The Effects of Trunk Exercise on Mobility, Balance and Trunk Control of Stroke Patients

Seung Heon An (안승헌); Park Dae-Sung (박대성)

The Effects of Trunk Exercise on Mobility, Balance and Trunk Control of Stroke Patients

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2017, 12(1), pp.25-33
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

Seung Heon An ¹, Park Dae-Sung ²

¹국립재활원
²건양대학교

Accredited

ABSTRACT

PURPOSE: The initiation of the trunk muscles in stroke patients is delayed because the muscles involved in reach arm are activated earlier than the trunk muscles. The objective of this study was to examine the effects of mobility, balance, and trunk control ability through selective trunk exercise (STE) in patients with chronic stroke. METHODS: A randomized pre-test and post-test control group design was initially used, with subjects randomly assigned to the STE group (n=15) and a control group (n=14). All groups underwent physical therapy based on the neuro-developmental therapy (NDT) for 30 minutes a day, five times per week for four weeks. Additionally, the STE group did the trunk exercise for 30 minutes a day, three times per week for four weeks. The timed up and go test (TUG), Berg balance scale (BBS), and trunk impairment scale (TIS) were used for assessment. RESULTS: The scores of the TUG, BBS, dynamic sitting balance subscale, and coordination subscale of TIS improved significantly in both groups but the improvement was more pronounced in the STE group (p<.05). This study showed a large effect on the scores of the TIS coordination subscale (d=.93) (p<.05), TIS dynamic balance subscale (d=.81) (p<.05), TUG (d=.75) (p<.05), and BBS (d=.73) (p<.05). CONCLUSION: The combined STE and NDT program showed improvements in measures of mobility, balance, and trunk control in chronic stroke patients. These results suggest that STE should be considered to be included in the treatment program for patients with chronic stroke.

KEYWORDS

Berg balance scale, Stroke, Timed up and go, Trunk exercise, Trunk impairment scale

Citation status

* References for papers published after 2023 are currently being built.

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