The Efficacy of Core Strengthening on the Trunk Balance in Patients with Subacute Stroke
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objective To investigate the efficacy of core strengthening on trunk balance in patients with subacute stroke. Method Fifty-nine subacute hemiparetic stroke in-patients participated in this study. All patients were randomly assigned to one of two groups: the control group and the experimental group. Both groups received the same conventional physical therapies for 4 weeks. The experimental group received an additional core strengthening program (CSP). Korean mini-mental state examination (K-MMSE) and Korean Modified Barthel Index (K-MBI) were performed on admission. CSP was performed for 30 minutes a day, 3 days per week for 4 weeks. We selected nine exercises available for stroke patients, and divided them as three steps according to the degree of difficulty. Because of the muscle weakness in stroke patients, a physical therapist often helped them during exercise. Outcome measurement included trunk control test (TCT), trunk impairment scale (TIS), and Berg balance scale (BBS) and we compared both groups before and after the period of training. Results There were no significant differences in baseline general characteristics and initial values between the two groups. After rehabilitation therapy, both groups showed significant improvements in BBS, TIS, and TCT (p＜0.05). Following 4 weeks of therapy, changes of BBS, TIS score in the experimental group were significantly higher than those of the control group (p＜0.05). However, the change of TCT score was not significantly different. Conclusion Analysis of different clinical parameters showed that better outcomes in BBS, TIS scores were achieved from CSP. This study suggests that CSP conducted for 4 weeks may be beneficial as a therapeutic technique for use in improvement of trunk balance in patients with subacute hemiparetic stroke.
Abstract
Objective To investigate the efficacy of core strengthening on trunk balance in patients with subacute stroke. Method Fifty-nine subacute hemiparetic stroke in-patients participated in this study. All patients were randomly assigned to one of two groups: the control group and the experimental group. Both groups received the same conventional physical therapies for 4 weeks. The experimental group received an additional core strengthening program (CSP). Korean mini-mental state examination (K-MMSE) and Korean Modified Barthel Index (K-MBI) were performed on admission. CSP was performed for 30 minutes a day, 3 days per week for 4 weeks. We selected nine exercises available for stroke patients, and divided them as three steps according to the degree of difficulty. Because of the muscle weakness in stroke patients, a physical therapist often helped them during exercise. Outcome measurement included trunk control test (TCT), trunk impairment scale (TIS), and Berg balance scale (BBS) and we compared both groups before and after the period of training. Results There were no significant differences in baseline general characteristics and initial values between the two groups. After rehabilitation therapy, both groups showed significant improvements in BBS, TIS, and TCT (p＜0.05). Following 4 weeks of therapy, changes of BBS, TIS score in the experimental group were significantly higher than those of the control group (p＜0.05). However, the change of TCT score was not significantly different. Conclusion Analysis of different clinical parameters showed that better outcomes in BBS, TIS scores were achieved from CSP. This study suggests that CSP conducted for 4 weeks may be beneficial as a therapeutic technique for use in improvement of trunk balance in patients with subacute hemiparetic stroke.
참고문헌 (22)
- Stanton R, "The effect of short- term Swiss ball training on core stability and running economy", J Strength Cond Res, 18, pp.522~528 (2004)
- Axler CT, "Low back loads over a variety of abdominal exercise: searching for the safest abdominal challenge", Med Sci Sports Exerc, 29, pp.804~811 (1997)
- Fig G, "Strength training for swimmers: training the core", Strength Cond J, 27, pp.40~42 (2005)
- Lehman GJ, "Resistance training for performance and injury prevention in golf", J Can Chiropr Assoc, 50, pp.27~42 (2006)
- Santana J, "Sports-specific conditioning: the serape effect - a kinesiological model for core training", Strength Cond J, 25, pp.73~74 (2003)
- Konin JG, "Functional rehabilitation facilitating the serape effect to enhance extremity force production", Athl Ther Today, 8, pp.54~56 (2003)
- Deyo RA, "Conservative therapy for low back pain. Distinguishing useful from useless therapy", JAMA, 250, pp.1057~1062 (1983)
- Donchin M, "Secondary prevention of low-back pain. A clinical trial", Spine, 15, pp.1317~1320 (1990)
- Petrofsky JS, "Core strengthening and balance in the geriatric population", J Appl Res, 5, pp.423~433 (2005)
- Karatas M, "Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients", Am J Phys Med Rehabil, 83, pp.81~87 (2004)
- Fujiwara T, "Expiratory function in complete tetraplegics: study of spirometry, maximal expiratory pressure, and muscle activity of pectoralis major and latissimus dorsi muscles", Am J Phys Med Rehabil, 78, pp.464~469 (1999)
- Seelen HA, "Development of new muscle synergies in postural control in spinal cord injured subjects", J Electromyogr Kinesiol, 8, pp.23~34 (1998)
- Chen CL, "The relationship between sitting stability and functional performance in patients with paraplegia", Arch Phys Med Rehabil, 84, pp.1276~1281 (2003)
- Ryerson S, "Hemiplegia resulting from vascular insult and disease. In Neurological Rehabilitation", pp.619~658 (1995), Mosby
- Marshall PW, "Core stability exercises on and off a Swiss ball", Arch Phys Med Rehabil, 86, pp.242~249 (2005)
- Berg KO, "Measuring balance in the elderly: validation of an instrument", Can J Public Health, 83(Suppl.2), pp.S7~11 (1992)
- Akuthota V, "Core strengthening", Arch Phys Med Rehabil, 85(Supp.1), pp.S86~92 (2004)
- Hibbs AE, "Optimizing performance by improving core stability and core strength", Sports Med, 38, pp.995~1008 (2008)
- Verheyden G, "Trunk performance after stroke and the relationship with balance, gait and functional ability", Clin Rehabil, 20, pp.451~458 (2006)
- Panjabi M, "The stabilizing system of the spine, part I: function, dysfunction, adaptation and enhancement", J Spinal Disord, 5, pp.383~389 (1992)
- Nys GM, "Restrictions of the mini-mental state examination in acute stroke", Arch Clin Neuropsychol, 20, pp.623~629 (2005)
- Sulter G, "Use of the Barthel index and modified Rankin scale in acute stroke trials", Stroke, 30, pp.1538~1541 (1999)