| Titre : | Best Core Stabilization for Anticipatory Postural Adjustment and Falls in Hemiparetic Stroke (2018) |
| Auteurs : | Nam G. Lee ; Joshua (Sung) H. You ; Chung Hwi Yi |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 11, 2018) |
| Article en page(s) : | p. 2168-2174 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Rééducation et réadaptation |
| Mots-clés: | Stroke |
| Résumé : |
Objectives To compare the effects of conventional core stabilization and dynamic neuromuscular stabilization (DNS) on anticipatory postural adjustment (APA) time, balance performance, and fear of falls in chronic hemiparetic stroke. Design Two-group randomized controlled trial with pretest-posttest design. Setting Hospital rehabilitation center. Participants Adults with chronic hemiparetic stroke (N=28). Interventions Participants were randomly divided into either conventional core stabilization (n=14) or DNS (n=14) groups. Both groups received a total of 20 sessions of conventional core stabilization or DNS training for 30 minutes per session 5 times a week during the 4-week period. Main Outcome Measures Electromyography was used to measure the APA time for bilateral external oblique (EO), transverse abdominis (TrA)/internal oblique (IO), and erector spinae (ES) activation during rapid shoulder flexion. Trunk Impairment Scale (TIS), Berg Balance Scale (BBS), and Falls Efficacy Scale (FES) were used to measure trunk movement control, balance performance, and fear of falling. Results Baseline APA times were delayed and fear of falling was moderately high in both the conventional core stabilization and DNS groups. After the interventions, the APA times for EO, TrA/IO, and ES were shorter in the DNS group than in the conventional core stabilization group (P<.008 the bbs and tis scores fes score were improved compared with baseline in both groups but remained stable through follow-up period only dns group> Conclusions This is the first clinical evidence highlighting the importance of core stabilization exercises for improving APA control, balance, and fear of falls in individuals with hemiparetic stroke. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318301163 |
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