Effects of Dual-task Balance Exercise on Stroke Patients’ Balance Performance

Seo, Kazuya; Kim, HyeonAe; Han, Jong-Man

doi:10.1589/jpts.24.593

Cited by 10 publications

(19 citation statements)

References 18 publications

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“…Their study showed a significant improvement in BBS and COP displacement. They confirmed the findings of Seo et al (21), who reported a significant change in sway area, but not for sway path, in both intragroup and intergroup measurements following dual-task balance training in 40 patients with stroke for 4 weeks. Bayouk et al (20) mentioned that a task-oriented exercise program with sensory manipulation improved COP parameters after a 4-week intervention in 8 patients with stroke.…”

Section: Discussionsupporting

confidence: 89%

“…In our study, the greater improvement in the BBS score in the experimental group compared to the control group might be associated with the similarity of the task-oriented exercise program to the BBS items. The COP path length and the COP area have been used to assess steadiness (11,21). Steadiness is defined as the ability to maintain a stable standing position with minimal movement (10,11).…”

Section: Discussionmentioning

confidence: 99%

“…Some other studies have demonstrated that postural sway improves in patients with stroke after a task-oriented exercise program (12,(20)(21)(22). However, there is controversy about the effectiveness of a task-oriented exercise program on stance symmetry (1,12).…”

Section: Introductionmentioning

confidence: 99%

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Effects of a Task-Oriented Exercise Program on Balance in Patients with Hemiplegia Following Stroke

Arabzadeh

Goljaryan

Salahzadeh

et al. 2016

Iran Red Crescent Med J

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Background:One of the most common disabilities after stroke is impaired balance, so improving balance is essential for performing daily activities through rehabilitation. A task-oriented exercise program is an effective approach to improving balance. Objectives:The aim of this study was to investigate the effects of a task-oriented exercise program on balance in patients with hemiplegia following stroke. Iranian patients with hemiplegia following stroke were randomly assigned to experimental (n = 10) and control groups (n = 10). The experimental group received a 4-week task-oriented exercise program, and the control group received 4-week conventional physiotherapy, respectively. The patients were evaluated before and after the exercise intervention. Clinical measures included the Berg Balance Scale (BBS) while laboratory measures included the plantar pressure distribution, the center of pressure path length (COP path length), and the center of pressure confidence ellipse area (COP area). Results:Significant improvement was observed in the BBS after completion of the exercise program in both the experimental and the control groups (50.5 ± 1.08 and 46.8 ± 3.96, P < 0.05, respectively). Significant improvement was showed in the COP path length and area after the task-oriented exercise program (171.14 ± 52.15 and 65.44 ± 69.79, P < 0.01, respectively). The COP area also improved after completion of conventional therapy (114.9 ± 88.99, P < 0.05), but the COP path length in the conventional therapy group and the plantar pressure distribution in both groups were not improved significantly after treatment (P > 0.05). The BBS, COP path length, and COP area improved significantly in the experimental group compared to the control group following intervention (P < 0.05). Conclusions:A task-oriented exercise program is associated with an improvement in balance in patients with hemiplegia following stroke.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Effects of a Task-Oriented Exercise Program on Balance in Patients with Hemiplegia Following Stroke

Arabzadeh

Goljaryan

Salahzadeh

et al. 2016

Iran Red Crescent Med J

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“…Amongst 1005 identified records (including titles and abstracts) from Medline, EMBASE, the Cochrane Library, Web of Science, CINAHL, PEDro, the China Biology Medicine disc and manual search, 44 potentially eligible studies were included. After reviewing the full papers of the 44 potential articles, 15 papers [6,7,[12][13][14][15][16][17][18][19][20][21][22][23][24] fulfilled the inclusion criteria. The remaining 29 papers were excluded because their studies included participants with other neurological diseases (e.g.…”

Section: Study Identificationmentioning

confidence: 99%

Cognitive motor interference for gait and balance in stroke: a systematic review and meta‐analysis

Wang

Chen

et al. 2015

Euro J of Neurology

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Background and purposeAn increasing interest in the potential benefits of cognitive motor interference (CMI) for stroke has recently been observed, but the efficacy of CMI for gait and balance is controversial. A systematic review and meta-analysis of randomized controlled trials was performed to estimate the effect of CMI on gait and balance in patients with stroke.MethodsArticles in Medline, EMBASE, the Cochrane Library, Web of Science, CINAHL, PEDro and the China Biology Medicine disc were searched from 1970 to July 2014. Only randomized controlled trials examining the effects of CMI for patients with stroke were included, and no language restrictions were applied. Main outcome measures included gait and balance function.ResultsA total of 15 studies composed of 395 participants met the inclusion criteria, and 13 studies of 363 participants were used as data sources for the meta-analysis. Pooling revealed that CMI was superior to the control group for gait speed [mean difference (MD) 0.19 m/s, 95% confidence interval (CI) (0.06, 0.31), P = 0.003], stride length [MD 12.53 cm, 95% CI (4.07, 20.99), P = 0.004], cadence [MD 10.44 steps/min, 95% CI (4.17, 16.71), P = 0.001], centre of pressure sway area [MD −1.05, 95% CI (−1.85, −0.26), P = 0.01] and Berg balance scale [MD 2.87, 95% CI (0.54, 5.21), P = 0.02] in the short term.ConclusionCognitive motor interference is effective for improving gait and balance function for stroke in the short term. However, only little evidence supports assumptions regarding CMI's long-term benefits.

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“…They suggested that interventions to improve dual-task balance performance are essential components of fall prevention programs for the elderly. Several authors have researched dual-task balance training4, 10 ) . None of these studies investigated the effects of motor dual-task balance training on the balance and gait of elderly women.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Motor Dual-task Balance Training on Balance and Gait of Elderly Women

Shin

2014

J Phys Ther Sci

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[Purpose] This study investigated the effect of a motor dual-task balance program on balance and gait of elderly women to suggest a more effective balance exercise method. [Subjects] Twenty elderly Korean women who could walk independently were recruited from the community dwelling. [Methods] The motor dual-task balance training (experimental) group stood on an Aero-step, and performed gym ball bouncing, catching, and throwing, while the simple task balance training (control) group merely stood on the Aero-step. Participants performed 45 minutes of training, 2 times a week for 6 weeks. Balance (fall index) was measured using a TETRAX. Gait variables were recorded on a GAITRite walkway at self-determined walking speed. [Results] The fall index of the experimental group was significantly lower than that of the control group. Step length, stride length, velocity, and cadence of the experimental group improved significantly more than those of control group. [Conclusions] We found that motor dual-task balance training improved balance and walking ability more than simple balance training. Further studies should investigate motor dual-task training with kinematic and kinetic data, and muscle activation based on motor strategies.

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Effects of Dual-task Balance Exercise on Stroke Patients’ Balance Performance

Cited by 10 publications

References 18 publications

Effects of a Task-Oriented Exercise Program on Balance in Patients with Hemiplegia Following Stroke

Effects of a Task-Oriented Exercise Program on Balance in Patients with Hemiplegia Following Stroke

Cognitive motor interference for gait and balance in stroke: a systematic review and meta‐analysis

The Effect of Motor Dual-task Balance Training on Balance and Gait of Elderly Women

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