Effect of body awareness training on balance and walking ability in chronic stroke patients: a randomized controlled trial

Dae-Hyouk Bang, Hyuk-Shin Cho, Dae-Hyouk Bang, Hyuk-Shin Cho

Abstract

[Purpose] To investigate the effects of body awareness training on balance and walking ability in chronic stroke patients. [Subjects] The subjects were randomly assigned to a body awareness training group (n=6) and a control group (n=6). [Methods] Patients in the body awareness training group received body awareness training for 20 minutes, followed by walking training for 30 minutes a day, 5 days a week for 4 weeks. The control group received walking training for 30 minutes a day, 5 days a week for 4 weeks. [Results] After the intervention, both groups showed significant improvements in the Berg Balance Scale, Timed Up and Go Test, and 10 m walk test compared with baseline results. The body awareness training group showed more significant improvements in the Berg Balance Scale and Timed Up and Go Test than the control group. There was no significant difference in the 10 m walk test between the groups. [Conclusion] The results of this study suggest that body awareness training has a positive effect on balance in patients with chronic stroke.

Keywords: Balance; Body awareness; Walking.

References

    1. Bang DH, Shin WS, Choi HS: Effects of modified constraint-induced movement therapy combined with trunk restraint in chronic stroke: A double-blinded randomized controlled pilot trial. NeuroRehabilitation, 2015, 37: 131–137.
    1. Weerdesteyn V, de Niet M, van Duijnhoven HJ, et al. : Falls in individuals with stroke. J Rehabil Res Dev, 2008, 45: 1195–1213.
    1. Lindvall MA, Forsberg A: Body awareness therapy in persons with stroke: a pilot randomized controlled trial. Clin Rehabil, 2014, 28: 1180–1188.
    1. Bang DH, Noh HJ, Cho HS: Effects of body awareness training on mild visuospatial neglect in patients with acute stroke: a pilot randomized controlled trial. J Phys Ther Sci, 2015, 27: 1191–1193.
    1. Lord SE, Rochester L: Measurement of community ambulation after stroke: current status and future developments. Stroke, 2005, 36: 1457–1461.
    1. Michael KM, Allen JK, Macko RF: Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Arch Phys Med Rehabil, 2005, 86: 1552–1556.
    1. Bang DH, Shin WS, Kim SY, et al. : The effects of action observational training on walking ability in chronic stroke patients: a double-blind randomized controlled trial. Clin Rehabil, 2013, 27: 1118–1125.
    1. Bang DH, Shin WS, Noh HJ, et al. : Effect of unstable surface training on walking ability in stroke patients. J Phys Ther Sci, 2014, 26: 1689–1691.
    1. van de Port IG, Wood-Dauphinee S, Lindeman E, et al. : Effects of exercise training programs on walking competency after stroke: a systematic review. Am J Phys Med Rehabil, 2007, 86: 935–951.
    1. Eriksson EM, Möller IE, Söderberg RH, et al. : Body awareness therapy: a new strategy for relief of symptoms in irritable bowel syndrome patients. World J Gastroenterol, 2007, 13: 3206–3214.
    1. Hedlund L, Gyllensten AL: The experiences of basic body awareness therapy in patients with schizophrenia. J Bodyw Mov Ther, 2010, 14: 245–254.
    1. Blum L, Korner-Bitensky N: Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review. Phys Ther, 2008, 88: 559–566.
    1. Podsiadlo D, Richardson S: The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991, 39: 142–148.
    1. van Loo MA, Moseley AM, Bosman JM, et al. : Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Inj, 2004, 18: 1041–1048.
    1. Bang DH, Shin WS, Choi SJ, et al. : Comparison of the effect of weight-bearing and non-weight-bearing positions on knee position sense in patients with chronic stroke. J Phys Ther Sci, 2015, 27: 1203–1206.
    1. Gyllensten AL, Hansson L, Ekdahl C: Outcome of basic body awareness therapy. A randomized controlled study if patients in psychiatric outpatient care. Adv Physiother, 2003, 5: 179–190.

Source: PubMed

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