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KMID : 1211620170120020059
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Journal of the Korean Society of Physical Medicine
2017 Volume.12 No. 2 p.59 ~ p.66
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The Effect of Postural Control Training on Balance and Walking Ability in Patients with Chronic Stroke
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Bang Dae-Hyouk
Cho Hyuk-Shin
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Abstract
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PURPOSE: The purpose of this study was to determine the effects of postural control training on balance and walking ability in chronic stroke patients.
METHODS: Eighteen chronic stroke patients were allocated equally and randomly to an experimental group (n=9) or a control group (n=9). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally received a postural control training for 30 minutes, while the control group additionally performed a treadmill training for 30 minutes. These 30-minute training sessions were held five times per week for three weeks. Balance was assessed using Berg balance scale (BBS) and walking ability (gait speed, cadence, step length, and double limb support) was assessed using the GAITRite system.
RESULTS: Improvement on all outcome measures was identified from pre-to-post intervention for both groups (p<.05). Post-intervention, there was a significant between-group difference on measured outcomes (p<.05). The experimental group exhibited greater improvement in the gait speed (p=.01; 95% CI .08-.16), cadence (p=.04; 95% CI .34-4.79), step length (p=.02; 95% CI 1.50-5.17), double limb support period (p=.04; 95% CI -2.18 to -.14), and BBS (p=.01; 95% CI 1.04-6.74) compared to the control group.
CONCLUSION: The findings of this study suggest that postural control training may be beneficial for improving balance and walking ability of patients with chronic stroke.
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KEYWORD
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Balance , Postural control training , Stroke , Walking
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