Trunk training exercises approaches for improving trunk performance and functional sitting balance in patients with stroke: A systematic review

Cabanas-Valdés, Rosa; Urrútia, Gerard; Bagur-Calafat, Caritat

doi:10.3233/nre-130996

Cited by 112 publications

(76 citation statements)

References 69 publications

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“…On the other hand, the effect of core muscle training exercises was studied on balance and mobility of stroke patients [14][15][16]. Also, core stability exercises effect was investigated on balance and trunk control of stroke patients [17]. Another study examined the effect of core stabilization exercises on balance and gait of stroke patients [18,19].…”

Section: Introductionmentioning

confidence: 99%

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Do core stability exercises improve upper limb function in chronic stroke patients?

El-Nashar

Elwishy

Helmy

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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Background: Upper limb paresis is a common problem in patients with stroke. Objectives: To determine the effect of core stability exercises on upper limb function and trunk balance in hemiparetic patients. Subjects: Thirty patients with hemiparesis, with age between 45 and 60 years, and with illness duration of more than 6 months. They were assigned into two equal groups, the control group, Group A: with 15 patients who received only conventional physical therapy program; the study group, Group B: with 15 patients who received conventional physical therapy program and additional core muscle training. Patients received 18 sessions for 6 weeks, three sessions/week. Methods: The upper limb function was assessed using Wolf motor function test with subscales (function ability scale, time, and grip strength), the range of motion of shoulder flexion and abduction was measured by using goniometer, trunk balance was assessed using the trunk impairment scale with subscales (static sitting balance, dynamic sitting balance, and coordination). All measurement outcomes were assessed before and after applying the treatment program. Results: There was no statistical significant difference between two groups in pretreatment assessment using wolf motor function test, trunk impairment scale, and shoulder range of motion. In post treatment assessment, there was no statistical significant difference between group A and group B in all the outcome measures, except for trunk impairment subscale (dynamic sitting balance); the statistical significant difference was in favor of group B. Conclusion: Core muscle training is similar to conventional physical therapy program in improving upper limb function in hemiparetic patients, and has beneficial effect on improving trunk balance.

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Section: Introductionmentioning

confidence: 99%

“…This study investigates the effect of core muscle training on chronic stroke patients while other study investigated the effect of core stability exercises on subacute stroke patients [17,20]. Also, another study investigated the effect of trunk stability exercises on early or acute stroke patients [21].…”

Section: Introductionmentioning

confidence: 99%

Do core stability exercises improve upper limb function in chronic stroke patients?

El-Nashar

Elwishy

Helmy

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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“…Cabanas-Valdes et al (2013) concluded that although trunk training exercises could be an effective rehabilitation strategy for improving trunk performance, further confirmation is necessary with respect to gait performance [11]. Since gait performance can be measured by means of clinical and biomechanical assessment it is of interest to incorporate both assessment methods.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of additional trunk exercises on gait performance: study protocol for a randomized controlled trial

Criekinge

Saeys

Hallemans

et al. 2017

Trials

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BackgroundEvidence is lacking concerning the effect of additional trunk rehabilitation on gait performance. Investigating gait performance by both clinical and biomechanical outcome measures might lead to new scientific insights into the importance of the trunk during gait rehabilitation in people suffering from stroke. This protocol was written according to the SPIRIT 2013 Statement.Methods and designAn assessor-blinded randomized controlled trial will be conducted in patients with impaired trunk control after stroke. A total of 60 patients will be randomly allocated to the control or the experimental group by means of sealed opaque envelopes. They will receive either 16 h of additional trunk exercises (experimental group) or cognitive exercises (controls) for 1 h a day, 4 days a week for 4 weeks. Patients will also receive 2 h of standard care consisting of physiotherapy and occupational therapy. Gait performance will be assessed clinically by the Tinetti Test and biomechanically by means of a full body gait analysis. In addition, the effect of the exercise protocol on the trunk itself and trunk activities of daily living will be assessed by the Trunk Impairment Scale and the Barthel Index.DiscussionDespite the evidence demonstrating the importance of trunk control after stroke, studies about the effects of trunk rehabilitation on gait performance are inconsistent. In the current study, a more sophisticated treatment protocol will be used to enlarge therapeutic improvements, the relationship between clinical and biomechanical measures of gait performance can be investigated, and the sustainability of the effects of trunk exercises over time will be examined. Since clinical improvements are of greater importance to patients and physiotherapists, clinical assessment scales will be used as primary outcome measures.Trial registrationClinicalTrials.gov, ID: NCT02708888. Registered on 2 March 2016.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-1989-1) contains supplementary material, which is available to authorized users.

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“…또한 체간 훈련 프로그램이 일반적 재활운동프로그램 과 중복되는 경우가 많아 흥미와 동기부여가 저하될 수 있다 (Cabanas-Valdes et al, 2013;Saeys et al, 2012).…”

Section: 따라서 최근에는 급성기 뇌졸중 환자를 대상으로 체간unclassified

Effects of Whole Body Tilt Exercise with Visual Feedback on Trunk Control, Strength, and Balance in Patients with Acute Stroke: a Randomized Controlled Pilot Study

Jung

2018

KSPM

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PURPOSE: This study was conducted to determine the effects of whole-body tilt exercise with visual feedback on trunk control, strength, and balance in patients with acute stroke. METHODS: The study included 18 patients with acute stroke who were randomly allocated to a Whole Body Tilt Exercise Group (WBTEG, N=9) and a General Trunk Exercise Group (GTEG, N=9). The WBTEG conducted whole-body tilt exercises with visual feedback, and the GTEG performed general trunk exercises. Both groups performed the exercises five times a week for 4 weeks. Outcomes were assessed using the trunk impairment scale (TIS), the trunk

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Trunk training exercises approaches for improving trunk performance and functional sitting balance in patients with stroke: A systematic review

Cited by 112 publications

References 69 publications

Do core stability exercises improve upper limb function in chronic stroke patients?

Do core stability exercises improve upper limb function in chronic stroke patients?

Effectiveness of additional trunk exercises on gait performance: study protocol for a randomized controlled trial

Effects of Whole Body Tilt Exercise with Visual Feedback on Trunk Control, Strength, and Balance in Patients with Acute Stroke: a Randomized Controlled Pilot Study

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