The Effect of Turning Training on Figure of 8 Tract on Stoke Patients' Balance and Walking

8자 모양 트랙을 이용한 방향전환 훈련이 뇌졸중 환자의 균형 및 보행에 미치는 영향

  • Kim, Mi-Gan (Department of Physical Therapy, Graduate School, Catholic University of Daegu) ;
  • Kim, Joong-Hwi (Department of Physical Therapy, College of Helth and Medical Science, Catholic University of Daegu) ;
  • Park, Ji-Won (Department of Physical Therapy, College of Helth and Medical Science, Catholic University of Daegu)
  • 김미간 (대구가톨릭대학교 대학원 물리치료학과) ;
  • 김중휘 (대구가톨릭대학교 의료과학대학 물리치료학과) ;
  • 박지원 (대구가톨릭대학교 의료과학대학 물리치료학과)
  • Received : 2012.03.27
  • Accepted : 2012.04.13
  • Published : 2012.04.25

Abstract

Purpose: This study was intended to discover the effect of the turning training on figure of 8 tract on stroke patients' static and dynamic balance, as well as walking. Methods: A total of 42 stroke patients participated in this study. The training group was trained on the figure of 8 tract, while the control group was trained on the straight path for 30 minutes per day, for 4 weeks. Berg balance scale was used to measure the balance of the patients, before and after the training, and Good balance system was used to measure the sway speed and the distance of COG while standing. To measure the ability of walking, TUG and FSST were also used. Results: There were significant increases in the average score of Berg balance scale, in both groups after the training, and also significant difference between both groups were observed. The training group showed significant differences in the static balance ability, as well as anteroposterior and mediolateral sway speed. Further, there were significant increases in the dynamic balance ability, COP total distance, and TUG in both groups. The results showed more differences in comparing the control group with that of the training group. In FSST, there was no change in the control group, but there was a significant increase in the training group. Conclusion: Turning training on figure of 8 tract in stroke patients significantly increased the static and dynamic balance and walking ability. Based on the results, it can be seen that the training on the figure of 8 tract can influence the ability of balance and walking, which can lead to appropriate reactions to the change of environment and various tasks. Thus, it is assumed that turning training on figure of 8 tract as a means of improving the condition of stroke patients can be a meaningful program.

Keywords

References

  1. Park JW. Effects of the upper limb soft tissue and nerve mobilization on functional recovery in hemiplegic patients after CVA. Daegu University. Dissertation of Master's Degree. 2001.
  2. Dennis MS, Burn JP, Sandercock PA et al. Long-term survival after first-ever stroke: the oxfordshire community stroke project. Stroke. 1993;24(6):796-800. https://doi.org/10.1161/01.STR.24.6.796
  3. Dombovy ML, Sandok BA, Basford JR. Rehabilitation for stroke: a review. Stroke. 1986;17(3):363-9. https://doi.org/10.1161/01.STR.17.3.363
  4. Eng JJ, Chu KS. Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke. Arch Phys Med Rehabil. 2002;83(8):1138-44. https://doi.org/10.1053/apmr.2002.33644
  5. Nyberg L, Gustafson Y. Patient falls in stroke rehabilitation. A challenge to rehabilitation strategies. Stroke. 1995;26(5):838-42. https://doi.org/10.1161/01.STR.26.5.838
  6. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886-95.
  7. Mauritz KH. Gait training in hemiplegia. Eur J Neurol. 2002;9Suppl1:23-9;dicussion 53-61.
  8. Said CM, Goldie PA, Patla AE et al. Obstacle crossing in subjects with stroke. Arch Phys Med Rehabil. 1999;80(9):1054-9. https://doi.org/10.1016/S0003-9993(99)90060-6
  9. Di Fabio RP, Badke MB. Extraneous movement associated with hemiplegic postural sway during dynamic goal-directed weight redistribution. Arch Phys Med Rehabil. 1990;71(6):365-71.
  10. Kim JH, Kim JS. Effects of virtual reality program on standing balance in chronic stroke patients. The journal of Korean society of physical therapy. 2005;17(3):351-67.
  11. Courtine G, Schieppati M. Tuning of a basic coordination pattern constructs straight-ahead and curved walking in humans. J Neurophysiol. 2004;91(4):1524-35. https://doi.org/10.1152/jn.00817.2003
  12. Segal AD, Orendurff MS, Czerniecki JM et al. Local dynamic stability in turning and straight-line gait. J Biomech. 2008;41(7):1486-93. https://doi.org/10.1016/j.jbiomech.2008.02.012
  13. Godi M, Nardone A, Schieppati M. Curved walking in hemiparetic patients. J Rehabil Med. 2010;42(9):858-65. https://doi.org/10.2340/16501977-0594
  14. Hess RJ, Brach JS, Piva SR et al. Walking skill can be assessed in older adults: validity of the figure-of-8 walk test. Phys Ther. 2010;90(1):89-99. https://doi.org/10.2522/ptj.20080121
  15. Jan MH, Lin CH, Lin YF et al. Effects of weight-bearing versus nonweight-bearing exercise on function, walking speed, and position sense in participants with knee osteoarthritis: a randomized controlled trial. Arch Phys Med Rehabil. 2009;90(6):897-904. https://doi.org/10.1016/j.apmr.2008.11.018
  16. Berg KO, Maki BE, Williams JI et al. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-80.
  17. Botner EM, Miller WC, Eng JJ. Measurement properties of the activities-specific balance confidence scale among individuals with stroke. Disabil Rehabil. 2005;27(4):156-63. https://doi.org/10.1080/09638280400008982
  18. Wee JY, Wong H, Palepu A. Validation of the berg balance scale as a predictor of length of stay and discharge destination in stroke rehabilitation. Arch Phys Med Rehabil. 2003;84(5):731-5.
  19. Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002;83(11):1566-71. https://doi.org/10.1053/apmr.2002.35469
  20. Hill K, Ellis P, Bernhardt J et al. Balance and mobility outcomes for stroke patients: a comprehensive audit. Aust J Physiother. 1997;43(3):173-80.
  21. Wade DT, Wood VA, Heller A et al. Walking after stroke. Measurement and recovery over the first 3 months. Scand J Rehabil Med. 1987;19(1):25-30.
  22. Rodriquez AA, Black PO, Kile KA et al. Gait training efficacy using a home-based practice model in chronic hemiplegia. Arch Phys Med Rehabil. 1996;77(8):801-5. https://doi.org/10.1016/S0003-9993(96)90260-9
  23. Yang YR, Tsai MP, Chuang TY et al. Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture. 2008;28(2):201-6. https://doi.org/10.1016/j.gaitpost.2007.11.007
  24. Kim CS. Effects of lower limbs strengthening exercise and ergometer bicycle exercise on gait and balance in stroke patients. Daegu University. Dissertation of Master's Degree. 2008.
  25. Shumway-cook A, Wollacott MH. Motor control: theory and practical application. Maryland, Williams & wilkins, 1995.