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Kicking a Ball on Balance and Upper Limb Function in Chronic Stroke

  • Jeoungah, Ahn (Department of Physical Therapy, Graduate School, Daegu Catholic University) ;
  • Joong Hwi, Kim (Department of Physical Therapy, College of Biomedi, Daegu Catholic University)
  • 투고 : 2022.09.23
  • 심사 : 2022.12.15
  • 발행 : 2022.12.31

초록

Purpose: This study describes the effects of kicking a ball training on balance and upper limb function in chronic hemiplegia. Methods: Thirty chronic stroke patients were randomly selected; Kicking a ball (n=10), Treadmill gait (n=10), Stepping on the ground group (n=10). The Short Physical Performance Battery (SPPB) for balance and Foot Scan for weight distribution. Upper limb function was measured by the Manal Function Test (MFT). This treatment was performed five times a week for a total of 4 weeks. Results: Kicking group was significantly increased in SPPB (p<0.05) and MFT (p<0.05) between pretest vs post test and pretest vs follow-up. Conclusion: Kicking a ball was effective for improving weight acceptance on the paretic leg, balance and upper limb function. However, In terms of balance, the core stabilization that affected the upper extremity function was not evaluated. Thus, additional research may help determine correlation between core stability and upper limb function to improve balance.

키워드

참고문헌

  1. Hobbs B, Artemiadis P. A review of robot-assisted lower-limb stroke therapy: unexplored paths and future directions in gait rehabilitation. Front Neurorobot. 2020;14:1-16.  https://doi.org/10.3389/fnbot.2020.00001
  2. Belgen B, BeninatoM, Sullivan PE et al. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Arch Phys Med Rehabil. 2006;87(4):554-61.  https://doi.org/10.1016/j.apmr.2005.12.027
  3. Titus AW, Hillier S, Louw QA. An analysis of trunk kinematics and gait parameters in people with stroke. Afr J Disabil. 2018;7(1):1-6. 
  4. Mercer VS, Chang S, Purser JL. Paretic lower extremity loading and weight transfer following stroke. J Neurol Phys Ther. 2005;29(4):196-7.  https://doi.org/10.1097/01.NPT.0000282339.03005.fe
  5. Laufer Y. The use of walking aids in the rehabilitation of stroke patients. Rev Clin Gerontol. 2004;14(2):137-44.  https://doi.org/10.1017/S0959259805001449
  6. Yamamoto H, Takeda K, Koyama S et al. Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: a cross-sectional study. Hong Kong J Occup Ther. 2020;33(1):12-7.  https://doi.org/10.1177/1569186120926609
  7. Song JM, Kim JS, Kim SM. The effect of balance training with upper extremity exercise on the improvement of balance performance after stroke. Korea PT. 2007;14(4):75-83. 
  8. Fujita T, Sato A, Togashi Y et al. Identification of the affected lower limb and unaffected side motor functions as determinants of activities of daily living performance in stroke patients using partial correlation analysis. J Phys Ther Sci. 2015;27(7):2217-20.  https://doi.org/10.1589/jpts.27.2217
  9. Kamphuis JF, de Kam D, Geurts AC et al. Is weight-bearing asymmetry associated with postural instability after stroke? a systematic review. Stroke Res Treat. 2013;2013:692137.  https://doi.org/10.1155/2013/692137
  10. Salbach NM, Mayo NE, Robichaud-Ekstrand S et al. The effect of a task-oriented walking intervention on improving balance self-efficacy post-stroke: a randomized, controlled trial. J Am Geriatr Soc. 2005;53(4):576-82.  https://doi.org/10.1111/j.1532-5415.2005.53203.x
  11. Wu C, Chen C, Tsai W et al. A randomized controlled trial of modified constraint-induced movement therapy for elderly stroke survivors: changes in motor impairment, daily functioning, and quality of life. Arch Phys Med Rehabil. 2007;88:273-8.  https://doi.org/10.1016/j.apmr.2006.11.021
  12. Kollen BJ, Lennon S, Lyons B et al. The effectiveness of the Bobath concept in stroke rehabilitation: what is the evidence? Stroke. 2009;40(4):e89-97. 
  13. Goo BO, Shim JM, Lee SY. The effect of functional weight bearing exercise on balance and gait in stroke. J Korean Soc Phys Med. 2010;5(1):35-42. 
  14. Lee JS, Nam KW, Kim KY et al. Effect of weight bearing exercise on weight bearing and balance for patients with chronic stroke. J Kor Phys Ther. 2012;24(4):253-61. 
  15. Santos MJ, Conceicao J, de Araujo FG et al. Changes in postural control after a ball-kicking balance exercise in individuals with chronic ankle instability. J Athl Train. 2016;51(6):480-90.  https://doi.org/10.4085/1062-6050-51.8.02
  16. Ersoy C, Iyigun G. Boxing training in patients with stroke causes improvement of upper extremity, balance, and cognitive functions but should it be applied as virtual or real? Top Stroke Rehabil. 2021;28(2):112-26.  https://doi.org/10.1080/10749357.2020.1783918
  17. Gomez JF, Curcio CL, Alvarado B et al. Validity and reliability of the Short Physical Performance Battery (SPPB): a pilot study on mobility in the Colombian Andes. Colomb Med (Cali). 2013;44(3):165-71. 
  18. Hwang DG, Kim JH. Relation between weight bearing ratio in the standing posture immediately after performing standing task and balance and functional ambulation in stroke patients. J Kor Phys Ther. 2015;27(5):320-4.  https://doi.org/10.18857/jkpt.2015.27.5.320
  19. Miyamoto S, Kondo T, Suzukamo Y et al. Reliability and validity of the manual function test in patients with stroke. Am J Phys Med Rehabil. 2009;88(3):247-55.  https://doi.org/10.1097/PHM.0b013e3181951133
  20. Cho JC, Lee ES, Lee SW. Effects of body weight-supported treadmill training combined with ball-kicking on balance and gait of subacute stroke patients. Phys Ther Rehabil Sci. 2015;4(2):73-8.  https://doi.org/10.14474/ptrs.2015.4.2.73
  21. Tracey SY, Anderson DI, Hamel KA et al. Kicking performance in relation to balance ability over the support leg. Hum Mov Sci. 2012;31(6):1615-23.  https://doi.org/10.1016/j.humov.2012.07.001
  22. Park DS, Lee DG, Lee K et al. Effects of virtual reality training using Xbox kinect on motor function in stroke survivors: a preliminary study. J Stroke Cerebrovasc Dis. 2017;26(10):2313-9.  https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.05.019
  23. Andersson P, Erika F. Effects of weight-shift training on walking ability, ambulation, and weight distribution in individuals with chronic stroke. Top Stroke Rehabil. 2015;22(6):437-43.  https://doi.org/10.1179/1074935715z.00000000052
  24. Jackson K, Edginton-Bigelow K, Cooper C et al. A group kickboxing program for balance, mobility, and quality of life in individuals with multiple sclerosis: a pilot study. J Neurol Phys Ther. 2012;36(3):131-7.  https://doi.org/10.1097/NPT.0b013e3182621eea
  25. Gjelsvik BEB, Syre Line. The bobath concept in adult neurology. 1st ed. Leipzig, Thieme, 2008:67-90.