Effects Of Balance Training Research Articles

The Effects of Balance Training with Functional Electrical Stimulation on Balance and Gait in patients with chronic stroke

The Effects of Balance Training with Functional Electrical Stimulation on Balance and Gait in patients with chronic stroke

The Effect Of Balance Training Of 200-M Kayaking Athlete Performance

The purpose of this study was to find out the impact of balance exercises on the achievements of kayaking athletes 200 meters. The method used in this study is a survey using correlational. The sample selected was by criteria of the number of kayakers participating in the National Training Center for rowing in 2019, as many as 28 male athletes. Data analysis using a simple correlation with a significant level of 0.05, overall analysis of this data uses the help of SPSS program version 20.00. The finding is that the R Square value (determination coefficient) is 0.712, which means 71.2% of the total performance variation of 200m kayakers is caused by a simple correlate relationship with variable balance. This means that 71.2% of balance data has a direct influence on the performance of kayakers 200m in 2019 and the remaining 28.8% or (100% - 71.2% = 28.8%) caused by other factors such as weather conditions, mental condition, boat conditions, nutrition, recovery, athlete health conditions, and others

StayBalanced: implementation of evidence-based fall prevention balance training for older adults\u2014cluster randomized controlled and hybrid type 3 trial

BackgroundThe StayBalanced programme has shown positive effects on fall prevention, balance control and fear of falling. Despite convincing evidence on the efficacy and effectiveness of balance training, there is a gap between research findings and what is provided in community-based and clinical health care settings. Therefore, transferring evidence-based balance training into clinical practice is needed.MethodsThis project, designed as a hybrid type 3 trial, is a cluster-randomized study with a mixed-method design, carried out in primary health care settings. The aim is to investigate the effectiveness of two different strategies to facilitate the implementation of an intervention, the StayBalanced balance training programme, in primary health care, including evaluation of relative changes and maintenance in patient outcomes between intervention arms over 24 months. The StayBalanced programme will be launched through a website with information on the balance training and how to use it in clinical practice. One implementation strategy will include close facilitation, i.e. support and close follow-ups initiated by the researchers, in addition to access to the website. The other strategy simply includes access to the StayBalanced website. Outcome measures in the project consist of implementation outcomes, such as acceptability, feasibility, fidelity and sustainability of the StayBalanced programme. Outcomes at an individual level for older adults participating in the training will include fall-related concerns, health-related quality of life, balance performance, gait, physical activity, muscle strength in lower extremities, number of falls and compliance with training.DiscussionThis study will generate new understanding of effective strategies for transferring research to clinical practice and thereby reduce an important knowledge gap, as well as aid decision-making for future implementation of evidence-based methods. Furthermore, it will contribute to improved balance and gait, increased level of physical activity and function, and improved health-related quality of life for the individuals participating in the programme.Trial registrationClinicalTrials.govNCT02909374. Registered on September 21, 2016

The effect of balance training and conventional pulmonary rehabilitation in patients with moderate chronic obstructive pulmonary disease

The purpose of our study was to determine the added effect of a balance training program to conventional pulmonary rehabilitation on exercise capacity, balance, fall risk and health related quality of life in patients with moderate COPD. A Randomized Control Trial with two groups- Experimental and Control groups. 133 participants were randomly allocated to either the conventional pulmonary rehabilitation group or the combined pulmonary rehabilitation group with balance training. In the present study we found statistically significant improvement in Berg Balance Scale by -22.55%, Timed Up and Go test by -46.46%, Single Leg Stance Test by -51.69%, Activities Balance Confidence Score by 13.89%, Elderly Falls Screening Test by -57.42%, Six-minutes walk test by 3.04%, and St. George respiratory questionnaire total score by -18.16%.It is recommended that implementation of 8 weeks balance training with conventional pulmonary rehabilitation program is beneficial on improving balance, six-minute walk distance and health related quality of life in subjects with moderate COPD.

Effect of balance training with Biodex Balance System to improve balance in patients with diabetic neuropathy: A quasi experimental study.

Objective:To determine the effect of balance training with Biodex Balance System in improving balance function in patients with diabetic neuropathy.Methods:A quasi experimental study was conducted at physiotherapy department of Rehman Medical Institute Peshawar from January to June 2018. Thirty-eight Diabetes Mellitus Type-II patients with diagnosis of diabetic neuropathy participated in the study. Those patients were included who were able to stand independently and who scored moderate or severe neuropathy on Toronto Scale. Participants received 12 sessions (two sessions per week) of balance training on Biodex stability system in six weeks. Berg Balance Scale and Time Up and Go test were used to collect pre and post treatment data. Paired sample T-test was used to compare pre and post treatment data because data was normally distributed.Results:The mean age of the participants was 63.08 ± 3.3 years. Pretreatment Berg Balance Scale score was 42.68 ± 3.7 which improved to 48.89 ±3.7 after the treatment (P<0.001). Similarly, pretreatment Time Up and Go test score was 17.47 ± 2.0 while post treatment score was 13.57 ±1.5 (P<0.001).Conclusion:Balance training with Biodex Balance System can significantly improve balance function in Diabetes Mellitus Type-II patients with diabetic neuropathy.

Effects of Plyometric Jump Training on Balance Performance in Healthy Participants: A Systematic Review With Meta-Analysis / Effects of plyometric-jump training on balance performance in healthy individuals across the lifespan: A systematic review with meta-analysisist

Postural balance represents a fundamental movement skill for the successful performance of everyday and sport-related activities. There is ample evidence on the effectiveness of balance training on balance performance in athletic and non-athletic population. However, less is known on potential transfer effects of other training types, such as plyometric jump training (PJT) on measures of balance. Given that PJT is a highly dynamic exercise mode with various forms of jump-landing tasks, high levels of postural control are needed to successfully perform PJT exercises. Accordingly, PJT has the potential to not only improve measures of muscle strength and power but also balance. To systematically review and synthetize evidence from randomized and non-randomized controlled trials regarding the effects of PJT on measures of balance in apparently healthy participants. Systematic literature searches were performed in the electronic databases PubMed, Web of Science, and SCOPUS. A PICOS approach was applied to define inclusion criteria, (i) apparently healthy participants, with no restrictions on their fitness level, sex, or age, (ii) a PJT program, (iii) active controls (any sport-related activity) or specific active controls (a specific exercise type such as balance training), (iv) assessment of dynamic, static balance pre- and post-PJT, (v) randomized controlled trials and controlled trials. The methodological quality of studies was assessed using the Physiotherapy Evidence Database (PEDro) scale. This meta-analysis was computed using the inverse variance random-effects model. The significance level was set at p <0.05. The initial search retrieved 8,251 plus 23 records identified through other sources. Forty-two articles met our inclusion criteria for qualitative and 38 for quantitative analysis (1,806 participants [990 males, 816 females], age range 9–63 years). PJT interventions lasted between 4 and 36 weeks. The median PEDro score was 6 and no study had low methodological quality (≤3). The analysis revealed significant small effects of PJT on overall (dynamic and static) balance (ES = 0.46; 95% CI = 0.32–0.61; p < 0.001), dynamic (e.g., Y-balance test) balance (ES = 0.50; 95% CI = 0.30–0.71; p < 0.001), and static (e.g., flamingo balance test) balance (ES = 0.49; 95% CI = 0.31–0.67; p < 0.001). The moderator analyses revealed that sex and/or age did not moderate balance performance outcomes. When PJT was compared to specific active controls (i.e., participants undergoing balance training, whole body vibration training, resistance training), both PJT and alternative training methods showed similar effects on overall (dynamic and static) balance (p = 0.534). Specifically, when PJT was compared to balance training, both training types showed similar effects on overall (dynamic and static) balance (p = 0.514). Conclusion: Compared to active controls, PJT showed small effects on overall balance, dynamic and static balance. Additionally, PJT produced similar balance improvements compared to other training types (i.e., balance training). Although PJT is widely used in athletic and recreational sport settings to improve athletes' physical fitness (e.g., jumping; sprinting), our systematic review with meta-analysis is novel in as much as it indicates that PJT also improves balance performance. The observed PJT-related balance enhancements were irrespective of sex and participants' age. Therefore, PJT appears to be an adequate training regime to improve balance in both, athletic and recreational settings.

To compare the effectiveness of balance training and conventional exercises for elderly individuals

To compare the effectiveness of balance training and conventional exercises for elderly individuals

Effects of balance training on balance performance in youth: role of training difficulty

BackgroundCross-sectional studies have shown that balance performance can be challenged by the level of task difficulty (e.g., varying stance conditions, sensory manipulations). However, it remains unclear whether the application of different levels of task difficulty during balance training (BT) leads to altered adaptations in balance performance. Thus, we examined the effects of BT conducted under a high versus a low level of task difficulty on balance performance.MethodsForty male adolescents were randomly assigned to a BT program using a low (BT-low: n = 20; age: 12.4 ± 2.0 yrs) or a high (BT-high: n = 20; age: 12.5 ± 2.5 yrs) level of balance task difficulty. Both groups trained for 7 weeks (2 sessions/week, 30–35 min each). Pre- and post-training assessments included measures of static (one-legged stance [OLS] time), dynamic (10-m gait velocity), and proactive (Y-Balance Test [YBT] reach distance, Functional Reach Test [FRT]; Timed-Up-and-Go Test [TUG]) balance.ResultsSignificant main effects of Test (i.e., pre- to post-test improvements) were observed for all but one balance measure (i.e., 10-m gait velocity). Additionally, a Test x Group interaction was detected for the FRT in favor of the BT-high group (Δ + 8%, p < 0.001, d = 0.35). Further, tendencies toward significant Test x Group interactions were found for the YBT anterior reach (in favor of BT-high: Δ + 9%, p < 0.001, d = 0.60) and for the OLS with eyes opened and on firm surface (in favor of BT-low: Δ + 31%, p = 0.003, d = 0.67).ConclusionsFollowing 7 weeks of BT, enhancements in measures of static, dynamic, and proactive balance were observed in the BT-high and BT-low groups. However, BT-high appears to be more effective for increasing measures of proactive balance, whereas BT-low seems to be more effective for improving proxies of static balance.Trial registrationCurrent Controlled Trials ISRCTN83638708 (Retrospectively registered 19th June, 2020).

The effects of a 6-Week balance training in addition to conventional physiotherapy on pain, postural control, and balance confidence in patients with cervical disc herniation: a randomized controlled trial

Purpose Impaired postural control and fear of falling are common symptoms in patients with neck disorders, but the effects of balance training have not yet been sufficiently investigated. The aim of this study was to determine the effects of balance training on neck pain, postural control, and balance confidence in patients with cervical disc herniation (CDH). Materials and methods Thirty patients (21 females and 9 males) aged 18–55 years were randomly assigned into two groups and followed up for 6 weeks, with a 3-day weekly treatment program. Both groups received hot pack therapy, interferential current, and myofascial relaxation and cervical dynamic isometric exercises. The training group also received additional balance training on a force platform with the visual feedback technique. All patients were evaluated using the visual analogue scale for pain intensity, activity specific balance confidence scale (ABC) for balance confidence, centre of pressure with eyes closed-eyes open (CoP-EO/CoP-EC), and the limits of stability tests (LoS) for postural control with a monoaxial bipodal stabilometric force platform pre- and post-intervention. Results The pain intensity was significantly reduced in both groups (p = 0.01). CoP-EO/CoP-EC and LoS results improved in the training group (p = 0.036, p = 0.020, p = 0.23, respectively), whereas no effects were observed in the control group (p = 0.955, p = 0.307, p = 0.363, respectively). Although ABC scores increased significantly in both groups (p = 0.001, p = 0.009, respectively), the increase in the training group was significantly higher than that of the control group (p = 0.003). Conclusions The results of our study revealed that balance training added to the treatment protocol of CDH may have positive results in the treatment of neck problems. Accordingly, balance training in the treatment of chronic neck problems should also be considered for a comprehensive management of CDH

Plyometrics or balance training effects on lower body power, balance and reactive agility in collegiate basketball athletes: A randomized control trial

Plyometrics or balance training effects on lower body power, balance and reactive agility in collegiate basketball athletes: A randomized control trial

Effects of Biofeedback and Task-Oriented Intervention on Balance Confidence and its Relationship with Social Participation among Stroke Survivors

Purpose: The study aimed to compare the effects of balance training on balance confidence and its relationship with social participation among clients with stroke. Method: A pre- and post- experimental group design was used. Stroke survivors who met the inclusion criteria were consecutively assigned to two groups (task-oriented and biofeedback). Participants in the task-oriented group received task-oriented activities for 20 minutes and the biofeedback group received intervention in correckta (equipment used for balance training) for 20 minutes, along with conventional occupational therapy - 5 sessions per week, for 12 weeks. Balance Confidence Scale was used for measuring balance confidence, and Frenchay Activities Index (FAI) was used to measure social participation. Statistical calculations were performed with SPSS version 16.0 package. Statistical tests were carried out with the level of significance set at p≤ 0.05. Results: The findings suggest that both the biofeedback and task-oriented groups showed significant improvement in balance confidence and there was no statistically significant difference between the groups. There was a moderate to good relationship between balance confidence and social participation. Conclusions and Implications: There is evidence that many stroke survivors have low balance confidence. Therapists should assess the balance confidence of their clients and encourage them to participate in these beneficial interventions.

Effects of balance training and strengthening exercises on individuals with idiopathic Parkinson’s disease

Effects of balance training and strengthening exercises on individuals with idiopathic Parkinson’s disease

Effects of Balance Training on Nonmotor Symptoms in Individuals With Parkinson Disease

Objective: Evaluate the effects of balance training on nonmotor symptoms associated with Parkinson disease (PD) using Biodex stability system (BSS). Methods: Twenty individuals with PD were assigned to either a BSS group (n = 10) or a non-BSS group (n = 10) who performed exercises for 4 weeks. Assessments of depression, fatigue, pain, fear of falling, and quality of life (QOL) were done using standardized measures. Results: Fatigue was found to be significantly different within (mean difference: 8 ± 11.5 points; 95% CI, −0.27, 16) as well as between groups (mean difference: 12.6 ± 12.3 points; 95% CI, 23.4, 1.7) for only the BSS group. Conclusion: Balance exercise training can decrease fatigue, which may have valuable implications on fear of falling and QOL in individuals with PD.

Neuromuscular Control Training Does Not Improve Gait Biomechanics in Those With Chronic Ankle Instability: A Critically Appraised Topic

Introduction/Clinical Scenario: Ankle sprains are highly common within the population and can lead to chronic ankle instability (CAI). Individuals with CAI have both functional and mechanical impairments, which are thought to contribute to maladaptive gait biomechanics. Neuromuscular control and balance training are frequently incorporated into rehabilitation programs, however the effect of balance training on gait biomechanics remains unknown. Focused Clinical Question: Does balance or neuromuscular training improve gait biomechanics in individuals with CAI? Summary of Key Findings: Three studies assessed 4–6 weeks of progressive neuromuscular control training and found no improvements in gait biomechanics. One study found a worsening of eversion position at midstance upon program completion. However, when training was augmented with destabilizing shoes, improvements in dorsiflexion were noted. Clinical Bottom Line: Cumulative findings suggest that neuromuscular control training does not improve gait biomechanics in those with CAI. However, augmentation of programs may be beneficial. Strength of Recommendation: There is high-quality evidence(Grade B) that balance training does not alter gait biomechanics in patients with CAI.

Effectiveness of early high-intensity balance training for early home life independence after total knee arthroplasty: a pseudo-randomized controlled trial.

In Japan, the number of elderly individuals living alone is increasing, leading to an increase in hospital medical expenses attributed to total knee arthroplasty (TKA). Improvement in balance and functional performance is a priority in the early postoperative stages after TKA. However, there are no reports on the effectiveness of balance training (BT) for inpatients in the early postoperative period. Thus, we aimed to evaluate the effectiveness of early high-intensity BT for early home-life independence after TKA. This pseudo-randomized controlled trial included 49 inpatients who underwent TKA and had osteoarthritis. Inpatients were categorized into the BT or typical training (TT) group. The BT program began on post-TKA day 4, with 12-14 sessions between day 7 and 10 (i.e., 1-2 sessions per day). The effect of the intervention was assessed using balance ability as the main outcome. Sub-outcomes included evaluation of motion function. The differences in each variable before and after intervention were compared, including covariance analysis adjusted for age and sex. The mean (standard deviation) balance ability indexes in the left and right directions were BT, pre 4.5 (0.8) and post 4.4 (0.8); TT, pre 4.8 (0.9) and post 4.4 (0.8), and those in the forward and backward directions were BT, pre 4.7 (1.7) and post 5.1 (2.1); TT, pre 6.3 (2.6) and post 5.9 (2.0). No significant differences were found between the preoperative and postintervention scores in the two groups for any measured outcome. BT did not appear to improve balance ability or functional performance.

The effect of balance training based on vestibular system stimulation on postural stability and social skills performance in children with autism spectrum disorders

هدف: با توجه به فراگیر شدن اختلالات ثبات قامتی و تأثیر آن بر عملکرد حرکتی کودکان طیف اوتیسم، هدف از این مطالعه بررسی اثر مداخلات تعادلی مبتنی بر تحریک وستیبولار بر عملکرد ثبات قامتی و عملکرد اجتماعی این کودکان بودروش‌شناسی: با توجه به معیارهای ورود 24 کودک (5 تا 12 سال) به‌صورت تصادفی در 3 گروه 8 نفرِ قرار گرفتند برنامه تمرینی تعادلی شامل 30 جلسه تمرین تعادلی (30 تا 45 دقیقه/3 بار در هفته) بود، هم‌زمان گروه کنترل برنامه‌ی آموزشی مدرسه را دریافت می‌کردند و گروه بازی آزاد هم‌زمان در کنار گروه مداخله قرار گرفتند. برای ارزیابی ثبات قامتی از دستگاه صفحه نیرو، و برای ارزیابی عملکرد اجتماعی از مقیاس عملکرد اجتماعی اسکات بلینی استفاده شد.یافته ها: نتایج این مطالعه نشان داد که میزان نوسانات ثبات قامتی در دو محور انتریوپاستریور و مدیولترال در دوپای راست و چپ در پس‌آزمون کاهش معناداری داشت (p <0/05)، عملکرد اجتماعی نیز نسبت به دو گروه دیگر بهبود معناداری یافت p <0/05)).بحث: تمرینات تعادلی باهمراهی تمرینات مبتنی بر تحریک سیستم وستیبولار توانسته است بر تمام عوامل مؤثر بر تعادل کودکان اوتیسم تأثیر گزار باشد. به نظر می‌رسد این مداخله برای بهبود تعادل این کودکان و افزایش عملکرد اجتماعی آنان مفید است.

Effects of Balance Training on Postural Control of Children with Attention Deficit/Hyperactivity Disorder

Background: Children with attention-deficit/hyperactivity disorder (ADHD) have shown deficiencies in many physical activities in comparison with normally developing children. One of the problems of these children is the balance and postural control. Objectives: The aim of this study was to investigate the effects of balance training on postural control of children with ADHD. Methods: Thirty children with ADHD participated in this study and were divided randomly into experimental and control groups. The experimental group performed balance training three times per week for seven weeks. During this period, the control group did not experience any exercises but continued their normal activities. The Biodex balance system (BBS) was used to evaluate static and dynamic balance. Results: The balance training significantly increased static and dynamic balance in the experimental group (P &lt; 0.001), while the balance scores of children with ADHD in the control group did not change. Participants in the experimental group also performed static and dynamic balance tests significantly better than members of the control group (P &lt; 0.001). Conclusions: The results showed that specific balance training improves postural control of children with ADHD. These balance trainings probably lead to an adaptive mechanism in the sensory process and cerebellar integration of children with ADHD.

Effects of Balance Training Using a Wii Fit Balance Board on Balance, Gait and Activities of Daily Living in Patients with Parkinson Disease: A Pilot, Randomized Controlled Trial

Background/Objectives: This study examined the effects of balance training using a Wii Fit balance board on the balance, gait, and activities of daily living in patients with Parkinson disease.Method/Statistical Analysis: Our study included 15 patients with Parkinson disease who scored 2–3 on the Hoehn and Yahr scale and underwent occupational therapy. Participants were randomly assigned to two groups: the experimental group with 8 patients or the control group with 7 patients. All subjects in two groups received traditional occupational therapy (TOT) for 30 min/day, 3 times a week, for 8 weeks, and the participants in the experimental group additionally received a balance training using a Wii Fit (BTWF) for 30 min per session. All patients in both groups were evaluated using the Berg balance scale (BBS), the time up & go test, and the modified Barthel index.Findings: The experimental and control groups showed significant improvements in all outcome measures after intervention. In particular, the experimental group showed a more significant improvement in the BBS score than the control group.Improvements/Applications: BTWF could be effectively used to improve the balance of Parkinson’s disease patients in the clinic.

Balance training can enhance hip fracture patients' independence in activities of daily living: A meta-analysis of randomized controlled trials.

Background:We conducted this meta-analysis to analyze the effectiveness of balance training in improving postoperative rehabilitation outcomes in hip fracture surgery patients.Methods:The Cochrane Library, Web of Science, Embase, and PubMed electronic databases were searched from their inception to December 2018. We selected prospective clinical control analyses and high-quality randomized controlled trials (RCTs) following the inclusion standards. We used Stata 12.0 to perform the meta-analysis. Where possible, the standard mean difference (SMD) with the 95% confidence interval (CI) was determined using a random effects model.Results:Ten RCTs involving 955 hips (balance training = 487, control = 468) published between 2002 and 2019 were assessed for eligibility of inclusion in the meta-analysis. Balance training was shown to remarkably improve the aspects of quality of life associated with physical health (standard mean difference [SMD], 2.20; 95% CI, 1.63–2.78, P = .000), a fast gait speed (SMD, 1.01; 95% CI, 0.25–1.77, P = .009), and balance (SMD = 0.26, 95% CI: [0.12, 0.41], P = .000). Moreover, the balance training group showed increases in independence in activities of daily living (ADLs), performance task scores, and health-related quality of life (HRQoL) scores compared with the control group (P < .05).Conclusion:According to the present meta-analysis, balance training improves one's independence in activities of daily living, performance tasks, lower limb strength, gait, and total physical function compared with no balance training. More high-quality RCTs with large sample sizes are required for the identification of the best balance training program after hip fracture.

Effect of Balance Training on Health Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease (COPD)

Objective: There is a need to find the effect of balance training with pulmonary rehabilitation in subjectswith COPD. The Purpose of this study is to find the effectiveness of balance training with pulmonaryrehabilitation on improvement of balance, exercise tolerance, health related quality of life and risk of falls.Method: A 20 moderate COPD subjects randomised into experimental group and control group. Theexperimental group with 10 subjects were treated with balance training along with pulmonary rehabilitationand control group with 10 subjects were treated with pulmonary rehabilitation for eight weeks. The outcomemeasurements such as Berg Balance Scale, Timed Up and Go Test, Activities Balance Confidence (ABC)scale, 6 minutes walk test and St George Respiratory Questionnaire was measured before and after 8 weeksof intervention in both the groups’ subjects.Results: There is a statistically significant difference (p&lt;0.05) in means of balance measures, Six minuteswalk test, and St. George respiratory questionnaire between the groups. There is no statistically significantdifference in St. George respiratory questionnaire components- Symptoms, and Activity score between thegroups.Conclusion: The subjects with moderate COPD shown greater improvement in balance, exercise tolerance,health related quality of life and reduced risk of falls in pulmonary rehabilitation with balance training.