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The Effects of Treatment With a TETRAX on Balance and Mobility in Acute Stroke Patients  

Lee, Nam-Hyun (physical Medicinc &Rehabilitation Team, Asan Medical Center)
Lee, Jin (physical Medicinc &Rehabilitation Team, Asan Medical Center)
Lee, Kang-Noh (physical Medicinc &Rehabilitation Team, Asan Medical Center)
Publication Information
Physical Therapy Korea / v.17, no.3, 2010 , pp. 11-19 More about this Journal
Abstract
The purpose of the study was to determine the effects of balance training with 'TETRAX' system, a balance training and assessment tool, on balance and mobility in acute hemiplegic patients. Nineteen matched subjects were assigned randomly into either an experimental group or a control group. An experimental group with 10 subjects received balance training with 'TETRAX' exercise program and conventional physical therapy interventions 5 times per week during 4 weeks. A control group with 9 subjects received conventional physical therapy interventions 5 times per week during 4 weeks. Outcome measures were taken before and after 4 weeks of interventions using the Stroke Rehabilitation Assessment of Movement (STREAM), the Berg Balance Scale (BBS), gait speed, and the fall down index. Results indicated that both exercise groups improved significantly in STREAM, BBS, and gait speed (p<.05). The experimental group had a little improvement than the control group. Both exercise groups did not show statistical significance in fall down index (p<.05). Following 4 weeks of intervention, except gait speed there was no statistically significant difference between two groups. However, these findings suggest that conventional physical therapy interventions with visual feedback training could be effective on improving balance and mobility than conventional physical therapy alone in acute hemiplegic patients.
Keywords
Balance; Mobility; Stroke; TETRAX;
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1 강연욱, 나덕렬, 한승혜. 치매 환자들을 대상으로 한 K-MMSE의 타당도 연구. 대한신경과학회지. 1997;15:300-307.
2 Alptekin N. Gok H. Geler- Kulcu D, et al Efficacy of treatment with a kinesthetic ability training device on balance and mobility after stroke: A randomized controlled study. Clin Rehabil. 2008;22(10-11):922-930.   DOI
3 Barclay-Goddard RE. Stevenson Tj, Poluha W. et al. Force platform feedback for standing balance training after stroke. Cochrane Database Syst Rev. 2004;18(4):CD004129.
4 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.
5 Bogle V, Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-583.   DOI
6 Bohannon RW. Gait performaance of hemiparetic stroke patients: Selected variables. Arch Phys Med Rehabil. 1987;68(11):777-781.
7 Daley K, Mayo NE, Wood-Dauphinee S. Reliability of scores on the Stroke Rehabilitation Assessment of Movement (STREAM) measure. Phys Ther. 1999;79(1):8-19.
8 Daley K, Mayo N, Wood-Dauphinee SL, et al. Verification of the Stroke Rehabilitation Assessment of Movement (STREAM). Physiotherapy Canada. 1997;49:269-278.
9 Eser F, Yavuzer G, Karakus D, et al. The effect of balance training on motor recovery and ambulation after stroke: A randomized controlled trial. Eur J Rehabil Med. 2008;44:19-25.
10 Folstein MF, Folstein SE, McHugh PR. Mini-Mental State: A practical method for the clinician. J Psychiatr Res. 1975;12(3):189-198.   DOI   ScienceOn
11 France P, Derscheid G, Irrgang J, et al. Preliminary clinical evaluation of the Breg KAT:Effects of training in normals. Isokinet Exerc Sci. 1992;2(3):133-139.
12 Fulk GD, Echternach JL. Test-retest reliability and minimal detectable change of gait velocity in individuals undergoing rehabilitation after stroke. JNPT. 2008;32(1);8-13.
13 Geiger RA, Allen JB, O'Keefe J, et al. Balance and mobility following stroke: Effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995-1005.
14 Haart de M, Geurts ACH, Dault MC, et al. Restoration of weight-shifting capacity in patients with postacute stroke: A rehabilitation cohort study. Arch Phys Med Rehabil. 2005;86(4):755-762.   DOI   ScienceOn
15 Hocherman S, Dickstein R, Pilar T. Platform training and postural stability in hemiplegia. Arch Phys Med Rehabil. 1984;65(10):588-592.
16 Hsieh CL, Sheu CF, Hsueh IP, et al Trunk control as an early predictor of comprehensive activities of daily livint function in stroke patients. Stroke. 2002;33(11):2626-2630.   DOI   ScienceOn
17 Klavora P, Warren M. Rehabilitation of visuomotor skills in poststroke patients using the dynavision apparatus. Percep Mot Skills. 1998;86(1):23-30.   DOI   ScienceOn
18 Kwakkel G. Impact of intensity of practice after stroke: Issues for consideration. Disabil Rehabil. 2006;28(13-14):823-830.   DOI   ScienceOn
19 Laufer Y, Sivan D, Schwarzmann R, et al. Standing balance and functional recovery of patient with right and left hemiparesis in the early stages of rehabilitation. Neurorehabilitation and Neural Repair. 2003;17(4):207-213.   DOI   ScienceOn
20 Laivow RE, Stubblebine AN, Sandground H, et al. EEG-neurobiofeedback treatment of patients with brain injury: Changes in EEG parameters versus rehabilitation. J. Neurother. 2001;5(4):45-71.   DOI
21 Liston RA, Brouwer BJ. Reliability and validity of measure obtained from stroke patients using the balance master. Arch Phys Med Rehabil. 1996;77(5);425-430.   DOI   ScienceOn
22 Pollock A, Baer G, Pomeroy V, et al. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke. Cochrane Database Syst Rev. 2003;(2):CD001920.
23 Pollock AS, Durward BR, Rowe PJ, et al. What is balance? Clin Rehabil. 2000;14(4):402-406.   DOI   ScienceOn
24 Prasansuk S, Siriyananda C, Nakorn AN, et al. Balance disorders in the elderly and the benefit of balance exercise. J Med Assoc Thai. 2004;87(10):1225-1233.
25 Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: Effects on stance symmetry and function. Disabil Rehavil. 1997;19(12):536-546.   DOI   ScienceOn
26 Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: Its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil. 1988;69(6):395-400.
27 Srivastava A, Taly AB, Gupta A, et al. Post-stroke balance training: Role of force platform with visual feedback technique. J Neurol Sci. 2009;287(1-2):89-93.
28 Van Peppen RP, Kortsmit M, Lindeman E, et al. Effects of visual feedback therapy on postural control in bilateral standing after stroke: A systematic review. J Rehabil Med. 2006;38(1):3-9.   DOI   ScienceOn
29 Wang CH, Hsieh, CL, Dai MH, et al. Inter-rater reliability and validity of the Stroke Rehabilitation Assessment of Movement (STREAM) Instrument. J Rehabil Med. 2002;34(1):20-24.   DOI   ScienceOn
30 Walker C, Brouwer BJ. Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886-895.
31 Wee JY, Bagg SD, Palepu A. The Berg Balance Scale as a predictor of length of stay and discharge destination in an acute stroke rehabilitation setting. Arch Phys Med Rehabil. 1999;80(4):448-452.   DOI   ScienceOn
32 Winstein CJ, Gardner ER, McNeal DR, et al. Standing balance training: Effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil. 1989;70(10):755-762.
33 Yavuzer G, Eser F, Karakus D, et al. The effects of balance training on gait late after stroke: A randomized controlled trial. Clin Rehabil. 2006;20(11):960-969.   DOI   ScienceOn