Effects of Home-Based Boxing Training on Trunk Performance, Balance, and Enjoyment of Patients With Chronic Stroke

Abstract

Objective To investigate the effect of 6 weeks of home-based boxing training on trunk performance, balance, fear of falling, and level of therapy enjoyment in individuals with chronic stroke. Methods Eighteen participants with chronic stroke were randomly divided into boxing and control groups (9 patients per group). The boxing group received home-based boxing training for 25 minutes plus balance and trunk exercise training for 15 minutes, while the control group received only home-based balance and trunk exercise training for 40 minutes, three days a week for 6 weeks. The Trunk Impairment Scale (TIS), Mini-Balance Evaluation Systems Test (Mini-BESTest), Activities-specific Balance Confidence (ABC) scale, and Physical Activity Enjoyment Scale (PACES) were assessed at baseline, and at 2, 4, and 6 weeks post-training. The Wilcoxon signed rank test and Mann-Whitney U-test were used to determine differences between pre-and post-training within and between groups. Statistical significance was set at p<0.05. ResultsThe TIS scores significantly increased from 13 to 17 points in the boxing group (p<0.05) compared to an increase from 15 to 17 points in the control group (p<0.05). The Mini-BESTest scores significantly increased from 14 to 22 points in the boxing group (p<0.05) compared to an increase from 17 to 20 points in the control group (p<0.05). There were no differences in the TIS, Mini-BESTest, ABC, and PACES scores between the two groups. ConclusionHome-based boxing training with balance and trunk exercise training had a similar training effect compared to home-based balance and trunk exercise training.

Interactive Cognitive Motor Training: A Promising Approach for Sustainable Improvement of Balance in Older Adults

“…A randomized controlled trial found that seated boxing improved upper limb strength, balance, and gait in stroke patients [43]. Aerobic boxing requires the participant to control the COG to prevent the body from swinging out of balance with the upper limbs [44,45]. At the same time, our game required participants to make immediate judgments about the icons on the screen, and the receptors in the handle also scored the participants' movements, requiring more sensory involvement in the decision-making process.…”