Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effect of Arm Training in Standing Position on Balance and Walking Ability in Patients with Chronic Stroke

선 자세에서 상지 훈련이 만성 뇌졸중 환자의 균형과 보행 능력에 미치는 영향

  • Bang, Dae-Hyouk (Dept. of Physical Therapy, Iksan Oriental Hospital, Wonkwang University) ;
  • Cho, Hyuk-Shin (Dept. of Physical Therapy, Iksan Miso Rehabilitation Hospital)
  • 방대혁 (원광대학교 익산한방병원 물리치료실) ;
  • 조혁신 (익산미소요양재활병원 물리치료실)
  • Received : 2017.03.15
  • Accepted : 2017.04.07
  • Published : 2017.05.31
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Abstract

PURPOSE: The purpose of this study was to determine the effects of arm training in standing position on balance and walking ability in chronic stroke patients. METHODS: Sixteen chronic stroke patients were allocated equally and randomly to an experimental group (n=8) or a control group (n=8). All participants received 60 minutes of comprehensive rehabilitation treatment, the experimental group additionally received an arm training in standing position for 30 minutes, while the control group additionally performed a treadmill training for 30 minutes. These 30-minute training sessions were held three times per week for six weeks. Upper extremity function was assessed using Fugle-Meyer motor assessment function upper extremity (FMA-UE), balance was assessed using Berg balance scale (BBS), and walking ability (gait speed, cadence, step length, and double limb support period) was assessed using the GAITRite system. RESULTS: Improvement on all outcome measures was identified from pre-to-post intervention for both groups (p<.05). Post-intervention, there was a significant between-group difference on BBS, gait speed, cadence, step length, and double limp support period (p<.05). The experimental group exhibited greater improvement in the BBS (p=.01; z=-2.48), gait speed (p=.01; z=-3.26), cadence (p=.02; z=-2.31), step length (p=.01; z=-3.36), and double limb support period (p=.03; z=-2.84) compared to the control group. CONCLUSION: The findings of this study suggest that arm training in standing position may be beneficial for improving balance and walking ability of patients with chronic stroke.

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References

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