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KMID : 1034620180080020042
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Korean Journal of Neuromuscular Rehabilitation
2018 Volume.8 No. 2 p.42 ~ p.50
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Effects of Cognitive Balance Task Training for Autonomic Postural Control on Balance and Gait in Stroke Patients : Case Series
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Hong Su-Yeon
Moon Young
Choi Jong-Duk
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Abstract
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The term “Automatic stability” refers to the unconscious and automatic postural responses that occur while a person consciously maintains a posture or moves. It has been reported that when a simple cognitive task is assigned, full attention is given and efficacy and automaticity of postural control, a primary task, are improved. This study aimed to examine the effects of cognitive balance task training using stroke patients. Cognitive balance task training was given to subjects, and was focused on their less affected side lower extremity in order to enhance automatic postural control of their affected side lower extremity. Two subjects were 52-year old male with stroke due to ICH and 43-year old male with stroke due to TBI, respectively. Outcome measures were a timed up and go (TUG) test; the Berg balance scale (BBS) to evaluate the subjects’ balance ability. Also, the GAITRite system was used to measure gait parameters. A cognitive balance training focused on unconscious control movement was performed for 30 minutes at a time, three times per week, for four weeks. The findings suggest that all variables improved after the intervention. Overall, a cognitive balance training is probably beneficially used to enhance stroke patients’ automatic postural control, and may be utilized to ameliorate their balance and gait ability in clinical settings.
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KEYWORD
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Autonomic postural control, Balance, Cognitive balance training, Gait, Stroke
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