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Effect of Deep Lumbar Muscle Stabilization Exercise on the Spatiotemporal Walking Ability of Stroke Patients

  • Ahn, Jongchan (Department of Physical Therapy, With Me Hospital) ;
  • Choi, Wonho (Department of Physical Therapy, Gachon University)
  • Received : 2019.10.02
  • Accepted : 2019.11.20
  • Published : 2019.12.31

Abstract

Background: Walking is a complex activity. The main components of walking include balance, coordination, and symmetrical posture. The characteristics of walking patterns of stroke patients include slow walking, measured by gait cycle and walking speed. This is an important factor that reflects post-stroke quality of life and walking ability. Objective: This study aimed to examine the effect of deep lumbar muscle stabilization exercise on the spatiotemporal walking ability of stroke patients. Design: Quasi-experial study Methods: The experiment was conducted 5 times per week for 4 weeks, with 30 minutes per session, on 10 subjects in the experimental group who performed the deep lumbar muscle stabilization exercise and 10 subjects in the control group who performed a regular exercise. Variables that represent the spatiotemporal walking ability (step length, stride length, step rate, and walking speed) were measured using GAITRrite before and after the experiment and were analyzed. Results: There was a significant difference in the pre- and post-exercise spatiotemporal walking ability between the two groups (p<.05). Furthermore, there was a significant difference in the step rate and walking speed between the two groups (p<.05). Conclusions: Deep lumbar muscle stabilization exercise is effective in improving the walking ability of stroke patients. Therefore, its application will help improve the spatiotemporal walking ability of stroke patients.

Keywords

References

  1. Eich HJ, Mach H, Werner C, et al. Aero treadmill plus Bobath walking trai ning improves Walking in subacute stroke: A randomized controlled trial, Clinical Rehabil. 2004;18(6):640-51. https://doi.org/10.1191/0269215504cr779oa
  2. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):463-9. https://doi.org/10.1097/01.PHM.0000069192.32183.A7
  3. McGill SM. Low Back Stability : From Formal Description to Issues for Performance and Rehabilitation. Exerx sport Sci Rew. 2001;29(1):26-31. https://doi.org/10.1097/00003677-200101000-00006
  4. Hodges PW, Gurfinkel VS, Brumagne S, et al, Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Exp Brain Res. 2002;144:293-302. https://doi.org/10.1007/s00221-002-1040-x
  5. Zhang Y, Tang S, Chen G, et al. Chinese massage combined with core stability exercises for nonspecific low back pain: a randomized controlled trial. Complement Ther Med. 2002;144(3):293-302.
  6. Karen J, Fabian E, Brian S, et al. Locomotor Treadmill Train with Partial Body-Weight Support before Over ground Gaitin Adults with a cute Storke: A Pilot Study. Arch Phys Med Rehabil. 2008;89(4):684-91. https://doi.org/10.1016/j.apmr.2007.09.050
  7. Mauritz KH. Gait training in hemiparetic stroke patients. Eura Medicophys. 2004;40(3):165-78.
  8. Handa N, Tani T, Kawakami T. The effect of trunk muscle exercise in patients over 40 years of age with chronic low back pain. J orthopsic. 2000;5(3):210-6.
  9. Roussel N, Nijs J, Truijen S, et al. Altered breathing patterns during lumbopelvic motor control tests in chronic low back pain: a casecontrol study. Eur Spine J. 2009;18(7):1066-73. https://doi.org/10.1007/s00586-009-1020-y
  10. Franca FR, Burke TN, Hanada ES, et al. Segmental stabilization and muscular strengthening in chronic low back pain: a comparative study. Clinics. 2010;65(10):1013-7. https://doi.org/10.1590/S1807-59322010001000015
  11. Van Uden CJ, Besser MP. Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite), BMC Musculoskelet Disord. 2004;17:5-13.
  12. Schmid A, Duncan PW, Studenski S, et al. Improvements in speed based gait classifications are meaningful, Stroke. 2007;38(7):2096-100. https://doi.org/10.1161/STROKEAHA.106.475921
  13. Verheyden G, Vereeck L, Truijen S, et al. Trunk performance after stroke and the relationship with balance, gait and funcitonal ability. Clin Rehabil. 2005;20(5):451-8. https://doi.org/10.1191/0269215505cr955oa
  14. Hodges PW, Moseley GL. Pain and motor control of the lumbopelvic region; effect and possible mechanisms. J Electromyogr Kinesiol. 2003;13(4):361-70. https://doi.org/10.1016/S1050-6411(03)00042-7
  15. Caty GD, Arnould C, Stoquart GG, et al. ABILOCO: A Rasch-Built13-Item Questionnaire to Assess Locomotion Ability in Stroke Patients. Archives of Physica Medicine and Rehabilitation. 2008;89(2):284-90. https://doi.org/10.1016/j.apmr.2007.08.155
  16. Jang KH. The effects of intensive trunk stabilizing training on balance and gait in patient with hemiplegia. [Master's thesis]. Naju, KR: Dongshin University. 2009.
  17. Kim HS. The effects of trunk stabilization exercise on the postural control in chronic low back pain. [Doctoral thesis]. Gyeongsan, KR: Daegu University. 2008.
  18. Yu SH. The effects of stability of the lower trunk strength exercise on muscle activity and the functions of the upper limbs in stroke patients. [Master's thesis]. Naju, KR: Dongshin University. 2009.
  19. Chen G, Patten C, Kothari DH. Gait differences between individuals with post-stroke hemiparesis and non-disabled controls at matached speed. Gait Posture 2005;22(1):51-6. https://doi.org/10.1016/j.gaitpost.2004.06.009
  20. Carr JH, Shepherd RB. Stroke rehabilitation: Guidelines for exercise and training to optimize motor skill. Oxford: Butterworth-Heineman; 2004.