Effectiveness of Balance Training and Postural Stability in Post Stroke Patients; Randomized Control Trial

Balance Training and Postural Stability in Post Stroke Patients

Authors

  • Hayatullah Khalid Multan Medical and Dental College
  • Salman Latif Physical Therapy and Rehabilitation Association Pakistan
  • Rabia Majeed University of Management and Technology Lahore
  • Danish Latif Bharia University Health Sciences
  • Mahnoor Bugti Baqi Medical University
  • Rameela Jabbar Emaan Hospital
  • Shoukat Hayat Isra Institute of Rehabilitation Sciences
  • Muhammad Anees Farooque Shaheed Zulfiqar Ali Bhutto Medical University

DOI:

https://doi.org/10.54393/pbmj.v5i4.365

Keywords:

Balance coordination, Sensory Input, Stroke Rehabilitation, Balance Training, Postural stability

Abstract

When balance impairment and functional disorientation emerge after a stroke, balance incoordination is one of the most common complications. The basic goal of stroke rehabilitation is to improve postural stability. Balance training combined with sensory integration appears to be beneficial. The goal of this study was to assess the effects of task-oriented balance training with and without sensory input on postural stability and balance coordination in stroke patients. A total of 60 stroke patients participated in this randomised control experiment. Both genders with a stroke age of over 40 years, able to stand for at least 5 minutes without assistance, and patients with functional mobility grades of 2, 3, and 4 were included in the study. The Berg Balance Scale was utilised to assess each group, which had 40-minute training sessions three times a week for six weeks. The baseline 3rd week and the last 6th week were used to evaluate the participants. Both groups showed considerable improvement in the Berg Balance Scale after 6 weeks of treatment. The (p=0.004) in the control group, but (p=0.001) in the experimental group. BESS also demonstrated significant development in both the experimental and control groups, with p values (p0.001) for each group. In this study, task-oriented balance training with sensory input showed greater improvement in balance coordination and postural stability in stroke patients than task-oriented balance exercises without sensory integration.

References

Cordun, M., & Marinescu, G. A. (2014). Functional Rehabilitation Strategies for the Improvement of Balance in Patients with Hemiplegia after an Ischemic Stroke. Procedia - Social and Behavioral Sciences, 117, 575–580.

Palmer, A. J., Valentine, W. J., Roze, S., Lammert, M., Spiesser, J., & Gabriel, S. (2004). Overview of costs of stroke from published, incidence-based studies spanning 16 industrialized countries. Current Medical Research and Opinion, 21(1), 19–26.

https://doi.org/10.1185/030079904x17992

Bayouk, J. F., Boucher, J. P., & Leroux, A. (2006). Balance training following stroke: effects of task-oriented exercises with and without altered sensory input. International

Journal of Rehabilitation Research, 29(1), 51–59.

https://doi.org/10.1097/01.mrr.0000192100.67425.84

Johansson, B. B. (2010). Current trends in stroke rehabilitation. A review with focus on brain plasticity. Acta Neurologica Scandinavica, 123(3), 147–159. https://doi.org/10.1111/j.1600-0404.2010.01417.x

CHAIYAWAT, P., & KULKANTRAKORN, K. (2012). Randomized controlled trial of home rehabilitation for patients with ischemic stroke: impact upon disability and elderly depression. Psychogeriatrics, 12(3), 193–199. https://doi.org/10.1111/j.14798301.2012.00412.x

Rajar, S., Memon, . S. I., Afzal, . K., Payal, ., Rabiqa, . & Hasnain, . S. M. (2021) Prevalence of balance in female throw ball athletes: a descriptive study. Rawal Medical Journal, 46 (2), 453-456

Green, J., Forster, A., Bogle, S., & Young, J. (2002). Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial. The Lancet,

(9302), 199–203. https://doi.org/10.1016/s0140-6736(02)07443-3

Haruyama, K., Kawakami, M., & Otsuka, T. (2016). Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients. Neurorehabilitation and Neural Repair, 31(3), 240–249. https://doi.org/10.1177/1545968316675431

Haruyama, K., Kawakami, M., & Otsuka, T. (2016). Effect of Core Stability Training on Trunk Function, Standing Balance, and Mobility in Stroke Patients. Neurorehabilitation and Neural Repair, 31(3), 240–249. https://doi.org/10.1177/1545968316675431

Ferri, C. P., Schoenborn, C., Kalra, L., Acosta, D., Guerra, M., Huang, Y., Jacob, K. S., Llibre Rodriguez, J. J., Salas, A., Sosa, A. L., Williams, J. D., Liu, Z., Moriyama, T., Valhuerdi, A., & Prince, M. J. (2011). Prevalence of stroke and related burden among older people living in Latin America, India and China. Journal of Neurology, Neurosurgery & Psychiatry, 82(10), 1074–1082.

Toni, D., di Angelantonio, E., di Mascio, M. T., Vinisko, R., & Bath, P. M. (2013). Types of Stroke Recurrence in Patients with Ischemic Stroke: A Substudy from the PRoFESS Trial. International Journal of Stroke, 9(7), 873–878.

Foley N, Teasell R, Jutai J, Bhogal S, Kruger E. Upper extremity interventions. Evidencebased review of stroke rehabilitation. 2013;10

Yelnik, A. P., le Breton, F., Colle, F. M., Bonan, I. V., Hugeron, C., Egal, V., Lebomin, E.,

Regnaux, J. P., Pérennou, D., & Vicaut, E. (2008). Rehabilitation of Balance After Stroke

With Multisensorial Training: A Single-Blind Randomized Controlled Study.

Neurorehabilitation and Neural Repair, 22(5), 468–476. https://doi.org/10.1177/1545968308315996

Orrell, A. J., Eves, F. F., & Masters, R. S. (2006). Motor Learning of a Dynamic Balancing Task After Stroke: Implicit Implications for Stroke Rehabilitation. Physical Therapy,

(3), 369–380. https://doi.org/10.1093/ptj/86.3.369

Rajar, S., Memon, . S. I., Afzal, . K., Payal, ., Rabiqa, . & Hasnain, . S. M. (2021) Prevalence of balance in female throw ball athletes: a descriptive study. Rawal Medical Journal, 46 (2), 453-456

Park, M. H., & Won, J. I. (2017). The effects of task-oriented training with altered sensory input on balance in patients with chronic stroke. Journal of Physical Therapy Science, 29(7), 1208–1211. https://doi.org/10.1589/jpts.29.1208

Yelnik, A. P., le Breton, F., Colle, F. M., Bonan, I. V., Hugeron, C., Egal, V., Lebomin, E.,

Regnaux, J. P., Pérennou, D., & Vicaut, E. (2008). Rehabilitation of Balance After Stroke

With Multisensorial Training: A Single-Blind Randomized Controlled Study.

Neurorehabilitation and Neural Repair, 22(5), 468–476. https://doi.org/10.1177/1545968308315996

Kuberan, P., K, V. K., Joshua, A. M., Misri, Z., & Chakrapani, M. (2017). Effects of Task Oriented Exercises with Altered Sensory Input on Balance and Functional Mobility in

Chronic Stroke: A Pilot Randomized Controlled Trial. Bangladesh Journal of Medical Science, 16(2), 307–313. https://doi.org/10.3329/bjms.v16i2.24953

Peterka, R. J. (2002). Sensorimotor Integration in Human Postural Control. Journal of

Neurophysiology, 88(3), 1097–1118. https://doi.org/10.1152/jn.2002.88.3.1097

Morioka, S., & Yagi, F. (2003). Effects of perceptual learning exercises on standing balance using a hardness discrimination task in hemiplegic patients following stroke: a randomized controlled pilot trial. Clinical Rehabilitation, 17(6), 600–607. https://doi.org/10.1191/0269215503cr654oa

Choi, J. U., & Kang, S. H. (2015). The effects of patient-centered task-oriented training on balance activities of daily living and self-efficacy following stroke. Journal of Physical

Therapy Science, 27(9), 2985–2988. https://doi.org/10.1589/jpts.27.2985

Downloads

Published

2022-04-30

How to Cite

Khalid, H. ., Latif, S. ., Majeed, R. ., Latif, D. ., Bugti, M. ., Jabbar, R. ., Hayat, S. ., & Farooque, M. A. . (2022). Effectiveness of Balance Training and Postural Stability in Post Stroke Patients; Randomized Control Trial: Balance Training and Postural Stability in Post Stroke Patients. Pakistan BioMedical Journal, 5(4), 86–89. https://doi.org/10.54393/pbmj.v5i4.365

Issue

Section

Original Article