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The Effect of Trunk Stabilization Exercise Using a Reformer on Trunk Control Ability, Balance, and Gait Function in Chronic Stroke Patients

리포머를 이용한 체간 안정화 운동이 만성 뇌졸중 환자의 체간 조절 능력과 균형 및 보행 기능에 미치는 영향

  • Sang-Yong Han (Department of Physical Therapy, College of Health Sciences, Kyungnam University) ;
  • Seong-Ho Jo (Department of Physical Therapy, College of Health Sciences, Kyungnam University) ;
  • Dong-Hwan Park (Department of Physical Therapy, College of Health Sciences, Kyungnam University)
  • 한상용 (경남대학교 대학원 물리치료학과) ;
  • 조성호 (경남대학교 대학원 물리치료학과) ;
  • 박동환 (경남대학교 대학원 물리치료학과)
  • Received : 2024.05.24
  • Accepted : 2024.06.28
  • Published : 2024.08.31

Abstract

Purpose: This study aimed to evaluate the effects of trunk stabilization exercises using a Reformer on trunk control, balance ability, and gait function in chronic stroke patients. Methods: The participants were 24 chronic stroke patients, randomly divided into two groups: trunk stabilization exercise using the Reformer group (TS-R, n = 12) and general trunk stabilization exercise group (GT-E, n = 12). Assessment methods included the Trunk Impairment Scale for trunk control, the AMTI force platform for static balance, the Timed Up and Go test for dynamic balance, and the Dynamic Gait Index for gait function. Assessments were conducted before and after the intervention. The intervention for the TS-R group consisted of bridging exercises using a Reformer, while the GT-E group performed bridging exercises on a mat. All interventions were performed for 17 minutes per session, five times a week, for a total of 20 sessions over four weeks. Statistical analysis was performed using repeated-measures ANOVA to analyze the interaction between groups and time. Results: The results of the repeated measures ANOVA indicated a significant interaction between the groups and time. The TS-R group showed statistically significant differences in all variables before and after the intervention. In contrast, the GT-E group did not show statistically significant differences in any variables before and after the intervention. Conclusion: The findings of this study suggest that trunk stabilization exercises using a reformer are effective in improving trunk control, balance ability, and gait function in chronic stroke patients.

Keywords

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