Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

Effect of Balance Exercise with Sound Side Ankle Fixation on Balance and Gait Function of Subacute Stroke Patients

건측발목고정을 동반한 균형운동이 아급성기 뇌졸중 환자의 균형 조절능력 및 보행 기능에 미치는 영향

  • Yoon-Sung Ha (Department of Physical Therapy, Graduate School of Rehabilitation Science, Daegu University) ;
  • Ju-Hak Kim (Department of Rehabilitation Sciences, Graduate School, Daegu University ) ;
  • Myoung-Kwon Kim (Department of Physical Therapy, College of Rehabilitation Sciences, Daegu University)
  • 하윤성 (대구대학교 재활과학대학원 물리치료학과 ) ;
  • 김주학 (대구대학교 일반대학원 재활과학과) ;
  • 김명권 (대구대학교 재활과학대학 물리치료학과)
  • Received : 2024.06.17
  • Accepted : 2024.07.25
  • Published : 2024.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: This study examined the effects of balance exercises accompanied by ankle fixation on the healthy side on the balance control ability and gait of patients with subacute stroke. METHODS: The study was conducted on 23 patients with subacute stroke. Eleven people were assigned randomly to the experimental group who performed balance exercises with ankle fixation on the healthy side, and 12 were assigned to the control group who performed balance exercises without ankle fixation. The intervention was conducted for 30 minutes three times a week for four weeks. The Berg Balance Scale, a weight-bearing ratio measurement, was performed to evaluate the balance ability before and after intervention. The gait symmetry, walking speed, cadence, step length, and 10-meter walk test were conducted to evaluate the walking ability. RESULTS: A significant difference in the Berg Balance Scale was observed between before and after the intervention in the experimental group. A comparison of the two groups also revealed a significant difference. Significant differences in the gait symmetry, walking speed, and step length measurements were observed before and after the intervention in the experimental group, and significant differences in the gait symmetry and step length measurements were observed between the two groups. CONCLUSION: Through this study, balance exercises with the healthy side ankle fixed showed qualitative improvement in the balance and walking ability, suggesting future directions for the rehabilitation treatment of stroke patients.

Keywords

References

  1. Monica TJ, Montgomery T, Ayala JL, et al. Monitoring adenovirus infections with on-line and off-line methods. Biotechnol prog. 2000;16(5):866-71. 
  2. Kim M, Jeoung B. A systematic literature review to explore the effect of rehabilitation exercises on different onset periods of patients with stroke. Korean Journal of Adapted Physical Activity. 2023. 
  3. Den Otter A, Geurts A, Mulder T, et al. Gait recovery is not associated with changes in the temporal patterning of muscle activity during treadmill walking in patients with post-stroke hemiparesis. Clin Neurophysiol. 2006;117(1):4-15. 
  4. Basmajian J, Gowland C, Finlayson M, et al. Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Arch Phys Med Rehabil. 1987;68(5 Pt 1):267-72. 
  5. Youn H. The effects of biodex balance training to affected side by PLS and UD-Flex orthosis on ambulation speed and balance ability in hemiplegic patients. Korea University. Master's thesis. 2013. 
  6. Zachazewski JE, Eberle ED, Jefferies M. Effect of tone-inhibiting casts and orthoses on gait: a case report. Phys Ther. 1982;62(4):453-5. 
  7. Harburn KL, Hill KM, Kramer JF, et al. Clinical applicability and test-retest reliability of an external perturbation test of balance in stroke subjects. Arch Phys Med Rehabil. 1995;76(4):317-23. 
  8. Wall JC, Turnbull GI. Gait asymmetries in residual hemiplegia. Arch Phys Med Rehabil. 1986;67(8):550-3. 
  9. Lehmann JF, Esselman P, Ko M, et al. Plastic ankle-foot orthoses: evaluation of function. Arch Phys Med Rehabil. 1983;64(9):402-7. 
  10. Schaechter JD, Kraft E, Hilliard TS, et al. Motor recovery and cortical reorganization after constraint-induced movement therapy in stroke patients: a preliminary study. Neurorehabil Neural Repair. 2002;16(4):326-38. 
  11. Taub E. Somatosensory deafferentation research with monkeys: implications for rehabilitation medicine. Behavioral psychology in rehabilitation medicine: Clinical applications. 1980. 
  12. Page SJ, Sisto S, Levine P, et al. Efficacy of modified constraint-induced movement therapy in chronic stroke: a single-blinded randomized controlled trial. Arch Phys Med Rehabil. 2004;85(1):14-8. 
  13. Han J-T. Effects of Unilateral or Bilateral Ankle Immobilization on Postural Balance During Quiet Standing. KJPTS. 2022;29(3):56-62. 
  14. Kim J-R, Jung M-Y, Lee J-S, et al. Comparison of Effect Between Constraint-induced Movement Therapy (CIMT) and Forced Used (FU) Therapy for Hemiplegic Stroke Patients. Korean J of Occup Ther. 2008;16(2):1-13. 
  15. Lee J-W, Kwon O-Y, Yi C-H, et al. Effect of Ankle Strategy Exercise on Improvement of Balance in Elderly with Impaired Balance. KJHP. 2008;8(3):158-67. 
  16. Perrin DH. Athletic taping and bracing. Champaign, IL. Human Kinetics. 2005. 
  17. Faude O, Donath L, Roth R, et al. Reliability of gait parameters during treadmill walking in community-dwelling healthy seniors. Gait & posture. 2012;36(3): 444-8. 
  18. Berg K. Measuring balance in the elderly: Development and validation of an instrument. 1992. 
  19. Lee K-J, Song C-H, Shin S-H, et al. Effects of balance exercise program on balance, gait, and proprioception in older adults with diabetic neuropathy. The Journal of the Korean Gerontological Society. 2010;30(2):385-99. 
  20. Bogle Thorbahn LD, Newton RA. Use of the berg balance test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-83. 
  21. Dean CM, Richards CL, Malouin F. Walking speed over 10 metres overestimates locomotor capacity after stroke. Clin Rehabil. 2001;15(4):415-21. 
  22. Dobkin BH. Short-distance walking speed and timed walking distance: redundant measures for clinical trials? Neurology. 2006;66(4):584-6. 
  23. Kim HM, Chun MH, Kim CR, et al. Effects of dynamic ankle-foot orthosis on postural balance control in hemiparetic patients. J Korean Acad Rehabil Med. 2011;35(35):188-94. 
  24. Lee S-C. Effect of constraint induced movement therapy and motion observation training on the upper limb functions and activity of daily living of stroke patients. Daegu University, master's thesis. 2021. 
  25. e Silva EMGdS, Ribeiro TS, da Silva TCC, et al. Effects of constraint-induced movement therapy for lower limbs on measurements of functional mobility and postural balance in subjects with stroke: a randomized controlled trial. Top Stroke Rehabil. 2017;24(8):555-61. 
  26. Kim S-M, Kang S-h. The effects of task-oriented circuit training using unstable surface on balance, walking and balance confidence in subacute stroke patients. KSIM. 2021;9(4):211-23. 
  27. Silver KH, Macko RF, Forrester LW, et al. Effects of aerobic treadmill training on gait velocity, cadence, and gait symmetry in chronic hemiparetic stroke: a preliminary report. Neurorehabil Neural Repair. 2000;14(1):65-71. 
  28. Lee J, Lee K-N. Effects of single-leg stance training of the involved leg on standing balance and mobility in patients with subacute hemiplegia. J Kor Phys Ther. 2011;23(4):1-6. 
  29. Morris JH, van Wijck F, Joice S, et al. A comparison of bilateral and unilateral upper-limb task training in early poststroke rehabilitation: a randomized controlled trial. Arch Phys Med Rehabil. 2008;89(7):1237-45. 
  30. Bang D-H, Choi S-J, Shin W-S. The Effects of the modified Constraint-Induced Movement Therapy on Upper Function and Activities of Daily Living in Subacute Stroke Patients. J Korean Soc Phys Med. 2013;8(2):245-52.