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http://dx.doi.org/10.13066/kspm.2022.17.1.85

The Effect of Dual-Task Exercise on an Unstable Surface on Involuntary Arm and Leg Movement and Balance in Stroke Patients  

Kang, Jeong-Il (Department of Physical Therapy, Sehan University)
Baek, Seung-Yun (Department of Physical Therapy, Sehan University)
Jeong, Dae-Keun (Department of Physical Therapy, Sehan University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.17, no.1, 2022 , pp. 85-92 More about this Journal
Abstract
PURPOSE: This study aimed to analyze the effects of task exercise on an unstable surface on the involuntary arm and leg movement and balance in stroke patients. METHODS: 20 stroke patients were clinically sampled and randomly assigned to two groups of 10 patients each. Experimental group I received task exercise intervention on an unstable surface and experimental group II received task exercise intervention. The interventions were carried out 3 times a week for 4 weeks (30 minutes per session). The global synkinesis (GS) and Berg Balance Scale (BBS) of the patients were evaluated as pre-tests prior to intervention, and then the post-tests were re-measured in the same manner as the pre-tests after a 4-week intervention period. RESULTS: In the experimental group I, there were statistically significant differences in the changes in the arm and leg GS (p < .01) and in the BBS (p < .05). On the other hand, in the experimental group II, there were statistically significant differences in the changes only in the arm GS (p < .01) and in the BBS (p < .05). Also, in the comparison of the changes between the two groups, there was a statistically significant difference in the changes in the leg GS only (p < .05). CONCLUSION: In the experimental group I, the arm and leg GS were statistically significantly reduced, but the balance ability was statistically significantly improved. The reason was that in the experimental group I, similar movements of the paralyzed arm were promoted due to the double-task exercise on the unstable surface, and sensory feedback and posture strategies were well utilized in the legs, which was found to be effective in reducing the GS and improving the balance ability. Therefore, based on these results, the double-task exercise on an unstable surface should be fully utilized for the rapid rehabilitation of stroke patients.
Keywords
Berg balance sale; Global synkinesis; Stroke;
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Times Cited By KSCI : 6  (Citation Analysis)
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