Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients

Haruyama, Koshiro; Kawakami, Michiyuki; Ôtsuka, Takeshi

doi:10.1177/1545968316675431

Cited by 163 publications

(183 citation statements)

References 61 publications

(103 reference statements)

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“…However, the thickening ratio of the forced expiratory muscles was not associated with total TIS score. That is, postures are induced by diaphragmatic pressure and cocontraction of the anterior and lateral abdominal muscles; thus, muscle thickness can be a crucial element of trunk balance (Saeys et al 2012;Haruyama et al 2017). The coordination of their contraction and those of adjacent muscles of the abdominal cavity reconcile respiratory, abdominal, and trunk movement (Hodges and Gandevia 2000a).…”

Section: Discussionmentioning

confidence: 99%

Decreased Respiratory Muscle Function Is Associated with Impaired Trunk Balance among Chronic Stroke Patients: A Cross-sectional Study

Lee

Cho

Hwang

et al. 2018

Tohoku J. Exp. Med.

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The abdominal muscles play a role in trunk balance. Abdominal muscle thickness is asymmetrical in stroke survivors, who also have decreased respiratory muscle function. We compared the thickness of the abdominal muscles between the affected and less affected sides in stroke survivors. In addition, the relationship between respiratory muscle function and trunk balance was evaluated. Chronic stroke patients (18 men, 15 women; mean age, 58.94 ± 12.30 years; Mini-Mental Status Examination score ≥ 24) who could sit without assist were enrolled. Abdominal muscle thickness during rest and contraction was measured with ultrasonography, and the thickening ratio was calculated. Respiratory muscle function assessment included maximum respiratory pressure, peak flow, and air volume. Trunk function was evaluated using the Trunk Impairment Scale, and trunk balance was estimated based on the center of pressure velocity and path length within the limit of stability in sitting posture. Abdominal muscles were significantly thinner on the affected side, and the thickening ratio was lower in the affected side (P < 0.05). In addition, the higher thickening ratio of the affected side showed significant relationship with higher trunk function. Moreover, higher respiratory muscle function was significantly correlated with higher level of trunk function and balance in stroke patients (P < 0.05). Thus, chronic stroke survivors have decreased abdominal muscle thickness on the affected side, and respiratory muscle function has positive correlation with trunk function and balance. We propose that respiratory muscle training should be included as part of trunk balance training in chronic stroke patients.

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Section: Discussionmentioning

confidence: 99%

Decreased Respiratory Muscle Function Is Associated with Impaired Trunk Balance among Chronic Stroke Patients: A Cross-sectional Study

Lee

Cho

Hwang

et al. 2018

Tohoku J. Exp. Med.

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“…Haruyama el al. [10] investigated the effects of 4 weeks of ADIM training on trunk function and standing balance in sub-acute stroke patients. The results showed that Trunk Impairment Scale, Functional Reach test, Timed Up-and-Go test, and Functional Ambulation Categories scores were significantly improved when compared to conventional neurodevelopment treatment (NDT).…”

Section: Introductionmentioning

confidence: 99%

Best core stabilization exercise to facilitate subcortical neuroplasticity: A functional MRI neuroimaging study

Kim

Lee

You

2018

THC

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“…This finding is of particular relevance, as recent studies have shown the positive impact of specific truncal exercises for improving trunk function, balance and mobility in patients with stroke. (9,21,22) Haruyama et al, in an assessor-blinded, randomised controlled trial of 32 participants in a stroke rehabilitation ward, showed that participants who received additional core stability training in lieu of conventional therapy had better scores on the TIS, Timed Up-and-Go test and Functional Ambulation Category. (22) This study had several limitations.…”

Section: Discussionmentioning

confidence: 99%

Truncal impairment after stroke: clinical correlates, outcome and impact on ambulatory and functional outcomes after rehabilitation

Kh¹,

R²

2021

smedj

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Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients

Abstract: Core stability training has beneficial effects on trunk function, standing balance, and mobility in stroke patients. Our findings might provide support for introducing core stability training in stroke rehabilitation.

Cited by 163 publications

References 61 publications

Decreased Respiratory Muscle Function Is Associated with Impaired Trunk Balance among Chronic Stroke Patients: A Cross-sectional Study

Decreased Respiratory Muscle Function Is Associated with Impaired Trunk Balance among Chronic Stroke Patients: A Cross-sectional Study

Best core stabilization exercise to facilitate subcortical neuroplasticity: A functional MRI neuroimaging study

Truncal impairment after stroke: clinical correlates, outcome and impact on ambulatory and functional outcomes after rehabilitation

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