Effect of The Trunk Muscle Stabilization Training on Balance for Chronic Stroke Patients

체간 근육 안정화 운동이 만성 뇌졸중 환자의 균형에 미치는 영향

  • Lee, Ji-Yeun (Department of Physical therapy, Andong science college) ;
  • Park, Jung-Seo (Department of Physical therapy, Youngdong university) ;
  • Lee, Dae-Hee (Department of Physical therapy, Youngdong university) ;
  • Han, Seul-Ki (Daejeon rehabilitation hospital) ;
  • Roh, Hyo-Lyun (Department of Occupational Therapy, Kangwon National University)
  • 이지연 (안동과학대학 물리치료과) ;
  • 박정서 (영동대학교 물리치료학과) ;
  • 이대희 (영동대학교 물리치료학과) ;
  • 한슬기 (대전요양병원) ;
  • 노효련 (강원대학교 작업치료학과)
  • Received : 2011.12.29
  • Accepted : 2012.03.08
  • Published : 2012.03.31


This study was to investigate the balancing and clinical abilities trunk muscle stabilization exercise and trunk muscle resistive exercise of stroke patients having surface changes in balance of body. The subjects of this study were 30 stroke patients(15 males and 15 females) that three times a week for 12 weeks at the same time point and with the same amount of exercise. They were separated into two groups and did reinforcing exercise on trunk muscle stabilization exercise and trunk muscle resistive exercise for three times a week for twelve weeks. It were measured balancing ability, they performed functional standing balance test, functional forward arm stretching test. performance-oriented mobility assessment, berg balance scale. The balancing exercises were modified from preceding studies and consisted of 6 difference exercises. The functional standing test with open and close eyes and performance-oriented mobility assessment, the trunk muscle stabilization exercise group and the trunk muscle resistive exercise group improved significantly. The forward arm stretching was test the trunk muscle stabilization exercise group more improved. This study found that the balancing exercise on trunk muscle stabilization exercise was more effective than trunk muscle resistive exercise for stroke patients. Thus, trunk muscle stabilization exercise has more positive effects on the improvement of balancing abilities of stroke patients.

본 연구는 만성 뇌졸중 환자를 대상으로 하여 체간 안정화운동과 체간 저항운동이 균형능력 향상에 어떠한 영향을 주는지 알아보고자 한다. 이 연구의 대상자는 만성 뇌졸중 환자 30명(남: 15, 여: 15)를 무작위로 배분하여 주3회 12주 동안 실시하였다. 균형증진 운동은 선행 연구를 참조하여 수정 보완한 것으로 6가지의 운동으로 구성하였다. 대상자들의 균형능력의 측정은 기능적 기립 균형 검사, 기능적 전방 팔 뻗기 검사, 실행능력 지향형 운동성 평가, 버그균형척도를 이용하였다. 기능적 기립 균형검사와 실행능력 지향형 운동성 평가에서는 체간 저항 운동군과 체간 안정화운동군 두 군에서 향상되었다. 기능적 전방 팔 뻗기 검사에서는 체간 안정화 운동군에서 조금 더 유의하게 향상되었다. 따라서, 체간 저항 운동도 만성 뇌졸중 환자의 균형능력 향상을 시키지만 체간 안정화운동이 균형 능력 향상에 더 효과적인 것으로 나타났다.



  1. Pomeroy V. M., Tallis R. C, "Need to focus research in stroke rehabilitation", Lancet, 355(92012), pp. 8312-8317, 2000.
  2. Eng J. J., Chu K. S., "Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke", Arch Phys Med Rehabil, 83, 8, pp. 1138-1144. 2002.
  3. Ikai T., Kamikubo T., Takehara I., "Dynamic postural control in patients with hemiparesis", Am J Phys Med Rehabil, 82, 12, pp. 4123-4129, 2002.
  4. Carr J. H, Shepherd R. B., Nordholm L., Lynne D., "Investigation of a new motor assessment scale for stroke patients", Physical Ther, 125, pp. 175-180, 1985.
  5. Tyson S. F, Hanley M., Chillala J., Selley A, & Tallis R. C., "Balance disability after stroke", Phys Ther, 86, 1, pp. 30-38, 2006.
  6. Heish C. L, Sheu C. F., Hsueh I. P., Wang C. H., "Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients, Stroke, 33, 11, pp. 2212-2230, 2002.
  7. McGill S. M., "Low back stability: from formal description to issues for performance and rehabilitation", Exerc Sport Sci Rev, 29, 1, pp. 26-31, 2001.
  8. Feigin L, Sharon B., Czaczkes B., Rosin A. J., "Sitting equilibrium 2 weeks after a stroke can predict the walking ability after 12 months". Gerontology, 42, 12, pp. 348-353, 1996.
  9. J. H. Kim, "The effects of strengthening trunk muscle using water exercise on sitting postures and muscle tone in lower extremities for children with cerebral palsy", Dankook University Dissertation of Master Degree, 2012.
  10. M. S. Kim, "The effect of upper extremity movement of a core stability strength exercise in patient with hemiplegia", Yongin University Dissertation of Master Degree, 2005.
  11. Standaert C. J, Weinstein S. M., Rumpeltes J., "Evidence-informed management of chronic low back pain with lumbar stabilization exercise", Spine, 8, 1, pp. 114-120, 2008.
  12. Gambetta V., "Hard core training. Training and Conditioning, [serial online]May/June, 9, 4, 1999.
  13. Weiss A., Suzuki T., Bean J., Fielding R. A., "High intensity strength training improves strength and functional performance after stroke", Am J Phys Med Rehabil, 79, 4, pp. 369-376, 2000.
  14. Brunnstrom, S., "Movement therapy in hemiplegia: A neurophysiological approach", NewYork, Harper & Row, pp. 75-79, 1970.
  15. Urquhart D. M, Hodges P. W., Allen T. J., Story I. H.., "Abdominal muscle recruitment during a range of voluntary exercises", Man Ther, 10, 2, pp. 144-153, 2005.
  16. Stevens V. K, Coorevits P. L., Bouche K. G., Mahieu N. N., Vanderstraeten G. G., Danneels L. A., "The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises", Man Ther, 12, 3, pp. 271-279, 2007.
  17. O'Sullivan P. B, "Lumbar segmental 'instability': clinical presentation and specific stabilizing exercise management", Man Ther, 5, 1, pp. 2-12, 2000.
  18. Ryerson S, Byl N. N., Brown D. A., Wong R. A., Hidler J. M., "Altered trunk position sense and its relation to balance functions in people post-stroke", Journal Neurol Phys Ther, 32, 1, pp. 14-20, 2008.
  19. Verheyden G, Nuyens G., Nieuwboer A., Van Asch P., Ketelaer P., De Weerdt W., "Reliability and validity of trunk assessment for people with multiple sclerosis", Phys Ther, 86, 1, pp. 66-76, 2006.
  20. Verheyden G.,Nieuwboer A, Van de Winckel A., De Weerdt W., "Clinical tools to measure trunk performance after stroke: a systematic review of the literature", Clin Rehabil, 21, 5, pp. 387-394, 2007.
  21. K. S. Kim, "The effects of balance exercise and core program complex exercise on dynamic balance of the patient with post-stroke hemiplegia", Korea University Dissertation of Master Degree, 2006.
  22. Duarte E, Marco E., Muniesa J. M., Belmonte R., Diaz P., Tejero M., Escalada F., "Trunk control test as a functional predictor in stroke patients", J Rehabil Med, 34, 6, pp. 267-272, 2002.
  23. Karatas M., Cetin N., Bayramoglu M., Dilek A., "Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients", Am J Phys Med Rehabil, 83, 2, pp. 81-87, 2004.
  24. S. H. Aann., Y. J. Chung., S. Y. Park., "The effects of trunk control ability on balance, gait, and functional performance ability in pateints with stroke", Journal Kore Acade Univer Trained Physi Thera, 17, 2, pp. 33-42, 2010.
  25. W. S. Shin, C. Y. Kim., D. Y. Kim., S. M. Lee., "The effects of trunk stability exercise on dynamic balance in the persons with chronic stroke", Journal of the Korea Academia-Industrial cooperation society, 10, 9, pp. 2509-2515, 2009.
  26. Y. H. Kim, "The effects of trunk stability exercise on balance and gait in patients with stroke", Daegu University Dissertation of Master Degree, 2010.
  27. J. S. Im, "The influence of foot pressure and balance core-stabilization exercise in stroke", Daegu University Dissertation of Master Degree, 2009.
  28. Dickstein R, Heffes Y., Laufer Y., Ben-Haim Z., "Activation of selected trunk muscles during symmetric functional activities in poststroke hemiparetic and hemiplegic patients", J Neurol Neurosurg Psychiatry, 66, 2, pp. 218-221, 1999.
  29. Kane K, Bell A, "A core stability group program for children with developmental coordination disorder: 3 clinical case reports", Pediatric Phys Ther, 21, 4, pp. 375-382, 2009.
  30. C. Y. Kim, "The effects of trunk stability exercise on trunk strengthening, dynamic balance and walking in the persons with chronic stroke", Sahmyook University Dissertation of Master Degree, 2008.

Cited by

  1. Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk vol.28, pp.11, 2016,
  2. Effects of diaphragm and deep abdominal muscle exercise on walking and balance ability in patients with hemiplegia due to stroke vol.14, pp.4, 2018,