title: Posture control using electrical stimulation biofeedback: a pilot study.
abstract: The investigation studied the effects of biofeedback on the sitting posture of a 14 year old girl with cerebral palsy. The subject's posture was quantified using a video analysis technique which established the threshold of poor posture at 30 degrees from the vertical plane. A stimulator system was designed using an adapted drop foot stimulator and a custom made controller with a mercury tilt switch as the posture angle transducer. If posture became greater than 30 degrees tactile electrical stimulation was administered to the subject's lower back. Repetitive stimuli occurred on non-correction of posture, with a maximum of 4 consecutive stimuli, upon which an alarm was activated. 10 training sessions of 20 min duration were completed over a 4 week period, monitored using a data logger. Following initial improvement the daily results show a gradual deterioration in posture, whilst post-trial video analysis indicates a significant improvement in posture. An improved response to the alarm stimulus is observed. Reasons for these conflicting findings are discussed.
authors.affiliation: Lincoln Medical Physics and Computing Services, County Hospital, Lincoln, UK.
authors.forename: P
authors.initials: P
authors.lastname: Metherall
authors.forename: E A
authors.initials: EA
authors.lastname: Dymond
authors.forename: N
authors.initials: N
authors.lastname: Gravill
mesh_terms: D000293:Adolescent; D001676:Biofeedback, Psychology; D002547:Cerebral Palsy / Q000503:physiopathology / Q000534:rehabilitation*; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D010865:Pilot Projects; D011187:Posture