Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45
-
pISSN : 1975-311X / eISSN : 2287-7215
- https://journal.kci.go.kr/kspm
KJCKorea
Journal Central
Effects of Whole Body Tilt Exercise with Visual Feedback on Trunk Control, Strength, and Balance in Patients with Acute Stroke: a Randomized Controlled Pilot Study
- Journal of the Korean Society of Physical Medicine
- Abbr : J Korean Soc Phys Med
- 2018, 13(4), pp.75-84
- DOI : 10.13066/kspm.2018.13.4.75
- Publisher : The Korean Society of Physical Medicine
- Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
- Received : August 10, 2018
- Accepted : September 16, 2018
- Published : November 30, 2018
1원광대학교 의과대학병원
Accredited
ABSTRACT
PURPOSE: This study was conducted to determine the effects of whole-body tilt exercise with visual feedback on trunk control, strength, and balance in patients with acute stroke.
METHODS: The study included 18 patients with acute stroke who were randomly allocated to a Whole Body Tilt Exercise Group (WBTEG, N=9) and a General Trunk Exercise Group (GTEG, N=9). The WBTEG conducted whole-body tilt exercises with visual feedback, and the GTEG performed general trunk exercises. Both groups performed the exercises five times a week for 4 weeks. Outcomes were assessed using the trunk impairment scale (TIS), the trunk flexor and extensor strength test, the static balance test, and the Brunel Balance Assessment.
RESULTS: After 4 weeks of intervention, both groups showed significantly improved TIS scores, muscle strength, and balance components (p<.05 in both groups). However, the improvement in TIS, muscle strength, and static balance in the WBTEG was significantly better than that in the GTEG (p<.05).
CONCLUSION: Although both groups in this study showed post-intervention improvement, patients from the WBTEG who received visual feedback demonstrated more improvement. These findings indicate that whole-body tilt exercise with visual feedback may be effective at improving trunk control, trunk muscle strength, and balance in patients with acute stroke. Further studies are needed to gain a better understanding of the effectiveness of whole-body tilt exercise in patients with acute stroke.
KEYWORDS
Statistics
-
315 Viewed
-
2 Downloaded
Tools
Issue List
Citation status
* References for papers published after 2023 are currently being built.
[journal]
Akuthota V
/ 2004
/ Core strengthening
/ Arch Phys Med Rehabil
85(3 suppl 1)
: 86~92
[journal]
Anders C
/ 2008
/ Evaluation of the EMG-force relationship of trunk muscles during whole body tilt
/ J Biomech
41(2)
: 333~339
[journal]
Anders C
/ 2007
/ Gender specific activation patterns of trunk muscles during whole body tilt
/ European journal of applied physiology
101(2)
: 195~205
[journal]
Bayouk JF
/ 2006
/ Balance training following stroke : effects of task-oriented exercises with and without altered sensory input
/ Int J Rehabil Res
29(1)
: 51~59
[journal]
Cabanas-Valdes R
/ 2013
/ Trunk training exercises approaches for improving trunk performance and functional sitting balance in patients with stroke : a systematic review
/ NeuroRehabilitation
33(4)
: 575~592
[journal]
Chen IC
/ 2002
/ Effects of balance training on hemiplegic stroke patients
/ Chang Gung Med J
25(9)
: 583~590
[journal]
최종덕
/ 2017
/
The Effect of Active Trunk Training in Sitting Position on Balance and Energy Consumption in Early Stroke Patients
/ 대한물리의학회지
/ 대한물리의학회
12(4)
: 93~103
[journal]
최지민
/ 2012
/
Reliability and Concurrent Validity of the Balance Evaluation using Space Balance 3D and Tinetti Mobility Test in Subacute Stroke Patients
/ 한국콘텐츠학회 논문지
/ 한국콘텐츠학회
12(8)
: 264~273
[journal]
Dickstein R
/ 2000
/ Activation of flexor and extensor trunk muscles in hemiparesis
/ Am J Phys Med Rehabil
79(3)
: 228~234
[journal]
Dickstein R
/ 2004
/ Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients
/ Arch Phys Med Rehabil
85(2)
: 261~267
[journal]
Goljar N
/ 2010
/ Improving balance in subacute stroke patients : a randomized controlled study
/ Int J Rehabil Res
33(3)
: 205~210
[journal]
Hasselbach-Heitzeg MM
/ 2002
/ Egocentric body-centered coordinates modulate visuomotor performance
/ Neuropsychologia
40(11)
: 1822~1833
[journal]
장준영
/ 2016
/
Effects of Trunk Control Exercise Performed on an Unstable Surface on Dynamic Balance in Chronic Stroke Patients
/ 대한물리의학회지
/ 대한물리의학회
11(1)
: 1~9
[journal]
Kang TW
/ 2012
/ Treatment of hemispatial neglect in patients with post-hemiparesis : a single-subject experimental design study using a whole-body tilt exercise plus mental practice
/ NeuroRehabilitation
31(2)
: 197~206
[journal]
Karatas M
/ 2004
/ Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients
/ Am J Phys Med Rehabil
83(2)
: 81~87
[journal]
Kim BH
/ 2012
/ The effect of a task-oriented training on trunk control ability, balance and gait of stroke patients
/ J Phys Ther Sci
24(6)
: 519~522
[thesis]
Kim CY
/ 2008
/ The effects of a trunk stability exercise on trunk strengthening, dynamic balance and walking in the persons with chronic stroke
/ Master’s
/ Sahmyook University
[journal]
김대훈
/ 2009
/
The Short Term Effect of Early 3-Dimension Lumbar Stabilization Exercise after Lumbar Microdiscectomy
/ 대한스포츠의학회지
/ 대한스포츠의학회
27(1)
: 47~52
[journal]
김규용
/ 2011
/
The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain
/ 대한물리의학회지
/ 대한물리의학회
6(2)
: 235~246
[journal]
김성호
/ 2010
/
Effects of Spinal Stabilization Exercise on the Cross Section Area of the Lumbar Multifidus, Lumbar Muscle Strength and Pain of Patients with Low Back Pain
/ 한국사회체육학회지
/ 한국사회체육학회
(40)
: 527~536
[journal]
Knols RH
/ 2009
/ Hand-held dynamometry in patients with haematological malignancies : Measurement error in the clinical assessment of knee extension strength
/ BMC Musculoskelet Disord
10
: 31~
[journal]
Ko YJ
/ 2015
/ Effect of space balance 3D training using visual feedback on balance and mobility in acute stroke patients
/ J Phys Ther Sci
27(5)
: 1593~1596
[journal]
Loughlin PJ
/ 2001
/ Spectral characteristics of visually induced postural sway in healthy elderly and healthy young subjects
/ IEEE Trans Neural Syst Rehabil Eng
9(1)
: 24~30
[journal]
Moon SJ
/ 2017
/ Effect of three-dimensional spine stabilization exercise on trunk muscle strength and gait ability in chronic stroke patients : A randomized controlled trial
/ NeuroRehabilitation
41(1)
: 151~159
[journal]
Pollock A
/ 2007
/ Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke : A systematic review
/ Clin Rehabil
21(5)
: 395~410
[journal]
Prange GB
/ 2006
/ Systematic review of the effect of robot-aided therapy on recovery of the hemiparetic arm after stroke
/ J Rehabil Res Dev
43(2)
: 171~184
[journal]
Saeys W
/ 2012
/ Randomized controlled trial of truncal exercises early after stroke to improve balance and mobility
/ Neurorehabil Neural Repair
26(3)
: 231~238
[journal]
송귀빈
/ 2016
/
Comparison of the Effects of Task-oriented training and Virtual reality training on upper extremity function, balance ability, and depression in stroke patients
/ 대한물리의학회지
/ 대한물리의학회
11(1)
: 115~125
[journal]
Stevens VK
/ 2006
/ Trunk muscle activity in healthy subjects during bridging stabilization exercises
/ BMC Musculoskelet Disord
7
: 75~
[journal]
Thorborg K
/ 2013
/ Hip-and knee-strength assessments using a hand-held dynamometer with external belt-fixation are inter-tester reliable
/ Knee Surg Sports Traumatol Arthrosc
21(3)
: 550~555
[journal]
Tyson SF
/ 2004
/ Development of the Brunel Balance Assessment : a new measure of balance disability post stroke
/ Clin Rehabil
18(7)
: 801~810
[journal]
Van Peppen RP
/ 2006
/ Effects of visual feedback therapy on postural control in bilateral standing after stroke : a systematic review
/ J Rehabil Med
38(1)
: 3~9
[journal]
Van Peppen RP
/ 2004
/ The impact of physical therapy on functional outcomes after stroke : what’s the evidence?
/ Clin Rehabil
18(8)
: 833~862
[journal]
Verheyden G
/ 2004
/ The trunk impairment scale : a new tool to measure motor impairment of the trunk after stroke
/ Clin Rehabil
18(13)
: 326~334
[journal]
Verheyden G
/ 2007
/ Clinical tools to measure trunk performance after stroke : a systematic review of the literature
/ Clin Rehabil
21(5)
: 387~394
[journal]
Verheyden G
/ 2009
/ Additional exercises improve trunk performance after stroke : A pilot randomized controlled trial
/ Neurorehabil Neural Repair
23(3)
: 281~286
[journal]
Verheyden G
/ 2006
/ Trunk performance after stroke and the relationship with balance, gait and functional ability
/ Clin Rehabil
20(5)
: 451~458
[journal]
Yang YR
/ 2015
/ Effects of interactive visual feedback training on post-stroke pusher syndrome : a pilot randomized controlled study
/ Clin Rehabil
29(10)
: 987~993
[journal]
Yoo JS
/ 2014
/ The Effect of trunk stabilization exercise using an unstable surface on the abdominal muscle structure and balance of stroke patients
/ J Phys Ther Sci
26(6)
: 857~859