Effects of Mirror Feedback on Upright Stance Control in Elderly Transfemoral Amputees.

Abstract: Hlavackova P, Fristios J, Cuisinier R, Pinsault N, Janura M, Vuillerme N. Effects of mirror feedback on upright stance control in elderly transfemoral amputees. Objective: To investigate the effects of mirror feedback on upright stance control in elderly transfemoral amputees. Design: Before and after intervention trials. Setting: University medical bioengineering laboratory. Participants: Elderly transfemoral amputees (N=12). Interventions: Participants were asked to stand upright, as immobile as possible, in 2 Eyes-open and Mirror-feedback experimental conditions. The latter experimental condition consisted of supplying the participants with their frontal reflection by positioning a mirror in front of them. Main Outcome Measures: Weight-bearing symmetry and the displacements of the center of foot pressure under the nonaffected limb and the prosthetic limb. Results: Mirror feedback did not modify weight-bearing symmetry and had different effects on the center of foot pressure displacements under the nonaffected limb and prosthetic limb: a decreased center of foot pressure surface area was observed in the Mirror-feedback condition relative to the Eyes-open condition under the nonaffected limb, whereas no significant difference between the Eyes-open condition and the Mirror-feedback condition was observed under the prosthetic limb. Conclusions: Results suggest that elderly transfemoral amputees were able to integrate augmented visual biofeedback through the use of mirror-reflected body image to improve their upright stance control. The present findings could have implications for clinical practice and rehabilitation. [Copyright &y& Elsevier]