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Individuals with central-nervous-system lesions often face higher fall risks, necessitating improved dynamic balance during walking. At the rehabilitation center of the Ghent University Hospital an instrumented treadmill in a Virtual Reality (GRAIL, Motek) is used for dynamic balance training. An RCT compares GRAIL training to standard balance training, with 28 participants (16 stroke, 6 TBI, 6 SCI) showing promising initial results. Only the GRAIL group demonstrated a significantly improved dynamic balance (CBMS + 8.5, p = 0.002) and balance confidence (ABC questionnaire + 18 points, p = 0.002). Both groups improved walking speed and step length post-intervention; however, solely the GRAIL group showed a decreased double support phase (−6%, p < 0.001), possibly indicating a better dynamic balance.

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The Added Value of Using a GRAIL System for Gait to Improve Dynamic Balance in Persons with a Lesion of the Central Nervous System

  • 会议论文

  • 发表日期：

    2025年

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  • Anke Van Bladel,
  • Arne Defour,
  • Sophie De Mits,
  • Liesbet de Baets,
  • Katie Bouche,
  • Inge Bru,
  • Kristine Oostra,
  • Lode Sabbe,
  • Ruth Van der Looven

摘要

Individuals with central-nervous-system lesions often face higher fall risks, necessitating improved dynamic balance during walking. At the rehabilitation center of the Ghent University Hospital an instrumented treadmill in a Virtual Reality (GRAIL, Motek) is used for dynamic balance training. An RCT compares GRAIL training to standard balance training, with 28 participants (16 stroke, 6 TBI, 6 SCI) showing promising initial results. Only the GRAIL group demonstrated a significantly improved dynamic balance (CBMS + 8.5, p = 0.002) and balance confidence (ABC questionnaire + 18 points, p = 0.002). Both groups improved walking speed and step length post-intervention; however, solely the GRAIL group showed a decreased double support phase (−6%, p < 0.001), possibly indicating a better dynamic balance.