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KMID : 1031020210270010043
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Quality Improvement in Health Care
2021 Volume.27 No. 1 p.43 ~ p.50
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Effect of Side Walking Training on Balance Confidence, Falls Efficacy and Fall Risk in Acute Stroke Patients: A Randomized Controlled Pilot Study
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Joo Min-Cheol
Jung Kyeoung-Man
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Abstract
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Purpose: The aim of this study was to determine the effect of side walking on balance confidence, falls efficacy and fall risk in acute stroke patients.
Methods: The study included 14 patients with acute stroke who were randomly allocated to a side walking group (Experimental group, N=7) and a forward walking group (Control group, N=7). Both groups performed the exercise 5 times a week for 2 weeks. Outcomes were assessed using Korean-Activities-specific Balance Confidence Scale (K-ABC), Korean-Fall Efficacy Scale (K-FES), Korean-Fullerton Advanced Balance Scale (K-FAB).
Results: After 2 weeks of training, both groups showed significantly improved ABC, FES, FAB (p<.05 in both groups). However, the ABC, FES, FAB in the experimental group was significantly better than in the control group (p<.05).
Conclusion: These findings indicate that side walking training may be effective at improving balance confidence and decreasing fall down risk in early stroke patients. Therefore, side walking training may be recommended as an intervention in reducing the incidence of falls in acute stroke patient.
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KEYWORD
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Stroke Rehabilitation, Walking, Accidental falls, Postural balance
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