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KMID : 1035420210090040211
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Journal of The Korean Society of Integrative Medicine
2021 Volume.9 No. 4 p.211 ~ p.223
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The Effects of Task-Oriented Circuit Training Using Unstable Surface on Balance, Walking and Balance Confidence in Subacute Stroke Patients
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Kim Sun-Min
Kang Soon-Hee
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Abstract
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Purpose : The purpose of this study was to examine the effect of task-oriented circuit training using unstable support surface on balance, gait ability, and balance confidence in subacute stroke patients.
Methods : Forty-five patients with subacute stroke were randomly divided into the three following groups of 15: 1) TOCT-US group; task-oriented circuit training using unstable surface (experimental group 1), 2) TOCT-SS group; task-oriented circuit training using stable surface (experimental group 2), and 3) CON group; conventional physical therapy (control group). All patients participated in one of the three training programs for 6 weeks, 30 minutes per session, 3 times per week. Patients’ balance ability was assessed using the BT-4, BBS(berg balance scale), TUG(time up and go test), and LOS(limit of stability). Gait speed was measured to examine gait ability. K-ABC(activities-specific balance confidence scale) was also used to assess the level of patients’ confidence in daily activities.
Results : After the intervention, the sway area in experimental groups 1 and 2 decreased, but that in the control group increased. Experimental group 1 showed significant improvement compared with experimental group 2 and the control group. BBS, TUG, and LOS scores of experimental group 1 were significantly improved compared with those of experimental group 2 and the control group. Also, gait speed significantly improved in experimental group 1 compared with experimental group 2 and the control group. Experimental groups 1 and 2 showed significant improvement in K-ABC scores after training.
Conclusion : Patients with subacute stroke had significantly improved balance, gait, and level of confidence in performing activities of daily living following task-oriented circuit training using the unstable surface. This indicates that task-oriented circuit training using unstable surfaces can be an effective treatment method for the recovery of balance and gait in subacute stroke patients.
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KEYWORD
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balance, gait, stroke, task oriented circuit training, unstable surface
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