Trunk training following stroke

Thijs, Liselot; Voets, Eline; Denissen, Stijn; Mehrholz, Jan; Elsner, Bernhard; Lemmens, Robin; Verheyden, Geert

doi:10.1002/14651858.cd013712.pub2

Cited by 6 publications

(6 citation statements)

References 195 publications

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“…This review 1 suggests that trunk training improves basic ADL, trunk function, standing balance, walking ability, upper and lower limb function, and quality of life. Notably for the primary outcome, we found a beneficial effect in nondose-matched trials which was absent in dose-matched trials.…”

Section: Discussionmentioning

confidence: 98%

Trunk Training Following Stroke

Thijs,

Voets,

Denissen

et al. 2023

Stroke

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runk training literature suggests beneficial effects for improving motor and functional outcome after stroke but the summarized effect on independence in activities of daily living (ADL) is unclear. In this Cochrane review, we provided an updated overview on the effectiveness of trunk training on ADL compared with both nondose-matched (trials with more training duration in the experimental compared with the control intervention) and dose-matched control groups (trials with equal training duration in the experimental and control intervention). SEARCH METHODSWe searched the Cochrane Stroke Group Trials Register, CENTRAL, MEDLINE, Embase, and 5 other databases to October 25, 2021. SELECTION CRITERIAWe selected randomized controlled trials comparing trunk training versus nondose-matched or dosematched control therapy including adults (18 years or older) with either ischemic or hemorrhagic stroke. Primary outcome measure was ADL and secondary outcomes included trunk function, arm-hand function and activity, standing balance, leg function, walking ability, and quality of life.

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Section: Discussionmentioning

confidence: 98%

Trunk Training Following Stroke

Thijs,

Voets,

Denissen

et al. 2023

Stroke

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“…Trunk control can be quantified with clinical measurement scales such as the trunk control test or the trunk impairment scale 9 , 10 , or through objective methods such as 3D kinematic measures or wearables 11 , 12 . Trunk control exercises are effective in improving trunk control, balance, and mobility after stroke 13 . Studies show that patients whose trunk control improves faster will be able to start earlier with gait and balance training 14 .…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, there is a significant correlation between the Berg Balance Scale, assessed at discharge, and trunk muscle strength 16 . Nevertheless, only a few studies investigate trunk control rehabilitation 13 , 15 . Traditional trunk control rehabilitation is resource intensive regarding time and physical resources implying that the critical threshold for improvement might not be reached 17 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Therapists and patients perceptions of a mixed reality system designed to improve trunk control and upper extremity function

Scheermesser,

Baumgartner,

Nast

et al. 2024

Sci Rep

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A prototype system aimed at improving arm function and trunk control after stroke has been developed that combines mixed-reality (MR) feedback with a mobile seat system (Holoreach). The purpose of this study was to assess the usability of Holoreach in a rehabilitation setting from both the patient and therapist perspective. Ten therapists (eight physiotherapists and two occupational therapists) used the device in their regular therapy programs for fifteen stroke patients with trunk control issues. Each patient received four individual therapy sessions with the device performed under the supervision of the therapist. Therapists and patients kept therapy diaries and used customized questionnaires. At the end of the study two focus groups were conducted to further assess usability. Generally, the prototype system is suitable for training trunk and arm control. The therapists expressed overall positive views on the impact of Holoreach. They characterized it as new, motivating, fresh, joyful, interesting, and exciting. All therapists and 80% of the patients agreed with the statement that training with Holoreach is beneficial for rehabilitation. Nonetheless, improvements are required in the hardware and software, and design. The prototype system contributes at various levels to the rapidly evolving advances in neurorehabilitation, particularly regarding the practical aspect of exercise delivery.

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“… 12 CSE is a keystone in many areas of neurological rehabilitation such as Parkinson's disease, 13 multiple sclerosis, 14 and stroke. 15 , 16 , 17 CSE training is recommended for HA individuals by Sheppard et al 18 To the best of our knowledge there are not studies that assessed a home‐based CSE program in HA population. There are only two studies that evaluated CSE on‐site.…”

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confidence: 99%

Effect of a Home‐Base Core Stability Exercises in Hereditary Ataxia. A Randomized Controlled Trial. A Pilot Randomized Controlled Trial

Cabanas‐Valdés,

Fernández‐Lago,

Peláez‐Hervás

et al. 2024

Movement Disord Clin Pract

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BackgroundCore stability exercises (CSE) have been shown to be effective in improving trunk function in several neurological diseases, but the evidence is scarce on Hereditary Ataxias (HA).ObjectiveTo evaluate the effectiveness of a 5‐week home‐based CSE program in terms of ataxia severity, trunk function, balance confidence, gait speed, lower limb motor function, quality of life, health status and falls rate in HA individuals at short‐ and long‐term.MethodsThis is an assessor‐blind randomized controlled clinical trial parallel group 1:1. The individuals were divided in experimental group (EG) performed standard care in addition to CSE, and control group (CG) performed standard care alone. The CSE home‐program was conducted 1‐h/day, 5‐day/week for 5‐week. The assessment was performed at baseline, endpoint (5‐week), and follow‐up (10‐week). The primary outcomes were ataxia severity assessed by the Scale for the Assessment and Rating of Ataxia and trunk function assessed by Spanish‐version of Trunk Impairment Scale 2.0. The secondary outcomes were balance confidence assessed by Activities‐specific Balance Confidence (ABC), gait speed by 4‐meter walk test (4‐MWT), the lower limb motor function by 30‐s sit‐to‐stand, quality of life by EuroQol 5‐dimension 5‐level (EQ‐5D‐5L), health‐status by EQ‐5D and falls rate.ResultsTwenty‐three HA individuals were recruited (51.8 ± 11.10 years). Statistically significant group‐time interaction was shown in ABC (F:5.539; P = 0.007), EQ‐5D‐5L Total (F:4.836; P = 0.013), EQ 5D (F:7.207; P = 0.006).ConclusionsNo statistical differences between groups for ataxia severity and trunk function were observed. However, were differences for balance confidence, gait speed, quality of life, and falls rate in HA individuals.

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Trunk training following stroke

Cited by 6 publications

References 195 publications

Trunk Training Following Stroke

Trunk Training Following Stroke

Therapists and patients perceptions of a mixed reality system designed to improve trunk control and upper extremity function

Effect of a Home‐Base Core Stability Exercises in Hereditary Ataxia. A Randomized Controlled Trial. A Pilot Randomized Controlled Trial

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