Training using a new multidirectional reach tool improves balance in individuals with stroke

Khumsapsiri, Numpung; Siriphorn, Akkradate; Pooranawatthanakul, Kanokporn; Oungphalachai, Tanyarut

doi:10.1002/pri.1704

Cited by 7 publications

(12 citation statements)

References 24 publications

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“…Most of the included studies are from Singapore (63,65,66,68,71,72,(76)(77)(78), followed by Malaysia (57,61,69,70,(73)(74)(75)80), Thailand (56,60,62,64,67,79), the Philippines (58,59) and Indonesia (81) (Figure 2). No articles were found from other Southeast Asia countries.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Three studies (62,66,76) specifically investigated the location and activities when the falls happened and four studies (62,64,66,76) established the risk and associated factors related to falls. A total of 16 studies investigated the intervention for risk of falls for stroke survivors; three studies (67,79,81) were randomized controlled trials, two studies (56, 61) were a non-randomized controlled trial, 7 studies (60,63,65,69,75,77,78) were onegroup pre-post experiment, four studies were case reports (58,59,73,74) and one study was a protocol (80). The interventions identified from this review can be classified as conventional or technology-based methods.…”

Section: Review Findingsmentioning

confidence: 99%

“…Technology-based interventions identified from this review were Variable Automated Speed and Sensing Treadmill (VASST), virtual therapy exergame activity, multidirectional reach tool, home-based balance exercise, stepping response training using a Voluntary-induced Stepping Response (VSR), platform perturbation training using platform translation equipment (DST) and the BAL EX FOOT (61,63,65,67,73,74,78,79). Although all interventions claimed to be beneficial to stroke survivors, there was limited evidence to support the effectiveness of technology-based interventions over conventional ones.…”

Section: Conventional and Technology-based Interventionsmentioning

confidence: 99%

“…The multidirectional reach tool, virtual therapy exergame activity, and the VASST were found to have the potential to be implemented. The use of the multidirectional tool among stroke survivors saw improvements in balance as it resulted in increased Limits of Stability (LoS) and weight-bearing squats as well as awareness and practice of behaviors that could potentially protect against falling (67). The virtual therapy exergame study reported that both the intervention and control groups had significant improvements in functional mobility and lower limb strength after the intervention phase, indicating that substituting a portion of the standard physiotherapy time with virtual reality games was equally effective in maintaining physical function outcomes and activities of daily living among community-dwelling stroke survivors (61).…”

Section: Conventional and Technology-based Interventionsmentioning

confidence: 99%

“…Instruments established using research internationally were considered standardized, while researcher-developed instruments developed purposely for the study or instruments used that were not cited or not provided with evidence of publication were considered non-standardized. Standardized assessments identified are listed in Supplementary Table 3, while non-standardized assessments included self-reported falls (62,64,66,(76)(77)(78)(79) weight-bearing squat, gait symmetry parameters, speed and velocity stride length, step width, mediolateral and vertical pelvic displacement, external rotation of lower limb, center of pressure and limits of stability (56,58,59,66,67,74). The list of standardized assessments utilized in the included studies is shown in Table 1, with evidence of its validation in Southeast Asia.…”

Section: Outcome Measuresmentioning

confidence: 99%

See 4 more Smart Citations

Stroke Rehabilitation for Falls and Risk of Falls in Southeast Asia: A Scoping Review With Stakeholders' Consultation

Ainuddin

Romli

Hamid

et al. 2021

Front. Public Health

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Background: Research on rehabilitation for falls after stroke is warranted. However, published evidence on fall interventions with stroke survivors is limited and these are mainly international studies that may be less relevant for Southeast Asia.Objective: This review aims to systematically identify literature related to stroke rehabilitation for falls and risk of falls in Southeast Asia.Methods: A scoping review with stakeholders' consultation was implemented. An electronic search was conducted up to December 2020 on 4 databases (Medline, CINAHL, Scopus, ASEAN Citation Index). Only original studies conducted in Southeast Asia were selected.Results: The initial search yielded 3,112 articles, however, only 26 were selected in the final analysis. Most of the articles focused on physical rehabilitation and implemented conventional therapies. While the literature may reflect practice in Southeast Asia, stakeholders perceived that the literature was inadequate to show true practice, was not informative and missed several aspects such as functional, cognitive, and psychological interventions in managing falls. Individual-centric interventions dominated the review while community-based and environmental-focused studies were limited. Majority of the articles were written by physiotherapists while others were from physicians, occupational therapists, and an engineer but few from other healthcare practitioners (i.e., speech therapists, psychologists) or disciplines interested in falls.Conclusions: Falls prevention among stroke survivors has received a lack of attention and is perceived as an indirect goal in stroke rehabilitation in Southeast Asia. More innovative research adopted from falls research with older people is needed to advance falls prevention and intervention practice with stroke survivors.

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