Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial

Stroke causes balance dysfunction, leading to decreased physical activity and increased falls. Thus, effective balance exercises are needed to improve balance dysfunction. This single-blind, single-center randomized controlled trial evaluated the long-term and continuous effects of balance exercise...

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Autores principales:	Makoto Komiya, Noriaki Maeda, Taku Narahara, Yuta Suzuki, Kazuki Fukui, Shogo Tsutsumi, Mistuhiro Yoshimi, Naoki Ishibashi, Taizan Shirakawa, Yukio Urabe
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	chronic stroke balance exercise randomized controlled trial Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/3d62d4720cdb43d584a313047d783ba1
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spelling	oai:doaj.org-article:3d62d4720cdb43d584a313047d783ba12021-11-25T16:58:24ZEffect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial10.3390/brainsci111114932076-3425https://doaj.org/article/3d62d4720cdb43d584a313047d783ba12021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1493https://doaj.org/toc/2076-3425Stroke causes balance dysfunction, leading to decreased physical activity and increased falls. Thus, effective balance exercises are needed to improve balance dysfunction. This single-blind, single-center randomized controlled trial evaluated the long-term and continuous effects of balance exercise using a real-time postural feedback system to improve balancing ability safely. Thirty participants were randomized into intervention (<i>n</i> = 15) and control (<i>n</i> = 15) groups; 11 in each group completed the final evaluation. The effect of the intervention was evaluated by muscle strength of knee extension, physical performance (short physical performance battery, the center of pressure trajectory length per second, and Timed Up and Go test [TUG]), and self-reported questionnaires (modified Gait Efficacy Scale [mGES] and the Fall Efficacy Scale) at pre (0 week), post (6-week), and at follow-up (10-week) visits. The TUG and mGES showed a significant interactive (group * time) effect (<i>p</i> = 0.007 and <i>p</i> = 0.038, respectively). The intervention group showed significant decreasing time to perform TUG from pre- to post-intervention (<i>p</i> = 0.015) and pre-intervention to follow-up (<i>p</i> = 0.016); mGES showed a significant change from pre-intervention to follow-up (<i>p</i> = 0.036). Thus, balance exercise using a real-time postural feedback system can confer a positive effect on the walking ability in patients with chronic stroke and increase their self-confidence in gait performance.Makoto KomiyaNoriaki MaedaTaku NaraharaYuta SuzukiKazuki FukuiShogo TsutsumiMistuhiro YoshimiNaoki IshibashiTaizan ShirakawaYukio UrabeMDPI AGarticlechronic strokebalance exerciserandomized controlled trialNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1493, p 1493 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic stroke balance exercise randomized controlled trial Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	chronic stroke balance exercise randomized controlled trial Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Makoto Komiya Noriaki Maeda Taku Narahara Yuta Suzuki Kazuki Fukui Shogo Tsutsumi Mistuhiro Yoshimi Naoki Ishibashi Taizan Shirakawa Yukio Urabe Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial
description	Stroke causes balance dysfunction, leading to decreased physical activity and increased falls. Thus, effective balance exercises are needed to improve balance dysfunction. This single-blind, single-center randomized controlled trial evaluated the long-term and continuous effects of balance exercise using a real-time postural feedback system to improve balancing ability safely. Thirty participants were randomized into intervention (<i>n</i> = 15) and control (<i>n</i> = 15) groups; 11 in each group completed the final evaluation. The effect of the intervention was evaluated by muscle strength of knee extension, physical performance (short physical performance battery, the center of pressure trajectory length per second, and Timed Up and Go test [TUG]), and self-reported questionnaires (modified Gait Efficacy Scale [mGES] and the Fall Efficacy Scale) at pre (0 week), post (6-week), and at follow-up (10-week) visits. The TUG and mGES showed a significant interactive (group * time) effect (<i>p</i> = 0.007 and <i>p</i> = 0.038, respectively). The intervention group showed significant decreasing time to perform TUG from pre- to post-intervention (<i>p</i> = 0.015) and pre-intervention to follow-up (<i>p</i> = 0.016); mGES showed a significant change from pre-intervention to follow-up (<i>p</i> = 0.036). Thus, balance exercise using a real-time postural feedback system can confer a positive effect on the walking ability in patients with chronic stroke and increase their self-confidence in gait performance.
format	article
author	Makoto Komiya Noriaki Maeda Taku Narahara Yuta Suzuki Kazuki Fukui Shogo Tsutsumi Mistuhiro Yoshimi Naoki Ishibashi Taizan Shirakawa Yukio Urabe
author_facet	Makoto Komiya Noriaki Maeda Taku Narahara Yuta Suzuki Kazuki Fukui Shogo Tsutsumi Mistuhiro Yoshimi Naoki Ishibashi Taizan Shirakawa Yukio Urabe
author_sort	Makoto Komiya
title	Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial
title_short	Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial
title_full	Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial
title_fullStr	Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial
title_full_unstemmed	Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial
title_sort	effect of 6-week balance exercise by real-time postural feedback system on walking ability for patients with chronic stroke: a pilot single-blind randomized controlled trial
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3d62d4720cdb43d584a313047d783ba1
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Effect of 6-Week Balance Exercise by Real-Time Postural Feedback System on Walking Ability for Patients with Chronic Stroke: A Pilot Single-Blind Randomized Controlled Trial

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