Effect of core stability training on postural control, risk of falling, and function of the blind: A randomized controlled trial

Abstract Background: Trunk function in stroke patients with hemiplegia is associated with respiration and core stability, and is also found to be associated with balance and postural control and daily activity of life. Liuzijue Qigong (LQG) is a traditional Chinese method of fitness based on breath pronunciation. The purpose of this study is to compare the clinical efficacy of LQG and traditional core stability training in the treatment of stroke patients with abnormal trunk posture. This protocol is written according to the SPIRT 2013 Statement. Methods: This study is a single-center randomized controlled trial in which 160 stroke patients are randomly divided into study group and control group. Patients in the study group will receive LQG combined with conventional rehabilitation therapy, while patients in the control group will receive traditional core stability training combined with conventional rehabilitation therapy. All treatments will be treated 45 minutes a day, 5 times a week for 2 weeks. Primary outcome (Trunk impairment scale) and secondary outcome (Berg balance scale, Fugl-Meyer assessment, Modified barthel index, Maximum phonation time, Dynamic and Static Balance Testing and The thickness and the Mobile degrees of diaphragm) will be conducted at baseline, 2 weeks at the end of the rehabilitation course. Discussion: The aim of this research is to compare the clinical efficacy of LQG and traditional core stability exercise in the treatment of stroke patients with abnormal trunk posture. Trial registration: Chinese Trial registration: chinese clinical trial registry : ChiCTR1800014864. Registered on 24 November 2018. Keywords: Six character formula, Trunk postural control, Stroke, Core stability, Traditional core stability training, Liuzijue qigong (LQG)

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Effectiveness of Liu Zi Jue Qigong versus traditional core stability training for patients with post-stroke complicated with abnormal trunk postural control: a study protocol for a single-center randomized controlled trial

10.21203/rs.2.11784/v1 ◽

2019 ◽

Author(s):

wang chen ◽

Long Yu ◽

Jian Yang ◽

Ren Wei Wang ◽

Ya Nan Zheng ◽

...

Keyword(s):

Postural Control ◽

Controlled Trial ◽

Core Stability ◽

Control Group ◽

Study Group ◽

Single Center ◽

Stroke Patients ◽

Randomized Controlled ◽

Trunk Posture ◽

Stability Training

Abstract Background: Trunk function in stroke patients with hemiplegia is associated with respiration and core stability, and is also found to be associated with balance and postural control and daily activity of life. Liuzijue Qigong (LQG) is a traditional Chinese method of fitness based on breath pronunciation. The purpose of this study is to compare the clinical efficacy of LQG and traditional core stability training in the treatment of stroke patients with abnormal trunk posture. This protocol is written according to the SPIRT 2013 Statement. Methods: This study is a single-center randomized controlled trial in which 160 stroke patients are randomly divided into study group and control group. Patients in the study group will receive LQG combined with conventional rehabilitation therapy, while patients in the control group will receive traditional core stability training combined with conventional rehabilitation therapy. All treatments will be treated 45 minutes a day, 5 times a week for 2 weeks. Primary outcome (Trunk impairment scale) and secondary outcome (Berg balance scale, Fugl-Meyer assessment, Modified barthel index, Maximum phonation time, Dynamic and Static Balance Testing and The thickness and the Mobile degrees of diaphragm) will be conducted at baseline, 2 weeks at the end of the rehabilitation course. Discussion: The aim of this research is to compare the clinical efficacy of LQG and traditional core stability exercise in the treatment of stroke patients with abnormal trunk posture. Trial registration: Chinese Clinical Trial Registry: ChiCTR1800014864. Registrated on 10 February 2018, http://www.chictr.org.cn/edit.aspxpid=25313&htm=4. Keywords: Six character formula, Trunk postural control, Stroke, Core stability, Traditional core stability training, Liuzijue qigong (LQG)

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Effectiveness of Liu Zi Jue Qigong versus traditional core stability training for patients with post-stroke complicated with abnormal trunk postural control: a study protocol for a single-center randomized controlled trial

10.21203/rs.2.11784/v3 ◽

2020 ◽

Author(s):

wang chen ◽

Long Yu ◽

Jian Yang ◽

Ren Wei Wang ◽

Ya Nan Zheng ◽

...

Keyword(s):

Postural Control ◽

Controlled Trial ◽

Core Stability ◽

Control Group ◽

Study Group ◽

Single Center ◽

Stroke Patients ◽

Randomized Controlled ◽

Trunk Posture ◽

Stability Training

Abstract Background: Trunk function in stroke patients with hemiplegia is associated with respiration and core stability, and is also found to be associated with balance and postural control and daily activity of life. Liuzijue Qigong (LQG) is a traditional Chinese method of fitness based on breath pronunciation. The purpose of this study is to compare the clinical efficacy of LQG and traditional core stability training in the treatment of stroke patients with abnormal trunk posture. This protocol is written according to the SPIRT 2013 Statement. Methods: This study is a single-center randomized controlled trial in which 160 stroke patients are randomly divided into study group and control group. Patients in the study group will receive LQG combined with conventional rehabilitation therapy, while patients in the control group will receive traditional core stability training combined with conventional rehabilitation therapy. All treatments will be treated 45 minutes a day, 5 times a week for 2 weeks. Primary outcome (Trunk impairment scale) and secondary outcome (Berg balance scale, Fugl-Meyer assessment, Modified barthel index, Maximum phonation time, Dynamic and Static Balance Testing and The thickness and the Mobile degrees of diaphragm) will be conducted at baseline, 2 weeks at the end of the rehabilitation course. Discussion: The aim of this research is to compare the clinical efficacy of LQG and traditional core stability exercise in the treatment of stroke patients with abnormal trunk posture. Trial registration: Chinese Trial registration: chinese clinical trial registry : ChiCTR1800014864. Registered on 24 November 2018. Keywords: Six character formula, Trunk postural control, Stroke, Core stability, Traditional core stability training, Liuzijue qigong (LQG)

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Effectiveness of LiuZiJue Qigong versus traditional core stability training for poststroke patients complicated with abnormal trunk postural control: study protocol for a single-center randomized controlled trial

Trials ◽

10.1186/s13063-020-4117-6 ◽

2020 ◽

Vol 21 (1) ◽

Cited By ~ 1

Author(s):

Chen Wang ◽

Long Yu ◽

Jian Yang ◽

Ren Wei Wang ◽

Ya Nan Zheng ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Postural Control ◽

Study Protocol ◽

Controlled Trial ◽

Core Stability ◽

Single Center ◽

Randomized Controlled ◽

Stability Training ◽

Control Study

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Effects of 12 Weeks of Tai Chi Intervention in Patients With Chronic Ankle Instability: A Randomized Controlled Trial

Journal of Sport Rehabilitation ◽

10.1123/jsr.2018-0222 ◽

2020 ◽

Vol 29 (3) ◽

pp. 326-331

Author(s):

David Cruz-Díaz ◽

Kyung-Min Kim ◽

Fidel Hita-Contreras ◽

Marco Bergamin ◽

Agustin Aibar-Almazán ◽

...

Keyword(s):

Postural Control ◽

Tai Chi ◽

Ankle Instability ◽

Controlled Trial ◽

Intervention Group ◽

Chronic Ankle Instability ◽

Control Group ◽

Balance Test ◽

Randomized Controlled ◽

Cumberland Ankle Instability Tool

Context: Tai Chi is a physical activity modality which is widely practiced over the world. The effectiveness of Tai Chi on postural control and balance has been described in older population, but until recently there are no studies that include patients with chronic ankle instability. Objectives: The aim of this study was to evaluate the effectiveness of 12 weeks of Tai Chi intervention on dynamic balance and self-reported instability in patients with chronic ankle instability. Study Design: A randomized controlled trial was carried out. Setting: University physical therapy facility. Participants: Fifty-two participants were allocated to an intervention group (n = 26) based on Tai Chi training or a control group (n = 26) who received no intervention. Intervention: The participants completed 12 weeks of Tai Chi intervention (1 h session/2 times per week) or no intervention in the control group. Main Outcome Measures: Outcome measures included postural control and self-reported instability feeling assessed by the Star Excursion Balance Test and the Cumberland Ankle Instability Tool, respectively. Results: There was observed significant improvement in all Star Excursion Balance Test reach distances (anterior [F = 6.26, P < .01]; posteromedial [F = 9.58, P < .01], and posterolateral [F = 8.42, P < .01]) in the Tai Chi group with no change in the control group (P < .01). The intervention group demonstrated significant improvement on self-reported instability feeling assessed by the Cumberland Ankle Instability Tool questionnaire (F = 21.36, P < .01). Conclusion: The obtained results suggested that 12 weeks of Tai Chi intervention have positive effects on postural control and self-reported instability feeling in patients with chronic ankle instability.

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Effects of a Four-Week Vestibular Exercise Program on Postural Control, Risk of Falling, and Quality of Life in Visually-impaired Individuals

Physical Treatments - Specific Physical Therapy ◽

10.32598/ptj.10.1.429.1 ◽

2020 ◽

Vol 10 (1) ◽

pp. 23-32

Author(s):

Mohammad Hani Mansori ◽

◽

Yousof Moghadas Tabrizi ◽

Mohammad Karimizadeh Ardakani ◽

◽

...

Keyword(s):

Quality Of Life ◽

Postural Control ◽

Visually Impaired ◽

Univariate Analysis ◽

Control Group ◽

Risk Of Falling ◽

Significant Difference ◽

Experimental Group ◽

Control Risk

Purpose: Visually-impaired individuals encounter difficulties in balance control and quality of life, and experience more instability, compared to healthy people. Thus, the present study aimed to evaluate the effects of vestibular exercises training program on postural control, risk of falling, and quality of life in individuals with visual impairment. Methods: This was a quasi-experimental study with a pretest-posttest and a control group design. In total, 24 men with visual impairment were randomly divided into the control and experimental groups. The experimental group performed a 4-week vestibular exercise program for 3 weekly sessions of 50 minutes. The Biodex Balance System, Timed Up and Go (TUG) test, and 36-Item Short Form Survey (SF-36) were respectively used to evaluate the postural control, risk of falling, and quality of life of the study samples, before and after the exercise intervention. Univariate analysis and Paired Samples t-test were used to determine the differences between the two groups. Results: The present study results suggested that vestibular exercises improved balance and quality of life, and decrease the risk of falling in visually-impaired people; there was a significant difference between pretest and posttest values in the experimental group. However, no significant difference was observed in the control group in the mentioned variables. The Univariate analysis results revealed that the experimental group obtained higher scores on balance, risk of falling, and quality of life, compared to the control group. Conclusion: Vestibular exercises significantly improved postural control and quality of life, and decreased the risk of falling in the studied samples. It is recommended that these exercises be included in the rehabilitation programs for visually-impaired individuals.

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How cognitive loads modulate the postural control of older women with low back pain?

BMC Geriatrics ◽

10.1186/s12877-021-02025-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Le Ge ◽

Qiuhua Yu ◽

Chuhuai Wang ◽

Huanjie Huang ◽

Xin Li ◽

...

Keyword(s):

Low Back Pain ◽

Postural Control ◽

Older Women ◽

Cognitive Task ◽

Difficulty Level ◽

Control Group ◽

Low Back ◽

Dual Tasks ◽

Balance Test ◽

Arithmetic Task

Abstract Background The capacity of postural control is a key factor related to falling in older people, particularly in older women with low back pain (LBP). Cognitive involvement in postural control increases with age. However, most scholars have not considered different difficulty levels of cognitive loads when exploring the effects of cognition on postural control in older patients with LBP. The present study is to investigate how different levels of cognitive loads modulate postural control in older women with LBP. Methods This was a cross-sectional study. Twenty older women with LBP were recruited into the LBP group, and 20 healthy older women without the history of LBP were recruited into the healthy control group. Balance parameters were computed to quantify postural control. All participants underwent the balance test, which required the participant to maintain stability during standing on a force platform with or without a concurrent cognitive task. The balance test included three levels of difficulties of posture tasks (eyes-open vs. eyes-closed vs. one-leg stance) and three cognitive tasks (without cognitive task vs. auditory arithmetic task vs. serial-7 s arithmetic task). Results A repeated-measure analysis of variance (3 postural tasks × 3 congnitive tasks× 2 groups) testing the effects of the different congnitive task levels on the performance in different postural conditions. Older women with LBP had worse postural control (as reflected by larger center of pressure (COP) parameters) than control group regardless of postural or cognitive difficulties. Compared with the single task, the COP parameters of participants with LBP were larger during dual tasks, even though the difficulty level of the cognitive task was low. Larger COP parameters were shown only if the difficulty level of the cognitive task was high in control group. Correlations between sway area/sway length and the number of falls were significant in dual tasks. Conclusion Our findings shed light on how cognitive loads modulate postural control for older women with LBP. Compared with control group, cognitive loads showed more disturbing effects on postural control in older women with LBP, which was associated with falling.

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The Effects of Abdominal Hypopressive Training on Postural Control and Deep Trunk Muscle Activation: A Randomized Controlled Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052741 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2741

Author(s):

María del Mar Moreno-Muñoz ◽

Fidel Hita-Contreras ◽

María Dolores Estudillo-Martínez ◽

Agustín Aibar-Almazán ◽

Yolanda Castellote-Caballero ◽

...

Keyword(s):

Postural Control ◽

Muscle Activation ◽

Center Of Pressure ◽

Controlled Trial ◽

Trunk Muscle ◽

Posture Control ◽

Trunk Muscles ◽

Control Group ◽

Female Population ◽

Imaging Results

Background: Abdominal Hypopressive Training (AHT) provides postural improvement, and enhances deep trunk muscle activation. However, until recently, there was a lack of scientific literature supporting these statements. The major purpose of this study was to investigate the effect of AHT on posture control and deep trunk muscle function. Methods: 125 female participants aged 18–60 were randomly allocated to the Experimental Group (EG), consisting of two sessions of 30 min per week for 8 weeks of AHT, or the Control Group (CG), who did not receive any treatment. Postural control was measured with a stabilometric platform to assess the static balance and the activation of deep trunk muscles (specifically the Transverse Abdominal muscle (TrA)), which was measured by real-time ultrasound imaging. Results: The groups were homogeneous at baseline. Statistical differences were identified between both groups after intervention in the Surface of the Center of Pressure (CoP) Open-Eyes (S-OE) (p = 0.001, Cohen’s d = 0.60) and the Velocity of CoP under both conditions; Open-Eyes (V-OE) (p = 0.001, Cohen´s d = 0.63) and Close-Eyes (V-CE) (p = 0.016, Cohen´s d = 0.016), with the EG achieving substantial improvements. Likewise, there were statistically significant differences between measurements over time for the EG on S-OE (p < 0.001, Cohen´s d = 0.99); V-OE (p = 0.038, Cohen´s d = 0.27); V-CE (p = 0.006, Cohen´s d = 0.39), anteroposterior movements of CoP with Open-Eyes (RMSY-OE) (p = 0.038, Cohen´s d = 0.60) and activity of TrA under contraction conditions (p < 0.001, Cohen´s d = 0.53). Conclusions: The application of eight weeks of AHT leads to positive outcomes in posture control, as well as an improvement in the deep trunk muscle contraction in the female population.

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Elite Female Basketball Players' Body-Weight Neuromuscular Training and Performance on the Y-Balance Test

Journal of Athletic Training ◽

10.4085/1062-6050-51.12.03 ◽

2016 ◽

Vol 51 (9) ◽

pp. 688-695 ◽

Cited By ~ 23

Author(s):

Roberto Benis ◽

Matteo Bonato ◽

Antonio La Torre

Keyword(s):

Body Weight ◽

Postural Control ◽

Lower Extremity Injury ◽

Neuromuscular Training ◽

Control Group ◽

Controlled Clinical Trial ◽

Joint Control ◽

Basketball Players ◽

Balance Test ◽

Experimental Group

Context: Neuromuscular training enhances unconscious motor responses by stimulating both the afferent signals and central mechanisms responsible for dynamic joint control. Dynamic joint-control training is a vital component of injury-prevention programs. Objective: To investigate the effects of body-weight neuromuscular training on Y-Balance Test (YBT) performance and postural control in female basketball players. Design: Randomized controlled clinical trial. Setting: Basketball practice sessions. Patients or Other Participants: A total of 28 healthy elite female basketball players were randomly assigned to an experimental (n = 14) or a control group (n = 14). Intervention(s): Before their regular practice sessions, the experimental group warmed up with body-weight neuromuscular exercises and the control group with standard tactical-technical exercises twice weekly for 8 weeks. Main Outcome Measure(s): Anterior-, posteromedial-, and posterolateral-reach and composite YBT scores were measured before and after 8 weeks of training. Results: Improvement over baseline scores was noted in the posteromedial (right = 86.5 ± 4.5 cm versus 89.6 ± 2.2 cm, +3.5%, P = .049; left = 85.5 ± 4.3 cm versus 90.2 ± 2.7 cm, +5.5%, P = .038)- and posterolateral (right = 90.7 ± 3.6 cm versus 94.0 ± 2.7 cm, +3.6%, P = .016; left = 90.9 ± 3.5 cm versus 94.2 ± 2.6 cm, +3.6%, P = .011)-reach directions and in the composite YBT scores (right = 88.6% ± 3.2% versus 94.0% ± 1.8%, +5.4%, P = .0004; left = 89.2% ± 3.2% versus 94.5% ± 3.0%, +5.8%, P = .001) of the experimental group. No differences in anterior reach were detected in either group. Differences were noted in postintervention scores for posteromedial reach (right = 89.6 ± 2.2 cm versus 84.3 ± 4.4 cm, +4.1%, P = .005; left = 94.2 ± 2.6 cm versus 84.8 ± 4.4 cm, +10%, P = .003) and composite scores (right = 94.0% ± 1.8% versus 87.3% ± 2.0%, +7.1%, P = .003; left = 94.8% ± 3.0% versus 87.9% ± 3.4%, +7.3%, P < .0001) between the experimental and control groups. Conclusions: Body-weight neuromuscular training improved postural control and lower limb stability in female basketball players as assessed with the YBT. Incorporating neuromuscular training into the workout routines for basketball players may enhance joint awareness and reduce the risk of lower extremity injury.

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Effect of a breastfeeding educational intervention: a randomized controlled trial

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.3081.3335 ◽

2020 ◽

Vol 28 ◽

Author(s):

Erdnaxela Fernandes do Carmo Souza ◽

Alfredo Almeida Pina-Oliveira ◽

Antonieta Keiko Kakuda Shimo

Keyword(s):

Randomized Controlled Trial ◽

Educational Intervention ◽

Exclusive Breastfeeding ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

P Value ◽

Postpartum Women ◽

Significance Level ◽

Randomized Controlled

Objective: to assess the effect of a breastfeeding educational intervention on the counseling provided to postpartum women. Method: this is a randomized controlled trial including 104 postpartum women (intervention group = 52 and control group = 52) from a private hospital, whose educational intervention was based on the pragmatic theory and on the use of a soft-hard technology called Breastfeeding Educational Kit (Kit Educativo para Aleitamento Materno, KEAM). Women were followed-up for up to 60 days after childbirth. Chi-Squared Test, Fischer’s Exact Test, and Generalized Estimating Equation were used, with a significance level of 5% (p-value <0.05). The analyses were performed using the Statistical Package for the Social Sciences, version 24. Results: the postpartum women in the intervention group had fewer breastfeeding difficulties and a higher percentage of exclusive breastfeeding at all time points compared with those in the control group. Conclusion: the educational intervention based on active methodologies and stimulating instructional resources was effective in developing greater practical mastery among postpartum women with regard to adherence and maintenance of exclusive breastfeeding. Registry REBEC RBR – 8p9v7v.

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