THERAPY-Magazin
Effects of additional, dynamic supported standing practice
Redaktion
THERAPY Magazin
Summary of a randomised, controlled study for evaluating the feasibility and effectiveness of additional dynamic balance training for patients who have suffered from subacute strokes compared to static standing practice with a conventional standing frame.
A significant proportion of stroke patients suffer from a severe impairment to their walking and balancing ability, which has a critical effect on mobility and quality of life. Although useful, static standing practice is not primarily aimed at improving balance, unlike the Balance-Trainer, a dynamically supported standing table. Future challenges facing stroke rehabilitation demand secure, effective, cost-effective and simple add-on interventions, which can thereby help to promote functional recovery in subacute stroke patients. The Balance-Trainer has the potential to fill this gap.
Objective
Checking the feasibility and effectiveness of additional, dynamically supported, task and goal-oriented standing practice on functional capabilities in subacute stroke patients, supervised by physiotherapy assistants.
Checking the feasibility and effectiveness of additional, dynamically supported, task and goal-oriented standing practice on functional capabilities in subacute stroke patients, supervised by physiotherapy assistants.
Design
Single-blind, randomised, controlled pilot study.
Single-blind, randomised, controlled pilot study.
Setting
Rehaklinik Zihlschlacht, Neurorehabilitation Centre, Zihlschlacht, Switzerland.
Rehaklinik Zihlschlacht, Neurorehabilitation Centre, Zihlschlacht, Switzerland.
Participants
10 patients who have suffered subacute strokes and are unable to walk.
10 patients who have suffered subacute strokes and are unable to walk.
Intervention
The intervention group (n = 5) received the usual treatment with additional dynamically supported standing practice, which took place at least four times per week over five weeks. The control group received the same treatment but with static rather than dynamic standing practice.
The intervention group (n = 5) received the usual treatment with additional dynamically supported standing practice, which took place at least four times per week over five weeks. The control group received the same treatment but with static rather than dynamic standing practice.
Key measurements
The primary results variables regarding feasibility were the occurrence of undesired events along with patient satisfaction and motivation. Secondary results variables were the functional recovery of postural control, ability to walk, mobility and independence.
The primary results variables regarding feasibility were the occurrence of undesired events along with patient satisfaction and motivation. Secondary results variables were the functional recovery of postural control, ability to walk, mobility and independence.
Results
Dynamic standing practice proved very feasible. In total, the five test subjects took part in
119 training sessions, without the occurrence of undesirable events. Both groups showed significant improvements in all variables, both after five weeks and after two weeks of follow-ups. After five weeks, the intervention group scored significantly better than the control group on the Berg Balance Scale, the Functional Ambulation Categories, the De Morton Mobility Index and the Functional Independence Measure.
Dynamic standing practice proved very feasible. In total, the five test subjects took part in
119 training sessions, without the occurrence of undesirable events. Both groups showed significant improvements in all variables, both after five weeks and after two weeks of follow-ups. After five weeks, the intervention group scored significantly better than the control group on the Berg Balance Scale, the Functional Ambulation Categories, the De Morton Mobility Index and the Functional Independence Measure.
Conclusion
Additional, dynamically supported standing practice is safe and easy to implement for subacute stroke patients. The low number of participants and the significantly larger scope of physiotherapy units in the intervention group indicate that this tentative effectiveness should be
interpreted with caution.
Additional, dynamically supported standing practice is safe and easy to implement for subacute stroke patients. The low number of participants and the significantly larger scope of physiotherapy units in the intervention group indicate that this tentative effectiveness should be
interpreted with caution.
Keywords
Stroke rehabilitation, additional standing practice, balance, repeated exercise therapy.
Stroke rehabilitation, additional standing practice, balance, repeated exercise therapy.
Ambulante Rehabilitation
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Fachkreise
Science
Standing & Balancing
Stationäre Rehabilitation
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Redaktion
THERAPY Magazin
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