The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effect of Trunk Control Training on Labile Surface on Relative Impulse in the Persons with Stroke

불안정한 면에서의 체간 훈련이 뇌졸중 환자의 비례추진력에 미치는 영향

  • Jang, Sang-Hun (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Ann, Ji-Hyeson (Department of Rehabilitation Science, Graduate School, Daegu University) ;
  • Kim, Jin-Sang (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 장상훈 (대구대학교 대학원 재활과학과) ;
  • 안지현 (대구대학교 대학원 재활과학과) ;
  • 김진상 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2012.03.13
  • Accepted : 2012.04.09
  • Published : 2012.04.25
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Abstract

Purpose: The present study was designed to investigate the effect of trunk control training on the labile surface on relative impulse and balance in stroke patients. Methods: A total of 21 participants were assigned to an experimental group (n=11) or a control group (n=10). In addition to conventional therapy, the experimental group received trunk control training on the swiss ball; 20 minutes, 4 times a week, for 8 weeks. Balance ability was evaluated by FRT (functional reaching test) and TUG (time up and go). In addition relative impulse in 6 areas of the foot (hallux, 1st metatarsal head, 2~3 metatasal head, 4~5 metatasal head, mid foot and heel) were measured using the F-scan system to evaluate locomotion ability during gait. Results: Significant differences in the relative impulse were observed in the areas of the 2~3 metatasal head during gait after exercise in both the control group and experimental group (p<0.05). Also, a significant increase was seen in the hallux after exercise in the experimental group (p<0.05), but no such significant increase was seen in the control group (p>0.05). Significant differences were observed in FRT and TUG in the experimental group but no such significant increase was observed in the control group (p>0.05). Conclusion: These results suggest that trunk control training on labile surface improves the balance in stroke patients and has a positive effect on locomotion ability.

Keywords

References

  1. Verheyden G, Nieuwboer A, Feys H et al. Discriminant ability of the trunk impairment scale: A comparison between stroke patients and healthy individuals. Disabil Rehabil. 2005;27(17):1023-8. https://doi.org/10.1080/09638280500052872
  2. Verheyden G, Nieuwboer A, De Wit L et al. Time course of trunk, arm, leg, and functional recovery after ischemic stroke. Neurorehabil Neural Repair. 2008;22(2):173-9.
  3. Verheyden G, Vereeck L, Truijen S et al. Additional exercises improve trunk performance after stroke: A pilot randomized controlled trial. Neurorehabil Neural Repair. 2009;23(3):281-6.
  4. de Seze M, Falgairolle M, Viel S et al. Sequential activation of axial muscles during different forms of rhythmic behavior in man. Exp Brain Res. 2008;185(2):237-47. https://doi.org/10.1007/s00221-007-1146-2
  5. Verheyden G, Vereeck L, Truijen S et al. Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin Rehabil. 2006;20(5):451-8. https://doi.org/10.1191/0269215505cr955oa
  6. Hsieh CL, Sheu CF, Hsueh IP et al. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke. 2002;33(11):2626-30. https://doi.org/10.1161/01.STR.0000033930.05931.93
  7. Park SJ. The effects of trunk and pelvic stabilization exercise using a sling on functional improvement in chronic stroke patient. Dankook University. Dissertation of Master's Degree. 2010.
  8. Lee GC, Kang HG, Lee SM. The effect of isokinetic trunk exercise for strength, gait and balance in the patients with chronic stroke. Journal of Special Education & Rehabilitation Science. 2010;49(3):199-218.
  9. Kim BH. The effect of a task-oriented training for trunk control ability, balance and gait after stroke. Sahmyook university. Dissertation of Master's Degree. 2009.
  10. Riemann BL, Myers JB, Lephart SM. Comparison of the ankle, knee, hip, and trunk corrective action shown during single-leg stance on firm, foam, and multiaxial surfaces. Arch Phys Med Rehabil. 2003;84(1):90-5. https://doi.org/10.1053/apmr.2003.50004
  11. Duncan M. Muscle activity of the upper and lower rectus abdominis during exercises performed on and off a swiss ball. J Bodyw Mov Ther. 2009;13(4):364-7. https://doi.org/10.1016/j.jbmt.2008.11.008
  12. Chang JS, Lee SY, Lee MH et al. The correlations between gait speed and muscle activation or foot pressure in stroke patients. J Kor Soc Phys Ther. 2009;21(3):47-52.
  13. De Cock A, Willems T, Witvrouw E et al. A functional foot type classification with cluster analysis based on plantar pressure distribution during jogging. Gait Posture. 2006;23(3):339-47. https://doi.org/10.1016/j.gaitpost.2005.04.011
  14. Yoon HW, Lee SY, Lee HM. The comparison of plantar foot pressure in normal side of normal people, affected side and less affected side of hemiplegic patients during stance phase. J Kor Soc Phys Med. 2009;4(2):87-92.
  15. Tyson SF, DeSouza LH. Reliability and validity of functional balance tests post stroke. Clin Rehabil. 2004;18(8):916-23. https://doi.org/10.1191/0269215504cr821oa
  16. Knorr S, Brouwer B, Garland SJ. Validity of the community balance and mobility scale in community-dwelling persons after stroke. Arch Phys Med Rehabil. 2010;91(6):890-6. https://doi.org/10.1016/j.apmr.2010.02.010
  17. Ng SS, Hui-Chan CW. The timed up & go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil. 2005;86(8):1641-7. https://doi.org/10.1016/j.apmr.2005.01.011
  18. Gebruers N, Vanroy C, Truijen S et al. Monitoring of physical activity after stroke: A systematic review of accelerometry-based measures. Arch Phys Med Rehabil. 2010;91(2):288-97. https://doi.org/10.1016/j.apmr.2009.10.025
  19. Houck JR, Duncan A, De Haven KE. Comparison of frontal plane trunk kinematics and hip and knee moments during anticipated and unanticipated walking and side step cutting tasks. Gait Posture. 2006;24(3):314-22. https://doi.org/10.1016/j.gaitpost.2005.10.005
  20. Konz R, Fatone S, Gard S. Effect of restricted spinal motion on gait. J Rehabil Res Dev. 2006;43(2):161-70. https://doi.org/10.1682/JRRD.2004.11.0146
  21. Kavanagh J, Barrett R, Morrison S. The role of the neck and trunk in facilitating head stability during walking. Exp Brain Res. 2006;172(4):454-63. https://doi.org/10.1007/s00221-006-0353-6
  22. Genthon N, Vuillerme N, Monnet JP et al. Biomechanical assessment of the sitting posture maintenance in patients with stroke. Clin Biomech (Bristol, Avon). 2007;22(9):1024-9. https://doi.org/10.1016/j.clinbiomech.2007.07.011
  23. Lanzetta D, Cattaneo D, Pellegatta D et al. Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis. Arch Phys Med Rehabil. 2004;85(2):279-83. https://doi.org/10.1016/j.apmr.2003.05.004
  24. Weaver H, Vichas D, Strutton PH et al. The effect of an exercise ball on trunk muscle responses to rapid limb movement. Gait Posture. 2012;35(1):70-7. https://doi.org/10.1016/j.gaitpost.2011.08.009
  25. Koo HM, Kim MH. The effect of a rollator on plantar pressure and foot balance during gait in old-aged adults. J Kor Soc Phys Ther. 2010;22(5):71-76.
  26. Park JW, Nam KS, Back MY. The Relationship between the plantar center of pressure displacement and dynamic balance measures in hemiplegic gait. The Korean Academy of University Trained Phsical Therapists. 2005;12(1):11-21.
  27. Hessert M, Vyas M, Leach J et al. Foot pressure distribution during walking in young and old adults. BMC Geriatr. 2005;5(8):1-8.
  28. Lim JS, Song JM, Kim JS. The effect of core stabilization exercise on foot pressure in hemiplegic patients. Journal of the Korean society of physical medicine. 2011;6(2):109-18.
  29. Kim EJ, Hwang BY, Kim JH. The effect of core strength exercises on balance and walking in patients with stroke. J Kor Soc Phys Ther. 2009;21(4):17-22.
  30. Jung KS. Effects of the weight shifting training on an unstable surface on anticipatory postural adjustment, balance, and proprioception in the persons with stroke. Sahmyook university. Dissertation of Master's Degree. 2009.