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http://dx.doi.org/10.15268/ksim.2019.7.4.291

Influence of Bridge Exercise Combined with Whole Body Vibration on Muscle Activity and Balance of Stroke Patient  

Yang, Daejung (Dept. of Physical Therapy, Sehan University)
Park, Seungkyu (Dept. of Physical Therapy, Sehan University)
Kang, Jungil (Dept. of Physical Therapy, Sehan University)
Kim, Jeho (Dept. of Physical Therapy, Sehan University)
Jung, Daekeun (Dept. of Physical Therapy, Sehan University)
Oh, Suwhan (Dept. of Physical Therapy, Graduate School of Sehan University)
Uhm, Yohan (Dept. of Physical Therapy, Gunjang University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.7, no.4, 2019 , pp. 291-300 More about this Journal
Abstract
Purpose : This study focuses on the influence of bridge exercise combined with whole body vibration on muscle activity and balance. Methods : 30 stroke patients were recruited for subjects. The subjects were divided to bridge exercise combined stable surface (Group I), bridge exercise combined unstable surface (Group II), and bridge exercise combined bridge exercise (Group III), of which 10 subjects were randomly allocated. The subjects were given 30 minutes of neurologic physical therapy which included gait training and muscular strength training, and additionally given 30 minutes of bridge exercise combined stable surface, bridge exercise combined unstable surface, and bridge exercise combined whole body vibration for each group, five times a week, for 8 weeks. Their muscle activity and balance were analyzed before the intervention. After 8 weeks of the intervention, the mentioned parameters were measured once more for between-group analysis. Results : Comparative analysis of the muscle activity and balance between the groups showed statistically significant difference, and post-hoc analysis showed the Group III had greater changes in muscle activity and balance than Group Iand Group II. Conclusion : Such results revealed that bridge exercise combined with whole body vibration is effective in muscle activity and balance. Based on the current study, more effective program is to be proposed for elite athletes as well as stroke patients. Based on the current study, studies that incorporates various frequencies of vibration is required for development of effective whole body vibration exercise program.
Keywords
balance; muscle activity; stroke; whole body vibration;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Feldwieser FM, Sheeran L, Meana-Esteban A, et al(2012). Electromyographic analysis of trunk-muscle activity during stable, unstable and unilateral bridging exercises in healthy individuals. Eur Spine J, 21(2), 171-186.   DOI
2 Hagovska M, Olekszyova Z(2016). Relationships between balance control and cognitive functions, gait speed, and activities of daily living. Z Gerontol Geriatr, 49(5), 379-385.   DOI
3 In TS, Song CH(2010). The effects of whole body vibration on knee extensor strength, and balance and walking ability with chronic stroke. J Korean Soc Phys Med, 5(4), 675-683.
4 Iwasaki T, Shiba N, Matsuse H, et al(2006). Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. Tohoku J Exp Med, 209(1), 33-40.   DOI
5 Jang KO(2010). The effects of intensive trunk stabilizing training on balance and gait in patient with hemiplegia. Graduate school of Dongshin University, Master's thesis.
6 Jang SH, Ann JH, Kim JS(2012). Effect of trunk control training on labile surface on relative impulse in the persons with stroke. J Korean Soc Phys Ther, 24(2), 163-169.
7 Karthikbabu S, Chakrapani M, Ganeshan S, et al(2012). A review on assessment and treatment of the trunk in stroke: A need or luxury. Neural Regen Res, 7(25), 1974-1977.   DOI
8 Kim YH(2002). Effects of realignment at lower extremities on the balance and walking in the people with chronic stroke. Graduate school of Yongin University. Master's thesis.
9 Kim TH, Choi HS(2011). Effects of 4 weeks bridging stabilization exercise using swiss ball and whole body vibration on balance and gait function in elderly women. Korean Res Soc Phys Ther, 18(3), 49-58.
10 Kim WT(2015). The trunk muscles activity on both unstable surface and whole body vibration during bridging exercises in young healthy adults. Graduate school of Konyang University, Master's thesis.
11 Li L, Tong KY, Hu X(2007). The effect of poststroke impairments on brachilais muscle architecture as measured by ultrasound. Arch Phys Med Rehabil, 88(2), 243-250.   DOI
12 Marshall PW, Murphy BA(2005). Core stability exercises on and off a swiss ball. Arch Phys Med Rehabil, 86(2), 242-249.   DOI
13 Mulroy S, Gronley J, Weiss W, et al(2003). Use of cluster analysis for gait pattern classification of patients in the early and late recovery phases following stroke. Gait Posture, 18(1), 114-125.   DOI
14 Smania N, Picelli A, Gandolfi M, et al(2008). Rehabilitation of sensorimotor integration deficits in balance impairment of patients with stroke hemiparesis: a before/after pilot study. Neurol Sci, 29(5), 313-319.   DOI
15 Pang MY, Eng JJ, Dawson AS, et al(2005). A community-based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial. J Am Geriatr Soc, 53(10), 1667-1674.   DOI
16 Pak S, Patten C(2008). Strengthening to promote functional recovery poststroke: an evidence based review. Top Stroke Rehabil, 15(3), 177-199.   DOI
17 Peurala SH, Kononen P, Pitkanen K, et al(2007). Postural instability in patients with chronic stroke. Restor Neurol Neurosci, 25(2), 101-108.
18 Roh HL, Ma SY(2012). Proprioceptive motor control on trunk and lower extremity muscle activity. Proceedings of the Korea Contents Association Conference, 365-366.
19 Ryerson S, Byl NN, Brown DA, et al(2008). Altered trunk position sense and its relation to balance functions in people post-stroke. J Neurol Phys Ther, 32(1), 14-20.   DOI
20 Song GB, Heo JY(2015). The effect of modified bridge exercise on balance ability of stroke patients. J Phys Ther Sci, 27(12), 3807-3810.   DOI
21 Song, GB, Park EC(2016). The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. Korea Soc Phys Med, 11(1), 45-52.   DOI
22 Shin CH, Shin CT, Chu CL(2010). Assisting people with multiple disabilities actively correct abnormal standing posture with a Nintendo Wii balance board through controlling environmental stimulation. Res Dev Disabil, 31(4), 936-942.   DOI
23 Shim HB, Cho HY, Choi WH(2014). Effects of the trunk stabilization exercise on muscle activity in lumbar region and balance in the patients with hemiplegia. J Korean Soc Phys Ther, 26(1), 33-40.
24 Uhm YH(2017). The effects of whole body vibration combined biofeedback postural control training on the postural alignment, lower extremity activity and cerebral cortex activity in stroke patients. Graduate school of Sehan University. Doctoral Dissertation.
25 Stevens VK, Coorevits PL, Bouche KG, et al(2007). The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther, 12(3), 271-279.   DOI
26 Tankisheva E, Bogaerts A, Boonen S, et al(2014). Effects of intensive whole body vibration training on muscle strength and balance in adults with chronic stroke: a randomized controlled pilot study. Arch Phys Med Rehabil, 95(3), 439-446.   DOI
27 Teasdale N, Simoneau M(2001). Attentional demands for postural control: the effects of aging and sensory reintegration. Gait Posture, 14(3), 203-210.   DOI
28 Yang YR, Chen YC, Lee CS, et al(2007). Dual task related gait changes in individuals with stroke. Gait Posture, 25(2), 185-190.   DOI
29 Van Nes IJ, Latour H, Schils F, et al(2006). Long term effects of 6 week whole body vibration on balance recovery and activities of daily living in the post acute phase of stroke: a randomized, controlled trial. Stroke, 37(9), 2331-2335.   DOI
30 Yang KS(2018). Effects of lunges on varying floor conditions on leg muscle strength, muscle activity, and balance. Graduate school of Silla University, Master's thesis.
31 Yang YR, Tsai MP, Chuang TY, et al(2008). Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture, 28(2), 201-206.   DOI
32 Youdas JW, Hartman JP, Murphy BA, et al(2015). Magnitudes of muscle activation of spine stabilizers, gluteals, and hamstrings during supine bridge to neutral position. Physiother Theory Pract, 31(6), 418-427.   DOI
33 Czaprowski D, Afeltowicz A, Gebicka A, et al(2014). Abdominal muscle EMG-activity during bridge exercises on stable and unstable surfaces. Phys Ther Sport, 15(3), 162-168.   DOI
34 Ada L, Dorsch S, Canning CG(2006). Strengthening interventions increase strength and improve activity after stroke. Aust J Physiother, 52(4), 241-248.   DOI
35 Anaby D, Jarus T, Backman CL, et al(2010). The role of occupational characteristics and occupational imbalance in explaining wellbeing. Appl Res Qual Life, 5(2), 81-104.   DOI
36 Cardinale M, Soiza R, Leiper J, et al(2010). Hormonal responses to a single session of whole body vibration exercise in older individuals. Br J Sports Med, 44(4), 284-288.   DOI