The Effect of Balance Training on Balance Performance in Individuals Poststroke

2010 ◽  
Vol 34 (3) ◽  
pp. 127-137 ◽  
Author(s):  
Anat Lubetzky-Vilnai ◽  
Deborah Kartin
2021 ◽  
Author(s):  
Cátia Paixão ◽  
Patrícia Rebelo ◽  
Ana Oliveira ◽  
Cristina Jácome ◽  
Joana Cruz ◽  
...  

Abstract Objective The Brief-Balance Evaluation Systems Test (Brief-BESTest) is a comprehensive, reliable, and valid balance test that provides valuable information to guide balance training in people with chronic obstructive pulmonary disease (COPD). Its clinical interpretability is, however, currently limited, as cutoff points to identify clinically relevant changes in people with COPD after pulmonary rehabilitation are still lacking. This study aimed to establish the responsiveness and minimal clinically important difference (MCID) for the Brief-BESTest in people with COPD after pulmonary rehabilitation (PR). Methods A secondary analysis of data from 2 previous studies was conducted. The modified British Medical Research Council (mMRC) dyspnea scale, the 6-Minute Walk Test (6-MWT), and the Brief-BESTest (0–24 points) were collected in people with COPD pre/post a 12-week PR program including balance training. The MCID was computed using anchor- and distribution-based methods. Changes in the 6-MWT and the mMRC were assessed and used as anchors. The pooled MCID was computed using the arithmetic weighted mean (2/3 anchor- and 1/3 distribution-based methods). Results Seventy-one people with COPD [69 years (SD = 8); 76% male; FEV1 = 49.8%predicted (SD = 18%)] were included. There was a significant improvement in the Brief-BESTest after PR [mean difference = 3 points (SD = 3)]. Significant correlations were found between the Brief-BESTest and the mMRC (r = −.31) and the 6-MWT (r = .37). The pooled MCID was 3.3 points. Conclusion An improvement of at least 3 points in the Brief-BESTest in people with COPD will enhance the interpretability of PR effects on balance performance of this population and guide tailored interventions. Impact The Brief-BESTest outcome measure is comprehensive, easily administered, and simple to interpret in clinical practice. This study represents a significant contribution toward the clinical interpretation of changes in balance in people with COPD following PR.


Author(s):  
Simon Schedler ◽  
Florian Tenelsen ◽  
Laura Wich ◽  
Thomas Muehlbauer

Abstract Background Cross-sectional studies have shown that balance performance can be challenged by the level of task difficulty (e.g., varying stance conditions, sensory manipulations). However, it remains unclear whether the application of different levels of task difficulty during balance training (BT) leads to altered adaptations in balance performance. Thus, we examined the effects of BT conducted under a high versus a low level of task difficulty on balance performance. Methods Forty male adolescents were randomly assigned to a BT program using a low (BT-low: n = 20; age: 12.4 ± 2.0 yrs) or a high (BT-high: n = 20; age: 12.5 ± 2.5 yrs) level of balance task difficulty. Both groups trained for 7 weeks (2 sessions/week, 30–35 min each). Pre- and post-training assessments included measures of static (one-legged stance [OLS] time), dynamic (10-m gait velocity), and proactive (Y-Balance Test [YBT] reach distance, Functional Reach Test [FRT]; Timed-Up-and-Go Test [TUG]) balance. Results Significant main effects of Test (i.e., pre- to post-test improvements) were observed for all but one balance measure (i.e., 10-m gait velocity). Additionally, a Test x Group interaction was detected for the FRT in favor of the BT-high group (Δ + 8%, p < 0.001, d = 0.35). Further, tendencies toward significant Test x Group interactions were found for the YBT anterior reach (in favor of BT-high: Δ + 9%, p < 0.001, d = 0.60) and for the OLS with eyes opened and on firm surface (in favor of BT-low: Δ + 31%, p = 0.003, d = 0.67). Conclusions Following 7 weeks of BT, enhancements in measures of static, dynamic, and proactive balance were observed in the BT-high and BT-low groups. However, BT-high appears to be more effective for increasing measures of proactive balance, whereas BT-low seems to be more effective for improving proxies of static balance. Trial registration Current Controlled Trials ISRCTN83638708 (Retrospectively registered 19th June, 2020).


2015 ◽  
Vol 45 (12) ◽  
pp. 1721-1738 ◽  
Author(s):  
Melanie Lesinski ◽  
Tibor Hortobágyi ◽  
Thomas Muehlbauer ◽  
Albert Gollhofer ◽  
Urs Granacher

2020 ◽  
Vol 6 (2) ◽  
pp. 170
Author(s):  
Esin Ergin ◽  
Engin Arslan

The present study aimed to examine the effect of an 8-week balance training on the agility, strength, balance performance and tennis skills of tennis players aged 10-14. The study was participated by 19 tennis players (10 males and 9 females) playing in the EA Tennis Academy. The participants were selected randomly and divided into two groups as experimental group (9 players) and the control groups (10 players). Firstly, vertical jump, pro-agility, dynamic balance and ITN tennis skills tests were applied to all the participants. After all the test were completed, the experimental group were applied 8 weeks of balance and tennis training while the players in the control group continued tennis training only. The same tests were applied to the participants at the end of the 8 weeks. The findings of the study showed statistically significant improvement in the agility, balance index and tennis skills tests in the pre-test and post-tests of the experimental group (p = 0.034, p = 0.025, p = 0.003), whereas improvement was seen only in the tennis skills test of the control group (p = 0.000). In addition, no statistically significant difference was found in the vertical jump performance used to determine the explosive strength both in the experimental and control groups. As for the difference between groups, a significant difference was found only in the pro-agility post-tests of the experimental and control groups (p < 0.05). Based on these findings, it was revealed that balance training would improve agility and balance in 10-14 year-old children as well as contributing to their tennis skills. Therefore, it is considered that balance training should be included in training plans.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Thomas Muehlbauer ◽  
Leander Abel ◽  
Simon Schedler ◽  
Stefan Panzer

Abstract Objective While there is evidence on the short-term effects of unilateral balance training (BT) on bipedal balance performance, less is known on the acute effects of unilateral BT on unilateral (i.e., ipsi- and contralateral) balance performance. Thus, the present study examined the acute effects of a single unilateral BT session conducted with the non-dominant, left leg or the dominant, right leg on ipsilateral (i.e. retention) and contralateral (i.e., inter-limb transfer) balance performance in healthy young adults (N = 28). Results Irrespective of practice condition, significant improvements (p < 0.001, d = 1.27) in balance performance following a single session of unilateral BT were observed for both legs. Further, significant performance differences at the pretest (p = 0.002, d = 0.44) to the detriment of the non-dominant, left leg diminished immediately and 30 min after the single unilateral BT session but occurred again 24 h following training (p = 0.030, d = 0.36). These findings indicate that a single session of unilateral BT is effective to reduced side-to-side differences in balance performance, but this impact is only temporary.


2021 ◽  

Background and objective: Adolescence is a period when balance and coordination decrease as a result of rapid musculoskeletal growth. These changes may affect various sports-specific skills, including balance. This study aimed to examine the changes in balance performance and basketball passing speed in male youth basketball players following six weeks of balance training performed on unstable versus stable surfaces. Methods: Twenty-five male basketball players, mean age 15.53 ± 0.57 years, participated in balance training on different surfaces (unstable surface (US, n = 13); stable surface (SS, n = 12)) for six weeks (2 days/week; 35 to 50 min/day, incrementally). Their physical characteristics, passing skills (passing accuracy and speed test) and balance performance (Y-Balance Test and The Closed Kinetic Chain Upper Extremity Stability Test) were measured. Results: The improvement rates for passing accuracy (effect size (ES) = 0.86, moderate, P < 0.001), lower extremity (ES right = 0.94, moderate, P < 0.001; ES left = 0.88, moderate, P < 0.001) and upper extremity (ES right = 1.01, moderate, P < 0.001; ES left = 0.94, moderate, P < 0.001) balance scores, upper extremity stability test power (ES = 0.89, P ≤ 0.001) and the normalized scores (ES = 1.20, moderate, P < 0.001) of the US group were higher than those of the SS group. Passing speed significantly increased only in the US group (P < 0.028). Conclusion: A multi-dimensional surface training model improved balance performance and passing accuracy skills compared to a stable surface training model for male basketball players. US balance training may be used as a complementary training model to increase dynamic balance and passing accuracy skills for male basketball players.


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