Postural Stability and Balance Training Program in Hemiparetic Stroke Patients

Abstract

Aim: To compare limits of stability (LOS) between stroke patients and control group and to evaluate the effects of balance training program on hemiplegic stroke patients.Setting: Balance clinic, physical medicine and rehabilitation hospital, Kuwait. Materials and Methods:A total of 36 ambulatory hemiplegic stroke patients and 34 age-matched healthy individuals as control group were recruited in this study. All patients and healthy individuals were evaluated by the LOS test.Results: There were a significant increased RT (sec), a significant decreased MVL (deg/sec), a significant decreased EPE (%), a significant decreased MXE (%) and a significant decreased directional control(DCL) (%) in stroke patients compared to control group (p < 0.01). Moreover, a significant decreased RT, a significant increased MVL (deg/sec), a significant increased EPE (%) and a significant increased MXE(%) after training compared to results before training in stroke patients (p < 0.01). However, no significant difference of DCL (%) after training compared to results before training in stroke patients (p >0.05). Conclusion:There were significantly worse in parameters of LOS test in stroke patients. Moreover, significant enhancement of some parameters of LOS test after training in stroke patients was found.

Effect of lower limb sensory training on postural stability in stroke patients

“…It may get affected by disturbances in the associated systems of the process of Regulation of Posture or psychologically due to safety concerns and falling phobia. Stroke significantly alters the symmetry of weight bearing, with patients bearing between 61% and 80% of their weight on the less affected limb 3 .…”