Impact of exercises administered to stroke patients with balance trainer on rehabilitation results: a randomized controlled study

Abstract

Objective: The objective of this study was to determine the efficacy of the exercises administered to stroke patients with the balance trainer (BALANCE-trainer, art.nr. 07001-001(TM)) on balance, level of independence and ambulation parameters.

Material and method: Fifty patients with hemiplegia were randomized into either study group or control group. Patients in the control group received 30 sessions of conventional rehabilitation program and patients in the study group were trained with balance trainer in addition to conventional rehabilitation program. Balance level and postural control were evaluated with Berg Balance Scale (BBS) and Timed-Up and Go Test (TUG). Their functional statuses were evaluated using Functional Independence Measure (FIM). Evaluations were repeated following the six-week rehabilitation program.

Results: Of the 50 participants, 19 were women (38%) and 31 were men (62%). The mean age was 57.1 ± 9.2 years. The time that elapsed after stroke was 87.3 ± 26.3 days. Statistically significant improvements were noted in BBS, TUG and FIM in intra-group evaluations for both groups. Statistically significant improvements were documented in BBS and TUG levels for inter-group evaluation (respectively p =0.038, p =0.025), while the difference in FIM levels was not statistically significant (p >0.05).

Conclusion: Positive impact of balance trainer on balance and postural control was demonstrated in stroke patients in the current study. Hippokratia 2015; 19 (2):125-130.

Keywords: Balance trainer; balance; functional independence; stroke.

Figures

Figure 1. Patients in the study group were trained for 20 minutes a day, five days a week for a total of six weeks (30 sessions/600 minute in total) with balance trainer. Exercises administered to the only study group with BALANCE-trainer, art.nr. 07001-001TM device

Figure 2. Assessment of functional walking with Time up & Go test and balance parameter with Berg Balance Scale. There were statistically significant improvements in study group in Time up & Go test and Berg Balance Scale parameters. PT: Pre-treatment, AT: After-treatment.