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Effects of Suboccipital Muscle Release on Balance and Gait in Patients with Chronic Stroke: A Case Study

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(4), pp.1~10
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : April 7, 2025
  • Accepted : May 20, 2025
  • Published : November 30, 2025

Min-ju Nam 1 Ju-Hak Kim 2 신용준 3 Kim Meung Kwon 2

1대구대학교 일반대학원 재활과학과 대학원
2대구대학교
3대구대학교 재활과학대학 물리치료학과

Accredited

ABSTRACT

PURPOSE: This study examined the effects of suboccipital muscle release on the balance and gait ability of chronic stroke patients. Given the role of suboccipital muscles in proprioception and posture control, it was hypothesized that the suboccipital muscle would improve balance and gait performance. METHODS: Five patients diagnosed with chronic stroke participated in a single-subject A-B-A-B experimental design. The intervention consisted of suboccipital muscle release performed once daily, five times per week, for 20 sessions over four weeks. The assessments were conducted at five time points (A0, A1, B1, A2, B2) using the Berg Balance Scale (BBS), Timed Up and Go test (TUG), and 10-Meter Walk Test (10MWT). RESULTS: All participants showed improvements in the BBS scores, TUG times, and 10MWT performance after the intervention. For example, the TUG time of Participant 2 decreased from 132 to 59.96 seconds, and 10MWT improved from 118 to 63 seconds. These results suggest that suboccipital muscle release positively influences the balance and gait in chronic stroke patients. CONCLUSION: Suboccipital muscle release may be a beneficial therapeutic approach for improving the balance and gait ability of chronic stroke patients. Nevertheless, further large-scale studies will be needed to confirm these findings.

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