Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Effects of Whole Body Tilt Exercise with Visual Feedback on Trunk Control, Strength, and Balance in Patients with Acute Stroke: a Randomized Controlled Pilot Study

시각적 피드백을 이용한 전신 기울기 운동이 급성기 뇌졸중 환자의 체간 조절, 근력 및 균형에 미치는 효과: 무작위 대조군 예비연구

  • Jung, Kyeoung-Man (Department of Physical Therapy, Wonkwang University School of Medicine and Hospital)
  • 정경만 (원광대학교 의과대학병원 물리치료실)
  • Received : 2018.08.10
  • Accepted : 2018.09.16
  • Published : 2018.11.30
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Abstract

PURPOSE: This study was conducted to determine the effects of whole-body tilt exercise with visual feedback on trunk control, strength, and balance in patients with acute stroke. METHODS: The study included 18 patients with acute stroke who were randomly allocated to a Whole Body Tilt Exercise Group (WBTEG, N=9) and a General Trunk Exercise Group (GTEG, N=9). The WBTEG conducted whole-body tilt exercises with visual feedback, and the GTEG performed general trunk exercises. Both groups performed the exercises five times a week for 4 weeks. Outcomes were assessed using the trunk impairment scale (TIS), the trunk flexor and extensor strength test, the static balance test, and the Brunel Balance Assessment. RESULTS: After 4 weeks of intervention, both groups showed significantly improved TIS scores, muscle strength, and balance components (p<.05 in both groups). However, the improvement in TIS, muscle strength, and static balance in the WBTEG was significantly better than that in the GTEG (p<.05). CONCLUSION: Although both groups in this study showed post-intervention improvement, patients from the WBTEG who received visual feedback demonstrated more improvement. These findings indicate that whole-body tilt exercise with visual feedback may be effective at improving trunk control, trunk muscle strength, and balance in patients with acute stroke. Further studies are needed to gain a better understanding of the effectiveness of whole-body tilt exercise in patients with acute stroke.

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