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- Title
Long-term follow-up of a randomized controlled trial on additional core stability exercises training for improving dynamic sitting balance and trunk control in stroke patients.
- Authors
Cabanas-Valdés, Rosa; Bagur-Calafat, Caritat; Girabent-Farrés, Montserrat; Maria Caballero-Gómez, Fernanda; de Pontcharra-Serra, Helena du Port; German-Romero, Ana; Urrútia, Gerard
- Abstract
Objective: Analyse the effect of core stability exercises in addition to conventional physiotherapy training three months after the intervention ended. Design: A randomized controlled trial. Setting: Outpatient services. Subjects: Seventy-nine stroke survivors. Interventions: In the intervention period, both groups underwent conventional physiotherapy performed five days/week for five weeks and in addition the experimental group performed core stability exercises for 15 minutes/day. Afterwards, during a three-month follow-up period, both groups underwent usual care that could eventually include conventional physiotherapy or physical exercise but not in a controlled condition. Main measures: Primary outcome was trunk control and dynamic sitting balance assessed by the Spanish- Version of Trunk Impairment Scale 2.0 and Function in Sitting Test. Secondary outcomes were standing balance and gait evaluated by the Berg Balance Scale, Tinetti Test, Brunel Balance Assessment, Spanish- Version of Postural Assessment Scale for Stroke and activities of daily living using the Barthel Index. Results: A total of 68 subjects out of 79 completed the three-month follow-up period. The mean difference (SD) between groups was 0.78 (1.51) points (p = 0.003) for total score on the Spanish-Version of Trunk Impairment Scale 2.0, 2.52 (6.46) points (p = 0.009) for Function in Sitting Test, dynamic standing balance was 3.30 (9.21) points (p = 0.009) on the Berg Balance Scale, gait was 0.82 (1.88) points (p = 0.002) by Brunel Balance Assessment (stepping), and 1.11 (2.94) points (p = 0.044) by Tinetti Test (gait), all in favour of core stability exercises. Conclusions: Core stability exercises plus conventional physiotherapy have a positive long-term effect on improving dynamic sitting and standing balance and gait in post-stroke patients.
- Subjects
ABDOMINAL exercises; CHI-squared test; POSTURAL balance; HEALTH outcome assessment; PHYSICAL therapy; PROBABILITY theory; SITTING position; TIME; BACK exercises; ACTIVITIES of daily living; TORSO; RANDOMIZED controlled trials; BLIND experiment; DATA analysis software; STROKE rehabilitation; MANN Whitney U Test; BARTHEL Index; NIH Stroke Scale
- Publication
Clinical Rehabilitation, 2017, Vol 31, Issue 11, p1492
- ISSN
0269-2155
- Publication type
Article
- DOI
10.1177/0269215517701804