Article

Sitting balance and the ability to perform selective truncal
movements are important predictors of functional outcome after stroke. However,
few clinical trials have evaluated the effect of truncal exercises.
The authors assessed the effect of additional truncal exercises on truncal
function, standing balance, and mobility. METHODS: An assessor-blinded randomized
controlled trial was carried out at a stroke rehabilitation hospital.
A total of
33 participants (mean 35 days post onset) were randomly assigned to an
experimental group (n = 18) or a control group (n = 15). In addition to
conventional therapy, the experimental group received 16 hours of truncal
exercises. The control group received 16 hours of sham treatment. Truncal
function was evaluated by the Trunk Impairment Scale (TIS) and standing balance
and mobility by the Tinetti Test. The Romberg with eyes open and eyes closed,
Four Test Balance Scale (FTBS), Berg Balance Scale (BBS), Rivermead Motor
Assessment Battery (RMAB), Functional Ambulation Categories, and Dynamic Gait
Index (DGI) were performed to elucidate the findings of the primary outcome
measures. RESULTS: A treatment effect was found for the experimental group on the
TIS (P < .001), Tinetti Test (P < .001), FTBS (P = .014), BBS
(P = .007), RMAB (P
< .001), and DGI (P = .006). CONCLUSIONS: In addition to conventional therapy,
truncal exercises have a beneficial effect on truncal function, standing balance,
and mobility in people after stroke.

Langue : ANGLAIS