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Clin Rehabil. 2006 Nov;20(11):960-9.

The effects of balance training on gait late after stroke: a randomized controlled trial.

Author information

1
Ankara University Faculty of Medicine, Department of Physical Medicine & Rehabilitation, Ankara, Turkey. gunesyavuzer@hotmail.com

Abstract

OBJECTIVE:

To investigate the effects of balance training, using force platform biofeedback, on quantitative gait characteristics of hemiparetic patients late after stroke.

DESIGN:

Randomized, controlled, assessor-blinded trial.

SETTING:

Rehabilitation ward and gait laboratory of a university hospital.

SUBJECTS:

Forty-one patients (mean (standard deviation; SD) age of 60.9 (11.7) years) with hemiparesis late after stroke (median time since stroke six months) were randomly assigned to an experimental or a control group.

INTERVENTIONS:

The control group (n = 19) participated in a conventional stroke inpatient rehabilitation programme, whereas the experimental group (n = 22) received 15 sessions of balance training (using force platform biofeedback) in addition to the conventional programme.

MAIN OUTCOME MEASURES:

Selected paretic side time-distance, kinematic and kinetic gait parameters in sagittal, frontal and transverse planes were measured using a three-dimensional computerized gait analysis system, one week before and after the experimental treatment programme.

RESULTS:

The control group did not show any statistically significant difference regarding gait characteristics. Pelvic excursion in frontal plane improved significantly (P = 0.021) in the experimental group. The difference between before-after change scores of the groups was significant for pelvic excursion in frontal plane (P = 0.039) and vertical ground reaction force (P = 0.030) in favour of experimental group.

CONCLUSION:

Balance training using force platform biofeedback in addition to a conventional inpatient stroke rehabilitation programme is beneficial in improving postural control and weight-bearing on the paretic side while walking late after stroke.

PMID:
17065539
DOI:
10.1177/0269215506070315
[Indexed for MEDLINE]

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