Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
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Effect of Side Walking Training on Balance Confidence, Falls Efficacy and Fall Risk in Acute Stroke Patients: A Randomized Controlled Pilot Study

측방보행 훈련이 급성기 뇌졸중 환자의 균형 자신감, 낙상 효능감, 낙상 위험도에 미치는 영향: 무작위 대조 예비 연구

  • Joo, Min-Cheol (Department of Rehabilitation Medicine, Wonkwang University Hospital) ;
  • Jung, Kyeoung-Man (Physical therapist, Department of Physical Therapy, Wonkwang University Hospital)
  • 주민철 (원광대학교병원 의과대학 재활의학과) ;
  • 정경만 (원광대학교병원 물리치료실)
  • Received : 2021.04.29
  • Accepted : 2021.06.04
  • Published : 2021.06.30
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Abstract

Purpose: The aim of this study was to determine the effect of side walking on balance confidence, falls efficacy and fall risk in acute stroke patients. Methods: The study included 14 patients with acute stroke who were randomly allocated to a side walking group (Experimental group, N=7) and a forward walking group (Control group, N=7). Both groups performed the exercise 5 times a week for 2 weeks. Outcomes were assessed using Korean-Activities-specific Balance Confidence Scale (K-ABC), Korean-Fall Efficacy Scale (K-FES), Korean-Fullerton Advanced Balance Scale (K-FAB). Results: After 2 weeks of training, both groups showed significantly improved ABC, FES, FAB (p<.05 in both groups). However, the ABC, FES, FAB in the experimental group was significantly better than in the control group (p<.05). Conclusion: These findings indicate that side walking training may be effective at improving balance confidence and decreasing fall down risk in early stroke patients. Therefore, side walking training may be recommended as an intervention in reducing the incidence of falls in acute stroke patient.

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References

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