Trunk Training Following Stroke

Abstract

runk training literature suggests beneficial effects for improving motor and functional outcome after stroke but the summarized effect on independence in activities of daily living (ADL) is unclear. In this Cochrane review, we provided an updated overview on the effectiveness of trunk training on ADL compared with both nondose-matched (trials with more training duration in the experimental compared with the control intervention) and dose-matched control groups (trials with equal training duration in the experimental and control intervention). SEARCH METHODSWe searched the Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, and 5 other databases to October 25, 2021. SELECTION CRITERIAWe selected randomized controlled trials comparing trunk training versus nondose-matched or dosematched control therapy including adults (18 years or older) with either ischemic or hemorrhagic stroke. Primary outcome measure was ADL and secondary outcomes included trunk function, arm-hand function and activity, standing balance, leg function, walking ability, and quality of life.

Relationship between motor dysfunction, the respiratory muscles and pulmonary function in stroke patients with hemiplegia: a retrospective study

“…Abnormalities in trunk control, such as reduced abdominal muscle activity and loss of selective trunk activity, results in the loss of flexion, rotation, and lateral flexion movements of the torso, as well as a lack of synchronized activation between the trunk and limb muscles [4]. Trunk dysfunction after stroke also produces impaired balance and physical activities essential for daily living [5]. Hyperactive back extensor muscle activity in patients often leads to abnormal lifting of the ribs and chest, which reduces the range of motion of the diaphragm and affects the activity of abdominal and deep core muscles [6], ultimately having an impact on lung capacity [7].…”