Effect of The Trunk Muscle Stabilization Training on Balance for Chronic Stroke Patients

Kim³

2018

J Exerc Rehabil

The aim of this study was to investigate the effects of diaphragm and deep abdominal muscle exercise (DDAME) on walking ability (WA) and balance ability (BA) in subjects with hemiplegia due to stroke. Study subjects consisted of twenty patients diagnosed with hemiplegia due to stroke. They were randomized into a control group (CG) (n=10) that performed traditional exercise and an experimental group (EG) (n=10) that performed DDAME. The WA was measured using the 10-m walking test (10MWT) and 6-min walk test (6MWT). The BA was measured using the Timed Up and Go test (TUG) and Berg’s balance scale (BBS). Paired t-test was performed to compare differences within the groups before and after intervention. The analysis of covariance was performed to compare the differences between the EG and CG. The level of significance was set at α=0.05. Within-group changes in 10MWT and 6MWT were significantly different in both the EG (P<0.05) and CG (P<0.05). There was significantly more improvement in the 10MWT and 6MWT in the EG than in the CG (P<0.05). Within-group changes in TUG and BBS were significantly different in both the EG (P<0.05) and the CG (P<0.05). There was significantly more improvement in TUG and BBS in the EG than in the CG (P<0.05). DDAME program, with diaphragm and inspiratory muscle strengthening exercises, is needed for patients experiencing difficulty in WA, BA, trunk asymmetry, abnormal alignment, mobility of trunk muscles, power, or endurance decline.

Section: Discussionmentioning

confidence: 99%

Effects of diaphragm and deep abdominal muscle exercise on walking and balance ability in patients with hemiplegia due to stroke

Lee

Kim³

2018

J Exerc Rehabil

“…As a result, training of t’ai chi chuan for 12 weeks failed to increase bone density but it decreased rates of bone loss. Also, Han 14 ) performed resistance exercise program targeting 11 women after menopause for 6 weeks and measured bone density of lumbar and femur. There was not a meaningful difference statistically in this result but bone density of lumbar increased.…”

Section: Discussionmentioning

confidence: 99%

“…Japan) and Quantitative Computed Tomography before and after experiment and BMC (Bone Mineral Contents) was tested using mean value of bone density of lumbar 1st and 4th. Trunk stability exercise used by Lee et al 14 ) was used as spinal and pelvic stabilization exercise. It is composed of step1 (awareness stage), step 2 (associative stage), and step 3 (exercise task stage) according to basis of research of O’Sullivan.…”

Section: Methodsmentioning

confidence: 99%

The effects of trunk stabilization exercise on bone density after menopause

Jeong

Choi³

2015

J Phys Ther Sci

[Purpose] This study examined the effect of low intensity exercise on bone density by conducting trunk stabilization exercise on females after menopause for 24 weeks. [Subjects and Methods] Thirty three female subjects over 47 years old and under the age of 53 were selected and 16 for experimental group and 17 for control group were randomly selected. Experimental group had performed spinal and pelvic stabilization exercise 30 minutes a day, 5times a week, for 24 weeks. Except for the daily life, control group did not participate in any characteristic movement. Bone density of every member in experimental group was measured using average value of bone density of 1st–4th lumbar through quantitative computer tomography. [Results] There was a meaningful difference in only control group about measured value of bone density within each group, experimental and control group, but there was no meaningful difference in measured value of bone density between two groups, experimental group and control group. [Conclusion] Through this research, we could see the fact that although trunk stability exercise could not change bone density meaningfully, it could maintain bone density. In the future, it is randomly necessary to study things related this because results of researches can show different results according to exercise intensity, exercise period, age, weight, hormone status and mediation period. It is considered that it will help to prevent and treat patients with osteoporosis a lot.

“…The trunk stability exercise described by Lee et al13, 14 ) was used as spinal and pelvic stabilization exercise. It is composed of step 1 (awareness stage), step 2 (associative stage), and step 3 (exercise task stage) based on the research of Ok stage)15 ) .…”

Section: Methodsmentioning

confidence: 99%

Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk

Jeong

Choi³

2016

J Phys Ther Sci

[Purpose] This study was conducted to clarify the difference in therapeutic effects between traction and decompression therapies, and their clinical therapeutic significance. [Subjects and Methods] The subjects were 31 patients aged 35 to 50 years who had unilateral or bilateral lumbar and radicular leg pain. An intervention program was implemented in 31 patients with lumbar herniated intervertebral disks. For the experimental group, 15 subjects were randomly selected to receive decompression therapy and trunk stabilization exercise. For the control group, 16 subjects were randomly selected to receive traction therapy and trunk stabilization exercise. [Results] Activities of the rectus abdominis, transverse abdominis, and external oblique muscles increased significantly in both groups. However, the activity of the erector spine muscle decreased, which was the only significant change in muscle activity among those of the other muscles in both groups. The disk herniation index in the experimental group decreased significantly in comparison with that in the control group, and the difference in the change in disk herniation index between the groups was significant. [Conclusion] Decompression therapy was demonstrated to be more effective clinically than conventional traction therapy as an intervention method for disk disease.