Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial

Objective We determined whether an exercise regime comprising high-intensity training, multiplanar trunk movements, and dual-task practice could improve trunk control, balance, functional mobility, and reduce fall risk in patients with hemiplegic stroke. Methods In this randomized controlled trial,...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Umair Ahmed, Hossein Karimi, Syed Amir, Ashfaq Ahmed
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/266be6d2b2a142f8a974cf91068b8e5a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:266be6d2b2a142f8a974cf91068b8e5a
record_format	dspace
spelling	oai:doaj.org-article:266be6d2b2a142f8a974cf91068b8e5a2021-12-02T03:03:55ZEffects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial1473-230010.1177/03000605211059413https://doaj.org/article/266be6d2b2a142f8a974cf91068b8e5a2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211059413https://doaj.org/toc/1473-2300Objective We determined whether an exercise regime comprising high-intensity training, multiplanar trunk movements, and dual-task practice could improve trunk control, balance, functional mobility, and reduce fall risk in patients with hemiplegic stroke. Methods In this randomized controlled trial, 74 patients (mean age 61.71 years) were randomly assigned to the experimental and comparison groups. Primary outcome was trunk impairment scale (TIS) scores. Secondary outcomes were scores on the Berg balance scale, 10-meter walk test, Timed-up-and-go test, timed-Up-Go–cognitive, and Stroke Impact Scale-16 to measure between-group changes from baseline. We used linear mixed modeling to identify changes over time within and between groups on each scale and whether changes persisted at 6- and 12-month follow-ups. Results We observed significantly increased mean TIS scores from baseline to 3 months post-treatment (7.74); the increased scores were maintained at 6- and 12-month follow-ups (8.60 and 8.43, respectively). In the experimental group, all secondary outcomes showed significant and clinically meaningful results. Fall risk between groups was significantly reduced at 6 and 12 months. Conclusions Intensive multiplanar trunk movements coupled with dual-task practice promoted trunk control, balance, and functional recovery in patients with stroke, reduced fall risk, and improved independent mobility. Trial registration: # IRCT20200127046275N1.Umair AhmedHossein KarimiSyed AmirAshfaq AhmedSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Umair Ahmed Hossein Karimi Syed Amir Ashfaq Ahmed Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
description	Objective We determined whether an exercise regime comprising high-intensity training, multiplanar trunk movements, and dual-task practice could improve trunk control, balance, functional mobility, and reduce fall risk in patients with hemiplegic stroke. Methods In this randomized controlled trial, 74 patients (mean age 61.71 years) were randomly assigned to the experimental and comparison groups. Primary outcome was trunk impairment scale (TIS) scores. Secondary outcomes were scores on the Berg balance scale, 10-meter walk test, Timed-up-and-go test, timed-Up-Go–cognitive, and Stroke Impact Scale-16 to measure between-group changes from baseline. We used linear mixed modeling to identify changes over time within and between groups on each scale and whether changes persisted at 6- and 12-month follow-ups. Results We observed significantly increased mean TIS scores from baseline to 3 months post-treatment (7.74); the increased scores were maintained at 6- and 12-month follow-ups (8.60 and 8.43, respectively). In the experimental group, all secondary outcomes showed significant and clinically meaningful results. Fall risk between groups was significantly reduced at 6 and 12 months. Conclusions Intensive multiplanar trunk movements coupled with dual-task practice promoted trunk control, balance, and functional recovery in patients with stroke, reduced fall risk, and improved independent mobility. Trial registration: # IRCT20200127046275N1.
format	article
author	Umair Ahmed Hossein Karimi Syed Amir Ashfaq Ahmed
author_facet	Umair Ahmed Hossein Karimi Syed Amir Ashfaq Ahmed
author_sort	Umair Ahmed
title	Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
title_short	Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
title_full	Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
title_fullStr	Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
title_full_unstemmed	Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
title_sort	effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/266be6d2b2a142f8a974cf91068b8e5a
work_keys_str_mv	AT umairahmed effectsofintensivemultiplanartrunktrainingcoupledwithdualtaskexercisesonbalancemobilityandfallriskinpatientswithstrokearandomizedcontrolledtrial AT hosseinkarimi effectsofintensivemultiplanartrunktrainingcoupledwithdualtaskexercisesonbalancemobilityandfallriskinpatientswithstrokearandomizedcontrolledtrial AT syedamir effectsofintensivemultiplanartrunktrainingcoupledwithdualtaskexercisesonbalancemobilityandfallriskinpatientswithstrokearandomizedcontrolledtrial AT ashfaqahmed effectsofintensivemultiplanartrunktrainingcoupledwithdualtaskexercisesonbalancemobilityandfallriskinpatientswithstrokearandomizedcontrolledtrial
_version_	1718401969799823360

Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial

Ejemplares similares