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KMID : 1206220210280020001
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Journal of Korean Academy of Physical Therapy Science
2021 Volume.28 No. 2 p.1 ~ p.9
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The effect of backward walking training on balance, balance confidence and falls efficacy in patients with acute stroke: A pilot randomized controlled trial
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Jung Kyeoung-Man
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Abstract
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Background: The requirements for postural and motor control in backward walking training (BWT) may improve balance and walking speed in patients with acute stroke. The aim of this study was to analyze the effect of BWT on balance, balance confidence, and fall efficacy in this population.
Design: Randomized controlled pilot trial.
Methods: This study included 14 subjects with acute stroke (onset of illness less than one month). They were randomly allocated to a BWT (n=7) or forward walking training (n=7) group and observed five times in a week for a period of two weeks. Measurements were taken before and after the experiment using the Berg balance scale (BBS), Activities-specific balance confidence scale (ABC), and Fall efficacy scale (FES).
Results: The BBS, ABC and FES scores obtained in both groups after the experiment were significantly higher than those before the experiment (p<0.05). In addition, the BBS, ABC, and FES scores in the experimental group were significantly higher than those in the control group (p<0.05).
Conclusion: These findings indicate that BWT improved balance and balance confidence and decreased the risks of fall in patients with acute stroke. Further study is needed to better understand the effects of backward walking in acute stroke patients.
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KEYWORD
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Adult, Postural balance, Stroke, Stroke rehabilitation, Walking
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