sharply when the conditionally «normal» value was exceeded by 30–35%. At the same time, the initial parameters of vertical posture control in the sample patients did not affect the dynamics of results when performing the task with visual feedback. Factor analysis indicates the presence of the only significant factor associated with the effectiveness of performing a motor-cognitive task here — changes in the depth of feedback. The accepted significance level α = 0.05.CONCLUSIONS: The depth of feedback in motor-cognitive tasks with visual feedback is a key characteristic that affects performance. The ability to increase the depth of feedback in the range of about 35; from conditionally «normal», can be useful for ensuring differentiation of loads during motor rehabilitation of patients in order to increase the effectiveness of training. In addition, in theoretical terms, the proposed model of the motor-cognitive problem can be relevant in the study of «dual» problems, where the relationship of motor and cognitive components is studied.N. D. BabanovD. V. FrolovE. V. KrukovE. N. PanovaO. V. KubryakEndocrinology Research Centrearticlemotor rehabilitationdiabetic polyneuropathystabilometryfeedback parametersvertical posturebody balancemotor-cognitive taskNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 24, Iss 1, Pp 55-61 (2021)
institution DOAJ
collection DOAJ
language EN
RU
topic motor rehabilitation
diabetic polyneuropathy
stabilometry
feedback parameters
vertical posture
body balance
motor-cognitive task
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle motor rehabilitation
diabetic polyneuropathy
stabilometry
feedback parameters
vertical posture
body balance
motor-cognitive task
Nutritional diseases. Deficiency diseases
RC620-627
N. D. Babanov
D. V. Frolov
E. V. Krukov
E. N. Panova
O. V. Kubryak
Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
description BACKGRAUND: Violation of gait and body balance in patients with diabetic polyneuropathy actualizes the development of new effective measures of motor rehabilitation. In this regard, an observation was carried out in which biofeedback training was used for the reference reaction in the conditions of variable feedback parameters.AIMS: To investigate the effect of a stepwise change in the depth of feedback (sensitivity) in a motor-cognitive task with visual feedback on the reference response to the result of its execution.METHODS: Single-sample observational observation with controlled conditions. 27 patients with diabetic polyneuropathy. All patients were treated according to modern standards. The observation was performed in one series at the beginning of the course of inpatient treatment. Estimation of body balance on a power platform — stabiloplatform) — stabilometry. The procedure included 5 stages of management, in which the patient followed the instructions (training) in which there was a stepwise increase in the depth of feedback («sensitivity») at each stage from 10 to 50% of the conditional «normal», with a step of 10%. A quantitative assessment of the external result (execution of instructions) and parameters of regulation of the vertical posture was carried out.RESULTS: All patients included in the follow-up showed that the implementation of instructions with increasing depth of feedback decreased sharply when the conditionally «normal» value was exceeded by 30–35%. At the same time, the initial parameters of vertical posture control in the sample patients did not affect the dynamics of results when performing the task with visual feedback. Factor analysis indicates the presence of the only significant factor associated with the effectiveness of performing a motor-cognitive task here — changes in the depth of feedback. The accepted significance level α = 0.05.CONCLUSIONS: The depth of feedback in motor-cognitive tasks with visual feedback is a key characteristic that affects performance. The ability to increase the depth of feedback in the range of about 35; from conditionally «normal», can be useful for ensuring differentiation of loads during motor rehabilitation of patients in order to increase the effectiveness of training. In addition, in theoretical terms, the proposed model of the motor-cognitive problem can be relevant in the study of «dual» problems, where the relationship of motor and cognitive components is studied.
format article
author N. D. Babanov
D. V. Frolov
E. V. Krukov
E. N. Panova
O. V. Kubryak
author_facet N. D. Babanov
D. V. Frolov
E. V. Krukov
E. N. Panova
O. V. Kubryak
author_sort N. D. Babanov
title Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
title_short Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
title_full Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
title_fullStr Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
title_full_unstemmed Study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
title_sort study of motor load regulation training with visual feedback in patients with diabetic polyneuropathy
publisher Endocrinology Research Centre
publishDate 2021
url https://doaj.org/article/c84dbdb343944d53a062a83101c59c2d
work_keys_str_mv AT ndbabanov studyofmotorloadregulationtrainingwithvisualfeedbackinpatientswithdiabeticpolyneuropathy
AT dvfrolov studyofmotorloadregulationtrainingwithvisualfeedbackinpatientswithdiabeticpolyneuropathy
AT evkrukov studyofmotorloadregulationtrainingwithvisualfeedbackinpatientswithdiabeticpolyneuropathy
AT enpanova studyofmotorloadregulationtrainingwithvisualfeedbackinpatientswithdiabeticpolyneuropathy
AT ovkubryak studyofmotorloadregulationtrainingwithvisualfeedbackinpatientswithdiabeticpolyneuropathy
_version_ 1718429489451499520