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ISSN : 2092-8475(Print)
ISSN : (Online)
Journal of International Academy of Physical Therapy Research Vol.11 No.2 pp.2028-2035
DOI : https://doi.org/10.20540/JIAPTR.2020.11.2.2028

Effects of Diagonal Pattern Self-Exercise on Trunk Control, Balance, and Gait Ability in Chronic Stroke Patients

Jaeho Yanga,Shinjun Parkb,Soonhee Kimc
aSuwon Hospital, Suwon, Republic of Korea
bDepartment of Physical Therapy, Gangdong University, Eumseong, Republic of Korea
cDepartment of Physical Therapy, Yongin University, Yongin, Republic of Korea
Address for correspondence Soonhee Kim, PT, Prof., PhD Department of Physical Therapy, Yongin University, 134, Yongindaehak-ro, Cheoingu, Yongin-si, Gyeonggi-do, Republic of Korea Tel: 82-10-6317-8310

Abstract

Background: Weakness of the trunk muscles decreases the trunk control ability of stroke patients, which is significantly related to balance and gait. Objectives: To compare the impact of diagonal pattern self-exercise on an unstable surface and a stable surface for trunk rehabilitation on trunk control, balance, and gait ability in stroke patients. Design: Nonequivalent control group design. Methods: Twenty four participants were randomized into the experimental group (diagonal pattern self-exercise while sitting on an unstable surface, n=12) and the control group (diagonal pattern self-exercise while sitting on a stable surface, n=12). All interventions were conducted for 30 minutes, three times a week for four weeks, and the trunk impairment scale (TIS), berg balance scale (BBS), functional gait assessment (FGA), and G-walk were measured. Results: All groups indicated significant increases in all variables (TIS, BBS, FGA, cadence, speed, stride length) after four weeks. The TIS, BBS, FGA, cadence, gait speed, and stride length group-by-time were significantly different between the two groups. Conclusion: We found that, in stroke patients, diagonal pattern self-exercise on an unstable surface is a more effective method for improving trunk control, balance, and gait ability than diagonal pattern self-exercise on a stable surface.

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