The design and development of a production prototype balance belt

This paper discusses the development of a balance device from lab to clinic/home use. An emerging practice among physical therapists in balance training and falls prevention addresses a major health problem in the United States: imbalance and its consequences. The annual cost for treating balance disorders exceeds $1 billion, not including the cost to treat falls. We aim to develop a non-invasive device worn around the waist. It detects when a person is tipping too far in any direction and vibrates on that side, signaling the wearer to stay within their limits of stability. Because this new technology gets a patient to a higher level of function in a shorter number of trials, it offers an opportunity to advance rehabilitation by enabling more effective outcomes for the same number of treatment sessions.

[1]  E Kentala,et al.  Control of sway using vibrotactile feedback of body tilt in patients with moderate and severe postural control deficits. , 2005, Journal of vestibular research : equilibrium & orientation.

[2]  D M Buchner,et al.  Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. , 1999, Age and ageing.

[3]  Susan L Whitney,et al.  From Cawthorne-Cooksey to biotechnology: where we have been and where we are headed in vestibular rehabilitation? , 2010, Journal of neurologic physical therapy : JNPT.

[4]  E. Finkelstein,et al.  The costs of fatal and non-fatal falls among older adults , 2006, Injury Prevention.

[5]  Kathleen Sienko,et al.  Tilt determination in MEMS inertial vestibular prosthesis. , 2006, Journal of biomechanical engineering.

[6]  S. Wolf,et al.  Reducing Frailty and Falls in Older Persons: An Investigation of Tai Chi and Computerized Balance Training , 1996, Journal of the American Geriatrics Society.

[7]  Christianna S. Williams,et al.  Health care utilization and costs in a Medicare population by fall status. , 1998, Medical care.

[8]  C. Wall,et al.  Application of Optimization Methods to Predict Performance of a Vibrotactile Balance Prosthesis , 2007, 2007 3rd International IEEE/EMBS Conference on Neural Engineering.

[9]  Conrad Wall,et al.  Determining the effectiveness of a vibrotactile balance prosthesis. , 2006, Journal of vestibular research : equilibrium & orientation.

[10]  F. Horak,et al.  Effects of practicing tandem gait with and without vibrotactile biofeedback in subjects with unilateral vestibular loss. , 2008, Journal of vestibular research : equilibrium & orientation.

[11]  Conrad Wall,et al.  Balance prostheses for postural control. , 2003, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[12]  Philippa Williams,et al.  The Effect of a 12‐Month Exercise Trial on Balance, Strength, and Falls in Older Women: A Randomized Controlled Trial , 1995, Journal of the American Geriatrics Society.

[13]  M. Tinetti Clinical practice. Preventing falls in elderly persons. , 2003, The New England journal of medicine.

[14]  M. Tinetti,et al.  A multifactorial intervention to reduce the risk of falling among elderly people living in the community. , 1994, The New England journal of medicine.

[15]  K H Sienko,et al.  Effects of multi-directional vibrotactile feedback on vestibular-deficient postural performance during continuous multi-directional support surface perturbations. , 2009, Journal of vestibular research : equilibrium & orientation.

[16]  E Kentala,et al.  Effect of displacement, velocity, and combined vibrotactile tilt feedback on postural control of vestibulopathic subjects. , 2010, Journal of vestibular research : equilibrium & orientation.

[17]  P. B. Schmidt,et al.  Vibrotactile display coding for a balance prosthesis , 2003, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[18]  Conrad Wall,et al.  Application of Vibrotactile Feedback of Body Motion to Improve Rehabilitation in Individuals With Imbalance , 2010, Journal of neurologic physical therapy : JNPT.

[19]  Michael C Schubert,et al.  Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004. , 2009, Archives of internal medicine.

[20]  Conrad Wall,et al.  Balance prosthesis based on micromechanical sensors using vibrotactile feedback of tilt , 2001, IEEE Transactions on Biomedical Engineering.

[21]  Kathleen H. Sienko,et al.  Assessment of Vibrotactile Feedback on Postural Stability During Pseudorandom Multidirectional Platform Motion , 2010, IEEE Transactions on Biomedical Engineering.

[22]  C.I.I.I. Wall,et al.  Applications of vibrotactile display of body tilt for rehabilitation , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[23]  Erna Kentala,et al.  Reduction of Postural Sway by Use of a Vibrotactile Balance Prosthesis Prototype in Subjects with Vestibular Deficits , 2003, The Annals of otology, rhinology, and laryngology.

[24]  C. Wall,et al.  Vibrotactile tilt feedback improves dynamic gait index: a fall risk indicator in older adults. , 2009, Gait & posture.

[25]  F. Horak,et al.  Vibrotactile Biofeedback Improves Tandem Gait in Patients with Unilateral Vestibular Loss , 2009, Annals of the New York Academy of Sciences.

[26]  V.V. Vichare,et al.  Assessing the effect of vibrotactile feedback during continuous multidirectional platform motion: A frequency domain approach , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[27]  A. Goodworth,et al.  Influence of Feedback Parameters on Performance of a Vibrotactile Balance Prosthesis , 2009, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[28]  Jeffrey M. Hausdorff,et al.  Gait variability and fall risk in community-living older adults: a 1-year prospective study. , 2001, Archives of physical medicine and rehabilitation.