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http://dx.doi.org/10.13066/kspm.2017.12.2.75

The Effect of Arm Training in Standing Position on Balance and Walking Ability in Patients with Chronic Stroke  

Bang, Dae-Hyouk (Dept. of Physical Therapy, Iksan Oriental Hospital, Wonkwang University)
Cho, Hyuk-Shin (Dept. of Physical Therapy, Iksan Miso Rehabilitation Hospital)
Publication Information
Journal of the Korean Society of Physical Medicine / v.12, no.2, 2017 , pp. 75-82 More about this Journal
Abstract
PURPOSE: The purpose of this study was to determine the effects of arm training in standing position on balance and walking ability in chronic stroke patients. METHODS: Sixteen chronic stroke patients were allocated equally and randomly to an experimental group (n=8) or a control group (n=8). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally received an arm training in standing position for 30 minutes, while the control group additionally performed a treadmill training for 30 minutes. These 30-minute training sessions were held three times per week for six weeks. Upper extremity function was assessed using Fugle-Meyer motor assessment function upper extremity (FMA-UE), balance was assessed using Berg balance scale (BBS), and walking ability (gait speed, cadence, step length, and double limb support period) was assessed using the GAITRite system. RESULTS: Improvement on all outcome measures was identified from pre-to-post intervention for both groups (p<.05). Post-intervention, there was a significant between-group difference on BBS, gait speed, cadence, step length, and double limp support period (p<.05). The experimental group exhibited greater improvement in the BBS (p=.01; z=-2.48), gait speed (p=.01; z=-3.26), cadence (p=.02; z=-2.31), step length (p=.01; z=-3.36), and double limb support period (p=.03; z=-2.84) compared to the control group. CONCLUSION: The findings of this study suggest that arm training in standing position may be beneficial for improving balance and walking ability of patients with chronic stroke.
Keywords
Arm training; Balance; Stroke; Walking;
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1 Kal E, Winters M, van der Kamp J, et al. Is Implicit Motor Learning Preserved after Stroke? A Systematic Review with Meta-Analysis. PLoS One. 2016;11(12):e0166376.   DOI
2 Kim BS, Bang DH, Shin WS. Effects of Pressure Sense Perception Training on Unstable Surface on Somatosensory, Balance and Gait Function in Patients with Stroke. J Korean Soc Phys Med. 2015;10(3):237-45.
3 Kim JS, Kwon OH. The Effect of Arm Swing on Gait in Post-Stroke Hemiparesis. J Korean Soc Phys Med. 2002;7(1):95-101.   DOI
4 Kizony R, Levin MF, Hughey L, et al. Cognitive load and dual-task performance during locomotion poststroke: a feasibility study using a functional virtual environment. Phys Ther. 2010;90(2):252-60.   DOI
5 Kusoffsky A, Apel I, Hirschfeld H. Reaching-lifting-placing task during standing after stroke: Coordination among ground forces, ankle muscle activity, and hand movement. Arch Phys Med Rehabil. 2001;82(5):650-60.   DOI
6 Lee MJ, Lee JH, Koo HM, et al. Effectiveness of Bilateral Arm Training for Improving Extremity Function and Activities of Daily Living Performance in Hemiplegic Patients. J Stroke Cerebrovasc Dis. 2017;26(5):1020-5.   DOI
7 Liu-Ambrose T, Eng JJ. Exercise training and recreational activities to promote executive functions in chronic stroke: a proof-of-concept study. J Stroke Cerebrovasc Dis. 2015;24(1):130-7.   DOI
8 Medley A, Thompson MFrench J. Predicting the probability of falls in community dwelling persons with brain injury: a pilot study. Brain Inj. 2006;20(13-14):1403-8.   DOI
9 Morgante F, Naro A, Terranova C, et al. Normal sensorimotor plasticity in complex regional pain syndrome with fixed posture of the hand. Mov Disord. 2017;32(1):149-57.   DOI
10 Patterson SL, Rodgers MM, Macko RF, et al. Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report. J Rehabil Res Dev. 2008;45(2):221-8.   DOI
11 Regnaux JP, David D, Daniel O, et al. Evidence for cognitive processes involved in the control of steady state of walking in healthy subjects and after cerebral damage. Neurorehabil Neural Repair. 2005;19(2):125-32.   DOI
12 Sanford J, Moreland J, Swanson LR, et al. Reliability of the Fugl-Meyer assessment for testing motor performance in patients following stroke. Phys Ther. 1993;73(7):447-54.   DOI
13 Schinkel-Ivy A, Wong JS, Mansfield A. Balance Confidence Is Related to Features of Balance and Gait in Individuals with Chronic Stroke. J Stroke Cerebrovasc Dis. 2017;26(2):237-45.   DOI
14 Eng JJ, Chu KS, Kim CM, et al. A community-based group exercise program for persons with chronic stroke. Med Sci Sports Exerc. 2003;35(8):1271-8.   DOI
15 Waller SM, Prettyman MG. Arm training in standing also improves postural control in participants with chronic stroke. Gait Posture. 2012;36(3):419-24.   DOI
16 Wang CY, Hsieh CL, Olson SL, et al. Psychometric properties of the Berg Balance Scale in a community-dwelling elderly resident population in Taiwan. J Formos Med Assoc. 2006;105(12):992-1000.   DOI
17 Bang DH, Shin WS, Kim SY, et al. The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial. Clin Rehabil. 2013;27(12):1118-25.   DOI
18 Chen HC, Lin KC, Chen CL, et al. The beneficial effects of a functional task target on reaching and postural balance in patients with right cerebral vascular accidents. Motor Control. 2008;12(2):122-35.   DOI
19 Duncan PW, Horner RD, Reker DM, et al. Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke. 2002;33(1):167-77.   DOI
20 Fugl-Meyer AR, Jaasko L, Leyman I, et al. The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scand J Rehabil Med. 1975;7(1):13-31.
21 Horak FB, Henry SM, Shumway-Cook A. Postural perturbations: new insights for treatment of balance disorders. Phys Ther. 1997;77(5):517-33.   DOI
22 Hosseini SA, Fallahpour M, Sayadi M, et al. The impact of mental practice on stroke patients' postural balance. J Neurol Sci. 2012;322(1-2):263-7.   DOI
23 Ji SG, Nam GW, Kim MK. The Effects of Motor Dual Task Training on Balance and Gait of Subacute Stroke Patients. J Spec Edu Rehabil Sci. 2012;51(3):331-45.
24 Huxhold O, Li SC, Schmiedek F, et al. Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bull. 2006;69(3):294-305.   DOI
25 Jang JY, Kim SY. Effects of Trunk Control Exercise Performed on an Unstable Surface on Dynamic Balance in Chronic Stroke Patients J Korean Soc Phys Med 2016;11(1):1-9.   DOI