Ann Rehabil Med.  2016 Dec;40(6):972-980. 10.5535/arm.2016.40.6.972.

Effects of 3-Dimensional Lumbar Stabilization Training for Balance in Chronic Hemiplegic Stroke Patients: A Randomized Controlled Trial

• Chun JY
• Seo JH
• Park SH
• Won YH
• Kim GW
• Moon SJ
• Ko MH

• KMID: 2371328
• DOI: http://doi.org/10.5535/arm.2016.40.6.972

Abstract

OBJECTIVE
To investigate the effects of the newly developed Spine Balance 3D system on the balance and gait abilities of hemiplegic stroke patients.
METHODS
Twenty-eight hemiplegic patients with chronic stroke were randomly assigned to an experimental (n=14) or control group (n=14). The experimental and control groups performed balance training by using the newly developed Spine Balance 3D system and the well-known Biodex Balance System 30 minutes per day, three times a week for 7 weeks. The Berg Balance Scale (BBS), 10-m walking test (10mWT), Timed Up and Go Test (TUG), Functional Reach Test (FRT), the Korean version of the Fall Efficacy Scale-International (KFES-I), trunk muscle strength and stability were evaluated before and after 7 weeks of intervention.
RESULTS
The 10mWT improved significantly (p=0.001) in the experimental group (using the Spine Balance 3D system) but not in the control group, and core muscle strength, which we checked using Spine Balance 3D system evaluation program, improved more in the experimental group as well. The results of the BBS, FRT, TUG, KFES-I, and Biodex Balance System evaluation program improved in both groups after 7 weeks of balance training.
CONCLUSION
We suggest that the newly-developed Spine Balance 3D system can be a more useful therapeutic tool for gait and dynamic balance rehabilitation in hemiplegic patients than a conventional 2D-based balance training system. A large-scale randomized controlled study is needed to prove the effect of this system.

Keyword

Stroke; Balance; Rehabilitation

MeSH Terms

Gait
Humans
Muscle Strength
Rehabilitation
Spine
Stroke*
Walking

Figure

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  Fig. 1 Flow diagram of this study.

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  Fig. 2 Spine Balance 3D system; the attached sensor detects the tilting angle of the trunk and shows the position on the screen, and the patient trains to reciprocal movement for eight directions with fixed lower extremities (A). Biodex Balance System (B).

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