Effects Of Balance Training Program Research Articles

Effect of Balance Training Program and Modified Balance Training-Waltz Program on Postural Control of Filipino Community-dwelling Older Adults: A Randomized Controlled Trial

Effect of Balance Training Program and Modified Balance Training-Waltz Program on Postural Control of Filipino Community-dwelling Older Adults: A Randomized Controlled Trial

Cross-education effect of balance training program in patients with chronic ankle instability: A randomized controlled trial

Chronic ankle instability (CAI) is frequently developed due to failure of the functional rehabilitation after acute ankle sprain. So, there is a need for an alternative way by which we can begin neuro-muscular control retraining sooner. PurposeThis study was conducted to examine the effect of 6-week Single-limb Balance Training Program of the non-affected side on the Overall Stability Index (OASI), Antero-Posterior Stability Index (APSI), and the Medio-Lateral Stability Index (MLSI) of the affected side in females with unilateral CAI. MethodsThirty-two female patients with CAI with mean age 20.96 ± 1.69 years participated in this study. They were randomly assigned into three groups: experimental group A (Cross-Education) (n = 11) performed the exercises for the non-affected side, experimental group B (Traditional Training) (n = 11) performed the exercises for the affected side, and Control group C (n = 10) did not perform any exercises. The randomization was done using statistical random tables. Data were collected using the Biodex Balance system before and after training. ResultsTwo-way mixed design MANOVA revealed that there were significant improvements in the mean values of the OASI, APSI and MLSI after training (p < .05) in both the Cross-Education group (A) and Traditional Training group (B) with no significant difference in-between for the OASI, MLSI and APSI after training. There was no significant difference (p > .05) between the pre and post-training mean values of the OASI, MLSI and APSI in the Control group (C). ConclusionSingle-limb balance training for the non-affected side is effective in improving the postural control of the affected side in patients with CAI.

To Know the Effectiveness of Rocker Board Training Programe on Trunk Balance and Gait in Subjects with Stroke

Stroke is a clinical syndrome with signs of focal or global disturbance of cerebral functions with apparent causes of vascular origin. Stroke is one of the leading causes of death and disability in India. As per available literature, in India 104.39 deaths per 1’00’000 populations. The incidence rate was 99.54 per 1,00,000 in men and 149.49 per 1,00,00 in women. 80 percent of stroke patents didn’t survive after 10 years. Moreover stroke patients face balance problems which limit lower limb functional activities which demand rapid and optimal improvement of postural control for their independence, social participation and general health. Balance training, on Rocker Board in sitting position has proved to be effective in improving balance in stroke patients, but there is no available study evaluated effectiveness of balance training program on Rocker Board in standing position which is an urgent need for stroke patients with difficulty in standing balance. To fill this gap, the present research work studied the effectiveness of Rocker Board training program on balance and gait in stroke patients with the help of‘Berg balance scale’(BBS), ‘Functional reach test’(FRT) and ‘Timed walking test’(TWT).Values obtained were compared by using a paired t-test. According to obtained values the pre and posttest values of BBS, FRT, TWT had shown a significant effect on ‘p’ values <0.05 in experimental group and after 6 weeks of intervention protocol, the present study concludes that the trunk balance and gait have significant improvement in experimental group than the control group

Group Balance Training Specifically Designed for Individuals With Alzheimer Disease: Impact on Berg Balance Scale, Timed Up and Go, Gait Speed, and Mini-Mental Status Examination.

Individuals with Alzheimer disease (IwAD) experience more frequent and more injurious falls than their cognitively intact peers. Evidence of balance and gait dysfunction is observed earlier in the course of Alzheimer disease (AD) than once believed. Balance training has been demonstrated to be effective in improving balance and decreasing falls in cognitively intact older adults but is not well studied in IwAD. This study was designed to analyze the effects of a group balance training program on balance and falls in IwAD. The program was developed specifically for IwAD, with explicit guidelines for communication/interaction and deliberate structure of training sessions catered to the motor learning needs of IwAD. This prospective, quasi-experimental, pretest-posttest design study describes the effects of a balance training program for a cohort of IwAD. Thirty IwAD were recruited from 3 adult day health centers; 22 completed at least 1 posttest session. Participants were tested with Berg Balance Scale (BBS), Timed Up and Go (TUG), Self-Selected Gait Speed (SSGS), Fast Gait Speed (FGS), and Mini-Mental Status Examination (MMSE) immediately before and after the 3-month intervention and again 3 months later. Group training was held at the adult day health centers for 45 minutes, twice per week. Sessions were characterized by massed, constant, and blocked practice of functional, relevant activities with considerable repetition. Ratio of participant to staff member never exceeded 3:1. Physical therapist staff members assured that participants were up on their feet the majority of each session and were individually challenged as much as possible. Repeated-measures analysis of variance (ANOVA) for BBS was significant (F = 15.04; df = 1.67/28.40; P = .000) with post hoc tests, revealing improvement between pretest and immediate posttest (P = .000) and decline in performance between immediate and 3-month posttest (P = .012). Repeated-measures ANOVA posttest for MMSE was significant (F = 5.12; df = 1.73/22.53; P = .018) with post hoc tests, showing no change in MMSE between pretest and immediate posttest but decline in MMSE when comparing immediate posttest with 3-month posttest (P = .038) and pretest with 3-month posttest (P = .019). Repeated-measures ANOVA for TUG, FGS, and SSGS were not significant. Immediate effects of the intervention as assessed by the a priori paired t tests (comparing pre- and immediate posttest data) revealed significant improvement in BBS (t = -7.010; df = 20; P = .000), TUG (t = 3.103; df = 20; P = .006), and FGS (t = -2.115; df = 19; P = .048), but not in SSGS (t = -1.456; df = 20; P = .161). The 3-month group balance training intervention designed specifically for IwAD was effective in improving balance and mobility, as evidenced by improved BBS and TUG performances. Cognition did not decline during the course of the intervention but did decline following the intervention, suggesting a possible protective effect. Given the promising findings, a larger-scale controlled study is warranted.

Postural Stability and Balance Training Program in Hemiparetic Stroke Patients

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 0.05). 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.