Browse > Article
http://dx.doi.org/10.21598/JKPNFA.2020.18.2.195

The Effects of Combined Balance Exercise on Balance in Chronic Stroke Patients  

Choi, You-Jin (Department of Rehabilitation Research Institute, National Rehabilitation Center)
Ko, Keun-Bum (Department of Rehabilitation Center, Dream Hospital)
Publication Information
PNF and Movement / v.18, no.2, 2020 , pp. 195-204 More about this Journal
Abstract
Purpose: The study investigated the effect of combined balance exercise using visual feedback and balance pads in rehabilitation of chronic stroke patients. Methods: The participants were 30 patients diagnosed with stroke who met the study selection criteria. Participants were randomly divided into 3 groups of 10: a balance pad exercise (BPE) group, a visual feedback exercise (VFE) group, and a combined balance exercise (CBE) group. All three groups engaged in 30 minutes of exercise, 3 times per week, for 6 weeks. Results: Pre-test and post-test results were analyzed using the functional reach test (FRT), the Berg balance scale (BBS), the timed up & go test (TUG), and the Korean version of the activities-specific balance confidence (K-ABC) scale. The study yielded the following results. Pre- and post-program FRT measures showed significant differences between the BPE and CBE groups (p < 0.05). BBS, TUG, and K-ABC scores showed clear differences in all three groups. Secondly, the CBE group and the BPE group a differed significantly on the BBS before and after the 6-week program (p < 0.05). Finally, the CBE group and the VFE group differed significantly on the BBS before and after the 6-week program (p < 0.05). Conclusion: The study results indicate that combined balance exercise improves balance more effectively than the balance pad and visual feedback exercises. This finding should help to improve rehabilitation in the future.
Keywords
Combined Exercise; Balance; Stroke;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Cohen H, Blatchly CA, Gombash LL. A study of the clinical test of sensory interaction and balance. Physical Therapy. 1993;73(6):346-351.   DOI
2 Duncan PW, Weiner DK, Chandler J, et al. Functional reach: a new clinical measure of balance. Journal or gerontology. 1990;45(6):192-197.
3 Hlavackova P, Fristios J, Cuisinier R, et al. Effects of mirror feedback on upright stance control in elderly transfemoral amputees. Archives of Physical Medicine and Rehabilitation. 2009;90(11):1960-1963.   DOI
4 Horak FB. Clinical measurement of postural control in adults. Physical therapy. 1987;67(12):1881-1885.   DOI
5 In TS, Kim YS, Jung KS. Effects of visual feedback with a mirror on balance ability in elderly subjects. Journal of Special Education & Rehabilitation Science. 2014;53(3):353-363.
6 Jack D, Boian R, Merians AS, et al. Virtual reality-enhanced stroke rehabilitation. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2001;9(3):308-318.   DOI
7 Jorgensen HS, Nakayama H, Raaschou HO, et al. Recovery of walking function in stroke patients: the copenhagen stroke study. Archives of Physical Medicine and Rehabilitation. 1995;76(1):27-32.   DOI
8 Ju HY, Rhi SY. The effect of balance training take advantage of complex surface on the static and dynamic balance ability in stroke patients. Journal of Coaching Development. 2018;20(3):72-79.
9 MK, Ahn WH, Kim CK. Effects of combined exercise on balance in patients with chronic stroke. Korean Society of Sport and Leisure Studies. 2013;54(2):1009-1016.   DOI
10 Kang TW, Kim TY. The effect of trunk stability exercise using visual feedback on the motor function, balance and ADL in patients with acute stroke. Korean Journal of Neuromuscular Rehabilitation. 2016;6(2):1-8.
11 Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. American journal of physical medicine & rehabilitation. 2004;83(2):81-87.   DOI
12 Kim JH. The effect of complex rehabilitation exercise program on body composition, balance and gait ability in hemiplegia. The Korean Society of Sports Science. 2011;20(6):1227-1237.
13 Kim NS, Bae YS, Um KM. Effect of proprioceptive exercise on walking velocity, activities of daily living and depression in elderly women. The Korea Contents Society. 2009;9(20):233-241.
14 Kim SI, Choi JD. Effects o f trampolin versus balance pad exercise on the balance, gait and knee joint function in elderly women with knee osteoarthritis. Archives of Orthopedic and Sports Physical Therapy. 2016;12(2):9-18.
15 Jang SL, Jho SI, Oh SW. The validity and reliability of Korean fall efficacy scale (FES) and activities-specific balance confidence scale (ABC). American Geriatrics Society. 2003;7(4):255-268.
16 Park HS, Yoon BC. The effect of aero-step exercise on the strength of trunk muscle and leg muscle in elderly people. Journal of Sport and Leisure Studies. 2009;35(2):751-757.   DOI
17 Kim YJ. The neurological effect and mechanism of mirror therapy in adults with stroke. Therapeutic Science for Neurorehabilitation. 2013;2(1):24-35.   DOI
18 Lee DJ, Lee WH. The effects of visual feedback training on balance and visual perception in stroke patients. The Korean Society of Health Promotion and Disease Prevention. 2009;9(2):154-160.
19 Lee HJ, Yi CH, Yoo EY. Correlations among the berg balance scale, gait parameters, and falling in the elderly. Korean Research Society of Physical Therapy. 2002;9(3):47-65.
20 Park J, Woo YG, Park SY. Effects of sit-to-stand training on unstable surface on balance in subject with stroke. Physical Therapy Korea. 2013;20(3):1-8.   DOI
21 Perry J, Garrett M, Gronley JK, et al. Classification of walking handicap in the stroke population. Stroke. 1995;26(6):982-989.   DOI
22 Podsiadlo D, Richardson S. The timed "up and go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 1991;39(2):142-148.   DOI
23 Pyoria O, Era P, Talvitie U. Relationships between standing balance and symmetry measurements in patients following recent strokes (3weeks or less) or older strokes (6 months or more). Physical Therapy. 2004;84(2):128-136.   DOI
24 Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. Journal of the Korean Society of Physical Medicine. 2016;11(1):45-52.   DOI
25 Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Physical Therapy. 2000;80(9):886-895.   DOI
26 Yoon SC, Lee SB. The effects of visual feedback training and combined training on dynamic balance ability for chronic stroke patients. The Korea Entertainment Industry Association. 2019;9(1):201-210.   DOI
27 Woo HM. The effects of task-oriented dual task training on the cognitive function and daily living ability of stroke patients. Daegu University. Dissertation of Master's Degree. 2017.
28 Wulf G, Landers M, Lewthwaite R. External focus instructions reduce postural instability in individuals with Parkinson disease. Physical Therapy. 2009;89(2):162-168.   DOI
29 Yoo EY. Effects of single and dual task balance training on stable and unstable surfaces on balance and walking ability in stroke patients. Yongin University. Dissertation of Master's Degree. 2016.
30 Cho EH. Effect of lower extremity muscle strength exercise using a mirror on gait and balance of patients with chronic stroke. Daegu University. Dissertation of Master's Degree. 2017.
31 Choi NH. The effects of combined exercise on functional ability and body composition changes in stroke patients. Korea National Sport University. Dissertation of Master's Degree. 2015.
32 Choi YK. The effects of treadmill with visual feedback on balance and walking ability of chronic stroke patients. Daegu University. Dissertation of Doctorate of Degree. 2017.