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Effect of Lateral Trunk Exercise and Eye Movement on Balance and Postural Control of Chronic Stroke Patients on an Unstable Surface KCI 등재

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  • URLhttps://db.koreascholar.com/Article/Detail/440414
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국제물리치료연구학회 (International Academy of Physical Therapy Research)
초록

Background: Stroke often results in impaired postural control and asymmetric weight distribution, which negatively affect balance and functional mobility. Previous research has demonstrated that balance training interventions incorporating proprioceptive stimulation and visual feedback can enhance postural stability in stroke survivors. However, there remains debate regarding the relative effectiveness of these two approaches. While proprioception-based training emphasizes sensory input from mechanoreceptors to improve postural control, visual feedback-based training leverages external cues to facilitate balance adjustments. Objectives: To investigation the effects of proprioception-based trunk exercise and visual-auditory feedback-based trunk exercise on sitting balance in patients with chronic stroke. Design: Randomized controlled trial. Methods: A total of 24 participants diagnosed with chronic stroke were randomly assigned to two groups: the proprioception-based trunk exercise group (PTG, n=10) and the visual-auditory feedback-based trunk exercise group (VTG, n=11). Both groups participated in a 6-week intervention program, five sessions per week, lasting 25 minutes per session. Outcome measures included the Limitation of Stability (LOS), the Korean version of the Trunk Impairment Scale (K-TIS), and the Postural Assessment Scale for Stroke (PASS). Pre- and post-intervention assessments were analyzed using paired t-tests and independent t-tests to evaluate within-group and between-group differences. Results: Both PTG and VTG groups demonstrated significant improvements in LOS, K-TIS, and PASS scores following the intervention (P<.05). However, there were no statistically significant differences between the two groups in the amount of change observed. Conclusion: The findings suggest that both proprioception-based and visualauditory feedback-based trunk exercises are effective in improving sitting balance in chronic stroke patients. The lack of a significant difference between the groups indicates that both approaches provide comparable benefits. Future research should explore long-term effects and investigate potential differences in various functional domains beyond sitting balance.

목차
INTRODUCTION
SUBJECTS AND METHODS
    Subjects
    Experimental Procedures
    Interventions
    Outcome Measures
    Data and Statistical Analysis
RESULTS
DISCUSSION
CONCLUSION
REFERENCES
저자
  • Yoonjeong Kim(Department of Physical Therapy, Youngin Lohas Hospital, Yongin, Republic of Korea)
  • Taehyun Kim(Department of Physical Therapy, Seoul Now Hospital, Seongnam, Republic of Korea) Corresponding author