scholarly journals Effects of tele-rehabilitation mental practice on balancing performance of patients with hemiplegia

2018 ◽  
Vol 10 (1) ◽  
pp. 95-100
Author(s):  
So Yeon Kim ◽  
Su Jin Park ◽  
Ye Eun Lee ◽  
Eun Ha Lee ◽  
Hwa Yeong Lim ◽  
...  
Keyword(s):  
Distribution Ratio ◽  
Weight Distribution ◽  
Balance Training ◽  
Berg Balance Scale ◽  
Mental Practice ◽  
Stroke Patients ◽  
Post Intervention ◽  
Significant Difference ◽  
Balance Ability ◽  
The Right

Summary Study aim: The purpose of this study was to confirm the effectiveness of tele-rehabilitation mental practice (TRMP) on balanc­ing performance for patients with hemiplegia. Material and methods: This study included five stroke patients, and all participants were trained to help to recover balancing performance. TRMP was applied for a total of 15 training sessions for 3 weeks, and pre- and post-intervention evaluations were carried out during this study. The Berg Balance Scale was used to confirm the balance ability, the Modified Falls Efficacy Scale to confirm the falls efficacy, and the Wii program to confirm the right and left weight distribution ratio. Results: As a result of this study, we could not confirm a significant difference between pre- and post-intervention balance ca­pacity and fall efficacy. However, weight distribution showed a significant difference after the intervention. Conclusion: TRMP may be applied in novel balance training for stroke patients.

scholarly journals Use of visual feedback for balance training in hemiparetic Stroke patients

2015 ◽  
Vol 28 (2) ◽  
pp. 241-249
Author(s):  
Fabiane Maria Klitzke dos Santos ◽  
Franciely Voltolini Mendes ◽  
Simone Suzuki Woellner ◽  
Noé Gomes Borges Júnior ◽  
Antonio Vinicius Soares
Keyword(s):  
Visual Feedback ◽  
Visual Information ◽  
Statistical Significance ◽  
Balance Training ◽  
Berg Balance Scale ◽  
Functional Mobility ◽  
Stroke Patients ◽  
Intergroup Comparison ◽  
Hemiparetic Stroke ◽  
Balance Board

Introduction Hemiparetic Stroke patients have their daily activities affected by the balance impairment. Techniques that used visual information for training this impairment it seems to be effective. Objective To analyze the effects of the unstable balance board training and compare two ways of visual feedback: the biomechanical instrumentation and the mirror. Materials and methods Eight chronic hemiparetic Stroke patients participated in the research, randomized in two groups. The first group (G1) accomplished the training with biomechanical instrumentation, and the second group (G2) trained in front of the mirror. Sixteen training sessions were done with feet together, and feet apart. The evaluation instruments that were used before and after the period of training were the Time Up and Go Test (TUGT), Berg Balance Scale (BBS) and the Instrumented Balance Board (IBB), that quantified the functional mobility, the balance and the posture control respectively. Results The TUGT showed significant results (p < 0.05) favorable to G1. Despite the results of BBS were significant for G2, the intergroup comparison did not reveal statistical significance. Both groups obtained decrease in levels of IBB oscillation, what can indicate a higher stability, however the results did not indicate statistical significance (p > 0.05). A strong correlation between all the applied tests was observed in this research. Conclusion Although the advantages found were different between the groups, in both it could be observed that the training brought benefits, with the transference to the functional mobility.

scholarly journals Balance Training with Electromyogram-Triggered Functional Electrical Stimulation in the Rehabilitation of Stroke Patients

2020 ◽  
Vol 10 (2) ◽  
pp. 80
Author(s):  
Kyeongjin Lee
Keyword(s):  
Muscle Activation ◽  
Dynamic Balance ◽  
Balance Training ◽  
Control Group ◽  
Static Balance ◽  
Stroke Patients ◽  
Ankle Muscle ◽  
Balance Ability ◽  
Leg Muscle ◽  
Experimental Group

This study was conducted to investigate the effects of balance training with electromyogram-triggered functional electrical stimulation (EMG-triggered FES) to improve static balance, dynamic balance, and ankle muscle activation in stroke patients. Forty-nine participants (>6 months after stroke) were randomly assigned to the experimental group (n = 25) and the control group (n = 24). The experimental group underwent balance training with EMG-triggered FES for 40 min a day, 5 days a week, for a 6-week period in addition to general rehabilitation. The control group underwent balance training without EMG-triggered FES along with conventional therapy. Outcome measures included static balance ability, dynamic balance ability, and leg muscle activation. The static and dynamic balance abilities were significantly improved after intervention in both groups (p < 0.05), although the experimental group showed considerably greater improvement than the control group (p < 0.05). Leg muscle activation on the affected side resulted in significant improvements in the experimental group (p < 0.05) when compared with baseline but not in the control group. Balance training with EMG-triggered FES is an acceptable and effective intervention to improve the static balance, dynamic balance, and ankle muscle activation in stroke patients.

scholarly journals Clinical Evidence Based Nursing (EBNP) Penggunaan Berg Balance Scale Untuk Mengkaji Keseimbangan Pada Pasien Stroke

JKEP ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 219-231
Author(s):  
Dwi Kartika Rahayuningtyas ◽  
Ratna Sitorus ◽  
I Made Kariasa ◽  
Yunisar Gultom
Keyword(s):  
Clinical Evidence ◽  
Balance Training ◽  
Berg Balance Scale ◽  
The Body ◽  
Balance Assessment ◽  
Stroke Patients ◽  
Static State ◽  
Dynamic Conditions ◽  
Balance Scale ◽  
Evidence Based Nursing

Stroke can affect balance. Balance is the ability to maintain the body in a balanced position both in static and dynamic conditions. However, the assessment of the existing balance is only done in a static state in stroke patients. The balance assessment describes the balance of stroke patients so that they can be written on asessment form and the transfer record and can determine the need for balance training as one of the rehabilitation of stroke patients. This EBN application aims to find out the use of Berg Balance Scale to assess the balance of both static and dynamic conditions in stroke patients. The method used is conducting PICO analysis, searching database, critical appraisal, and determining relevant journals. EBN implementation was carried out on 10 people who had a stroke in zone A on the 5th floor of Building A RSUPN Dr. Cipto Mangunkusumo. This study uses the Berg Balance Scale scale in Indonesian. The analysis showed that stroke patients who experienced balance disorders were 7 people and did not experience a balance of 3 people BBS can assess the balance of stroke patients in accordance with existing evidence. BBS can be used as a balance assessment in stroke patients.

Effect of Swiss Ball Training on Balance and Postural Stability in Stroke Patient

2021 ◽  
Vol 15 (12) ◽  
pp. 3527-3529
Author(s):  
Nadia Gul ◽  
Sara Mumtaz ◽  
Hafiza Murium Ghani ◽  
Ambreen Iqbal ◽  
Samia Imtiaz ◽  
...  
Keyword(s):  
Postural Stability ◽  
Berg Balance Scale ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Trial Methodology ◽  
Paired Sample ◽  
Intervention Level ◽  
Significant Difference ◽  
Swiss Ball

Stroke is sudden loss of neurological function. It is caused by interruption in cerebral blood flow. Objectives: To analyze the difference in the balance and postural stability score pre &post swiss ball training in stroke patients. Study Design: Randomized control trial. Methodology: This study was performed on stroke patients which are selected according to inclusion and exclusion criteria. The patients were allocated randomly into two groups, experimental group with exercises being performed on swiss ball and control group with exercises performed as per conventional methods with no additional intervention. Statistical analysis: SPSS software, v 20 analyzed data. Independent samples t test and paired sample test were applied. Results: The results showed mean difference of Berg Balance Scale at pre-intervention level and post-interventional level was 0.15 and 14.15 with p values 0.653 and 0.000, respectively. The TIS also showed non-significant difference at pre-interventional level as shown by p value 0.170 , which was significant at post interventional level with a p value to be 0.000 . Paired sample statistics showed a significant improvement for both groups at pre-post level of measurement with a p value of 0.000. Conclusion: We concluded that in stroke patients performing exercises on swiss ball showed significant better outcomes as compared to control group in improving balance and postural stability. However, both groups improved significantly when tested at pre-post levels of measurement. Keywords: Swiss Ball, Stroke, Physical Therapy, Exercise Therapy and Balance.

scholarly journals Comparison of Physiotherapeutic Intervention Programs on Handgrip Force and Myoelectric Activity in Individuals with COPD

2020 ◽  
pp. 1-8
Author(s):  
Suenny Marrocos de Lima Moura ◽  
Danilo de Macêdo Moura ◽  
Alessandra Feitosa Gonçalves ◽  
Maria Alessandra Sipriano da Silva ◽  
Georgia Freire Paiva Winkeler ◽  
...  
Keyword(s):  
Forced Vital Capacity ◽  
Vital Capacity ◽  
Handgrip Strength ◽  
Chronic Obstructive ◽  
Myoelectric Activity ◽  
Electromyographic Activity ◽  
Post Intervention ◽  
Semg Signal ◽  
Significant Difference ◽  
The Right

Background: Chronic obstructive pulmonary disease (COPD) modifies the electrical activity of accessory respiratory muscles, also leading to a marked peripheral muscular dysfunction, measured by the handgrip strength taken as an indicator of total body strength. Objective: To compare the effects of two different physiotherapeutic programs on handgrip strength and myoelectric activity in COPD patients. Methods: Participated in the study 17 individuals, randomly allocated into 2 groups: 1) Maneuvers: 62.7±15.4 years, 1.65±0.12 m, 81.4±18.2 kg, BMI: 29.9±5.0 kg/m2 ; 2) Threshold: 64.4±11.2 years, 1.58±0.08 m, 70.7±9.4 kg, BMI: 28.6±3.7 kg/m2 , diagnosed with COPD, submitted to surface electromyographic (sEMG) evaluation of sternocleidomatoid (SCM) and anterior scalene (AS), and handgrip strength, before and after the interventions. The data were analyzed with SPSS (20.0). Pared t-student and Wilcoxon tests were used to compare mean values of the handgrip strength and the Root Mean Square (RMS) of the sEMG signal (SCM and AS muscles), pre- and post-interventions. In addition, independent t-Student and Mann-Whitney tests were used to compare the RMS average of the sEMG signal between the right and left sides. Significant level was set at 5%. Results: When comparing pre and post-intervention values, there was a significant increase for the Threshold group handgrip strength (P=0.037). It was observed a sEMG activity of SCM and AS during dynamometry, vital capacity, forced vital capacity on inspiratory and expiratory pressure (P<0.05) for both analyzed groups. In the comparison of the myoelectric activity between the right and left sides for the SCM and AS, there was a significant difference in handgrip strength (P=0.009) and forced vital capacity (P=0.001) of the SCM muscle, post intervention for the Threshold group. Conclusion: The proposed physiotherapeutic programs improved the overall muscle strength for the Threshold group and the electromyographic activity of SCM and AS in the 2 groups.This study was registered in ReBEC: RBR-4VGP58

scholarly journals Effects of Balance and Cognition Exercises on Fear of Fall in Stroke Patients: Assessor Blinded Randomized Trial

2021 ◽  
Vol 11 (11) ◽  
pp. 1-6
Author(s):  
Paras Joshi ◽  
Dinesh Sorani
Keyword(s):  
Balance Training ◽  
Berg Balance Scale ◽  
Early Rehabilitation ◽  
Treatment Result ◽  
Stroke Survivors ◽  
Not Given ◽  
Stroke Patients ◽  
Group A ◽  
Conventional Physiotherapy ◽  
Group B

Stroke is the leading cause of death and disability in the world. Stroke patients are more likely to fall and injuries due to various factors like balance, cognition, previous falls, disability etc. It has been observed that in early routine rehabilitation cognition training and balance training is not given. Being important risk factors if it can be modified in early rehabilitation, number of falls might reduce among stroke survivors. So the aim of the study was to check the effects of balance and cognition training on fear of fall among stroke survivors. Method: Patients were divided into A. Conventional physiotherapy B. Conventional physiotherapy and balance and cognition training groups. All the patients were assessed on berg balance scale, mini mental scale and fear efficacy scale pre and post treatment. Result: Group A (BBS Z=-3.539,P<0.05, MMS Pre Z=-3.256, P<0.05, FES1 Pre Z=-3.546, P<0.05) Group B (BBS Z=-3.540, P<0.05, MMS Z=-3.536, P<0.05, FES1 Z=-3.520, P<0.05). Group A and B comparison (BBS Z=-3.424, P<0.05, MMS Z=-2.135, P<0.05, FES1 Z=-2.632, P<0.05). Conclusion: Adding balance and cognition training in early rehabilitation is more useful in reducing fear of fall among stroke survivors. Key words: Stroke, falls, cognition, balance.

scholarly journals Effects of Lower-Leg Kinesiology Taping on Balance Ability in Stroke Patients with Foot Drop

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Young-Hyeon Bae ◽  
Hyeong Geun Kim ◽  
Kyung Sam Min ◽  
Suk Min Lee
Keyword(s):  
Scale Score ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Lower Leg ◽  
Foot Drop ◽  
Stroke Patients ◽  
Balance Scale ◽  
Balance Ability ◽  
Experimental Group ◽  
Over Time

Objective. The purpose of this study was to observe the effects of lower-leg kinesiology taping on balance ability in stroke patients with foot drop.Design. Randomized controlled trial study.Method. Thirty stroke patients with foot drop were randomly divided into two groups. The experimental group underwent kinesiology taping, and the control group underwent placebo taping. Balance ability was assessed before and after taping in both groups.Results. No difference was observed over time in the Berg Balance Scale score between the two groups, and a significant difference in the Berg Balance Scale score was observed only in the experimental group. Additionally, there were significant differences in the center of pressure area and limits of stability over time.Conclusion. Kinesiology taping temporarily improved static balance ability in stroke patients. However, its effect on dynamic balance was not verified. Therefore, further research on the influence of long-term kinesiology taping on dynamic balance and gait ability is suggested.

scholarly journals Impact of sensory integration training on balance among stroke patients: sensory integration training on balance among stroke patients

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 330-335 ◽  
Author(s):  
Sang Hun Jang ◽  
Jung-Ho Lee
Keyword(s):  
Muscle Activity ◽  
Sensory Integration ◽  
Balance Training ◽  
Gluteus Medius ◽  
Erector Spinae ◽  
Research Subjects ◽  
Stroke Patients ◽  
Balance Ability ◽  
Trunk Extensor ◽  
The Impact

AbstractThis study attempts to investigate the impact that the sensory integration training has on the recovery of balance among patients with stroke by examining the muscle activity and limit of stability (LOS). A total of 28 subjects participated. The subjects were randomly allocated by the computer program to one of two groups: control (CON) group (n=15), sensory integration training (SIT) group (n=13). The research subjects received intervention five days a week for a total of four weeks. The CON group additionally received 30-minute general balance training, while the SIT group additionally received 30-minute sensory integration training. In the muscle activity, the improvement of Erector spinae (ES) and Gluteus medius (GM) was more significant in the SIT group than in the CON group. In the LOS, the improvement of affected side and forward side was significantly higher in the SIT group compared to the CON group. Sensory integration training can improve balance ability of patients with stroke by increasing muscle activity of stance limb muscles such as GM and trunk extensor such as ES along with enhancement of the limit of stability.

scholarly journals Feasibility of a Remotely Delivered Strength and Balance Training Program for Older Adults with Cancer

2021 ◽  
Vol 28 (6) ◽  
pp. 4408-4419
Author(s):  
Schroder Sattar ◽  
Kristen Haase ◽  
Kelly Penz ◽  
Corrie Effa ◽  
Joni Nedeljak ◽  
...  
Keyword(s):  
Older Adults ◽  
Balance Training ◽  
Exercise Program ◽  
Treatment Resistance ◽  
Lower Body ◽  
Post Intervention ◽  
Body Strength ◽  
Significant Difference ◽  
Falls In Older Adults ◽  
Lower Body Strength

Falls are a major issue among older adults with cancer and lead to interruptions in cancer treatment. Resistance and balance training can prevent falls in older adults, but minimal evidence is available regarding the older cancer population, who often have unique risk factors. We used a pre–post design to assess the feasibility of a remotely delivered exercise program that progressed in difficulty and its efficacy on lower body strength, balance, and falls in older adults with cancer who had prior in-person exercise experience. Twenty-six older adults with cancer completed the intervention. Attendance rate for the virtual component was 97.6% and for the independent component was 84.7%. Participants perceived the program as rewarding and enjoyable (100%), felt this program prepared them to exercise on their own (92%), were confident to continue exercising on their own (81%), and would recommend the program to other patients (100%). The median balance score at baseline and end-of-study was 4 (IQR = 0). The median chair-stand time decreased from 9.2 s (IQR = 3.13) to 7.7 s (IQR = 4.6). A statistically significant difference in lower body strength (r = 0.68, p = 0.001) was detected post-intervention. The findings from this study can inform the design of a larger randomized trial.

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