Effect of the a circuit training program using obstacles on the walking and
balance abilities of stroke patients

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Abstract

[Purpose] The aim of this study was to investigate the impact of a circuit training program on the walking and balance abilities of stroke patients using an up-to-date walking analysis device. [Subjects and Methods] The subjects of this study were 12 adults who were diagnosed with stroke. Evaluation was conducted using the Smart Step test for walking ability; (BBS) for balance ability; and the Timed Up and Go test (TUG) for functional mobility and movement ability. The 12 stroke patients were randomly recruited and divided into two groups; an experimental group which performed circuit training with obstacles, and a control group which performed flat gait training). [Results] Between-group comparison of the change in the 10-m walking speed found a statistically significant difference between the two groups. Between-group comparison of the changes in BBS and TUG found statistically significant differences between the two groups. [Conclusion] The circuit training program using obstacles had a positive effect on the gait and balance abilities of the stroke patients.

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Most cited references 10

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Spinal and supraspinal adaptations associated with balance training and their functional relevance.

Cesare E. M. Gruber, W Taube, A Gollhofer (2008)

Traditionally, balance training has been used to rehabilitate ankle injuries and postural deficits. Prospective studies have shown preventive effects with respect to ankle and knee joint injuries. Presently, balance training is not only applied for rehabilitation and prevention but also for improving motor performance, especially muscle power. The recent application of noninvasive electrophysiological and brain imaging techniques revealed insights into the central control of posture and the adaptations induced by balance training. This information is important for our understanding of the basic control and adaptation mechanisms and to conceptualize appropriate training programmes for athletes, elderly people and patients. The present review presents neurophysiological adaptations induced by balance training and their influence on motor behaviour. It emphasizes the plasticity of the sensorimotor system, particularly the spinal and supraspinal structures. The relevance of balance training is highlighted with respect to athletic performance, postural control within elderly people as well as injury prevention and rehabilitation.

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Balance disability after stroke.

Sarah F. Tyson, Marie Hanley, Jay Chillala … (2006)

Balance disability is common after stroke, but there is little detailed information about it. The aims of this study were to investigate the frequency of balance disability; to characterize different levels of disability; and to identify demographics, stroke pathology factors, and impairments associated with balance disability. The subjects studied were 75 people with a first-time anterior circulation stroke; 37 subjects were men, the mean age was 71.5 years (SD=12.2), and 46 subjects (61%) had left hemiplegia. Prospective hospital-based cross-sectional surveys were carried out in 2 British National Health Service trusts. The subjects' stroke pathology, demographics, balance disability, function, and neurologic impairments were recorded in a single testing session 2 to 4 weeks after stroke. A total of 83% of the subjects (n=62) had a balance disability; of these, 17 (27%) could sit but not stand, 25 (40%) could stand but not step, and 20 (33%) could step and walk but still had limited balance. Subjects with the most severe balance disability had more severe strokes, impairments, and disabilities. Weakness and sensation were associated with balance disability. Subject demographics, stroke pathology, and visuospatial neglect were not associated with balance disability. Subjects with the most severe balance disability had the most severe strokes, impairments, and disabilities. Subject demographics, stroke pathology, and visuospatial neglect were not associated with balance disability.

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Balance training following stroke: effects of task-oriented exercises with and without altered sensory input.

Aurélia Leroux, P Boucher, Jean-François Bayouk (2006)

The purpose of this study was to compare the effects of a task-oriented exercise program with and without altered sensory input on postural stability in subjects with stroke. Sixteen hemiparetic subjects, at least 6 months post-stroke, were randomly assigned to the experimental or control group, and participated in an 8-week task-oriented exercise program focusing on balance and mobility exercises. Exercises were performed under normal conditions by the control group, and under conditions of vision and surface manipulation by the experimental group. Pre- and post-test assessments involved the measurement of the center of pressure (COP) displacement during double-legged stance and sit-to-stand under four sensory conditions: (1) eyes open, normal surface; (2) eyes open, soft surface; (3) eyes closed, normal surface; and (4) eyes closed, soft surface, as well as the 10-m walking test. Results showed significant improvements (P<0.05) in COP displacement under sensory conditions (1) and (2) for the experimental group only, and limited changes for the sit-to-stand in both groups after training. Significant improvements (P<0.05) were also found in both groups for the walking test. It is concluded that a task-oriented exercise program, assisted by sensory manipulation, is more effective at improving the standing balance of stroke subjects than a conventional task-oriented program.

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Author and article information

Journal

Journal ID (nlm-ta): J Phys Ther Sci

Journal ID (iso-abbrev): J Phys Ther Sci

Journal ID (publisher-id): JPTS

Title: Journal of Physical Therapy Science

Publisher: The Society of Physical Therapy Science

ISSN (Print): 0915-5287

ISSN (Electronic): 2187-5626

Publication date (Electronic): 28 April 2016

Publication date (Print): April 2016

Volume: 28

Issue: 4

Pages: 1194-1198

Affiliations

[1) ] Department of Physical Therapy, Korea National University of Transportation, Republic of Korea

Author notes

[* ]Corresponding author. Hyun-Joo Kim, Department of Physical Therapy, Korea National University of Transportation: Jeungpyeong Campus, Yonggang-ri, Jeungpyeong-eup, Jeungpyeong-gun, Chungcheongbuk-do, Republic of Korea. (E-mail: hkim@ 123456ut.ac.kr )

Article

Publisher ID: jpts-2015-1043

DOI: 10.1589/jpts.28.1194

PMC ID: 4868212

PubMed ID: 27190452

SO-VID: 140df3bf-f752-4403-968c-006199c4be67

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.

Effect of the a circuit training program using obstacles on the walking and balance abilities of stroke patients

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Abstract

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Stroke MRI

Most cited references 10

Spinal and supraspinal adaptations associated with balance training and their functional relevance.

Balance disability after stroke.

Balance training following stroke: effects of task-oriented exercises with and without altered sensory input.

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