Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of a Group Exercise Program with Competitive Games on Balance in Chronic Stroke Patients

경쟁적 게임을 적용한 집단 운동 프로그램이 만성 뇌졸중 환자의 균형에 미치는 영향

  • Yong-Ho, Cho (Department of Physical Therapy, Daegu Haany University) ;
  • Sun-Wook, Park (Department of Physical Therapy, Kangwon University)
  • 조용호 (대구한의대학교 물리치료학과) ;
  • 박선욱 (강원대학교 물리치료학과)
  • Received : 2022.10.30
  • Accepted : 2022.11.08
  • Published : 2022.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study was to investigate the effects of a group exercise program with competitive games on balance in chronic stroke patients. METHODS: The subjects were chronic stroke patients living at home after their discharge from the hospital. A total of 32 subjects were divided into two groups. The experimental group performed a group exercise program with competitive games, and the control group performed individual exercises. The exercise program duration was one hour, and it comprised 10 minutes of stretching, 40 minutes of the main exercise, and 10 minutes of stretching at the end. The experimental group was divided into two teams of 8 players each and played competitive games (transfer a gym ball to another person, relay 10 m walking and return, transfer an object to the next person using both arms while sitting). The control group performed an arm/trunk exercise for 15 minutes and gait training for 25 minutes. These exercises were conducted twice a week (4 weeks). The Berg Balance Scale (BBS) and timed up-and-go (TUG) tests were performed to confirm the change in balance. RESULTS: In the experimental group, BBS showed a significant increase (p < .05) and TUG showed a significant decrease (p < .05). In the control group, there was no statistically significant change in the BBS. However, the TUG showed a significant decrease (p < .05). The BBS and TUG both showed statistically significant differences (p < .05) in the between-group comparison of the change in pre-post intervention values. CONCLUSION: A group exercise program with competitive games to improve the balance ability for fall prevention in chronic stroke patients could be used as a good intervention method.

Keywords

References

  1. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil. 2003;82(6):463-69.
  2. Barclay-Goddard R, Stevenson T, Poluha W, et al. Force platform feedback for standing balance training after stroke. Cochrane Database Syst Rev 2004;(4):CD004129.
  3. Bonan IV, Colle FM, Guichard JP, et al. Reliance on visual information after stroke. Part I: Balance on dynamic posturography. Arch Phys Med Rehabil. 2004; 85(2):268-73. https://doi.org/10.1016/j.apmr.2003.06.017
  4. Roh JS. The Effect of Virtual reality based rehabilitation program on balance of patient with stroke: A Meta-analysis of Studies in Korea. J Korean Phys Ther Sci 2017;24(1):59-68.
  5. Cakmak B, Ribeiro AP, Inanir A. Postural balance, and the risk of falling during pregnancy. J Matern Fetal Neonatal Med. 2016;29(10):1623-5.
  6. Yoo IY. Effects of fall prevention program applying HSEP on physical balance and gait, leg strength, fear of falling and falls efficacy of community-dwelling elderly. Korean Geriatr Soc. 2009;29(1):259-273
  7. Paolucci S, Grasso MG, Antonucci G, et al. One-year follow-up in stroke patients discharged from rehabilitation hospital. Cerebrovasc Dis. 2000;10(1):25-32. https://doi.org/10.1159/000016021
  8. Tyson S, Turner G. Discharge, and follow-up for people with stroke: what happens and why. Clin Rehabil. 2000;14(4):381-92. https://doi.org/10.1191/0269215500cr331oa
  9. Kim SJ, Jang H. Comparisons of squash and fitness training for participation botivation, Body self-image, and Exercise-Emotion. KSW. 2011;6(3):213-22.
  10. Gorsic M, Cikajlo I, Novak D. Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity. J Neuroeng Rehabil. 2017;14(1):1-18. https://doi.org/10.1186/s12984-016-0214-x
  11. Gorsic M, Cikajlo I, Javh M, et al. Pilot long-term evaluation of competitive and cooperative exercise games in inpatient stroke rehabilitation. In 2019 IEEE 16th International Conference on Rehabilitation Robotics (ICORR). 2019. 648-53. IEEE.
  12. Song JY. Effects of a group self-exercise program on quality of life and motor functions after stroke. PTK. 2008;15(1):20-9.
  13. Kim SM, Bae SS. Efficacy of PNF group exercise program in Chronic Stroke. PNF & Mov. 2005; 3(1):1-16.
  14. Kim SJ, Shim JH, Oh DW, et al. The Effects of community ambulation training on gait, depression and self-efficacy in chronic stroke patients. J Korean Soc Phys Med. 2018;13(1):137-46.
  15. http://www.nrc.go.kr/nrc/main.do (https://www.youtube.com/watch?v=NuVRK0if9lg&t=383s)
  16. Berg K, Wood-Dauphinee S, Williams JI. The balance scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27(1):27-36.
  17. Chan PP, Tou JIS, Mimi MT, et al. Reliability and validity of the timed up and go test with a motor task in people with chronic stroke. Arch Phys Med Rehabil. 2017;98(11):2213-20. https://doi.org/10.1016/j.apmr.2017.03.008
  18. Hafsteinsdottir TB, Rensink M, Schuurmans M. clinimetric properties of the Timed Up and Go test for patients with stroke: A systematic review. Top Stroke Rehabil. 2014;21(3):197-210.
  19. Alghadir A, Anwer S, Brismee JM. The reliability and minimal detectable change of Timed Up and Go test in individuals with grade 1-3 knee osteoarthritis. BMC Musculoskelet Disord. 2015;16(1):1-7. https://doi.org/10.1186/s12891-015-0454-0
  20. Lord SE, McPherson K, McNaughton HK, et al. Community ambulation after stroke: How important and obtainable is it and what measures appear predictive? Arch Phys Med Rehabil. 2004;85(2):234-9. https://doi.org/10.1016/j.apmr.2003.05.002
  21. Janet H, Carr RB. Shepherd stroke rehabilitation: guidelines for exercise and training to optimize motor skill. Elsevier Health Sciences. 2003.
  22. Won JI. Necessity of community-based rehabilitation system after stroke. Jour. of KoCon.a. 2008;8(1):16-26.
  23. Kim SY, Oh DW. Effect of a weekly circuit-group exercise program on community-living individuals with chronic stroke. PTK. 2008;15(3):17-25.
  24. Pereira F, i Badia SB, Jorge C. Impact of game mode on engagement and social involvement in multi-user serious games with stroke patients. In 2019 International Conference on Virtual Rehabilitation (ICVR). 2019:1-6. IEEE.
  25. Freter SH, Fruchter N. Relationship between timed 'up and go' and gait time in an elderly orthopaedic rehabilitation population. Clin Rehabil. 2000;14(1):96-101. https://doi.org/10.1191/026921500675545616
  26. Hwang EO, Oh DW, Kim SY, et al. Effects of community-based adaptive ambulation training on walking function in patients with post-stroke hemiparesis. Korean J Health Promot. 2010;10(2):78-85.