Proprioceptive Exercises in Hemiplegia Improve Balance and Spatiotemporal Parameters

Abstract

Objective It was planned to investigate the effects of proprioceptive exercises applied to patients with hemiplegia on muscle tone, balance, perception, posture, mobility, and spatiotemporal parameters.

Materials and Methods 70 participants with hemiplegia were randomized to an experimental group (conventional stroke rehabilitation program+proprioceptive exercise, 30 sessions) and a control group (conventional stroke rehabilitation program, 30 sessions). Timed Up and Go (TUG) Test, Modified Ashworth Scale (MAS), Posture Assessment Scale for Stroke Patients (PASS), Mini-Mental State Examination (MMSE), Rivermead Mobility Index (RMI), Spatiotemporal parameters (cadence, maximum plantar pressure, total weight transfer, step cycle duration, swing phase, step length and foot angle), and Berg Balance Scale (BERG) were applied on all participants before and after treatment.

Results When the intra-group values were compared before and after the treatment, TUG, PASS, MMSE, RMI and BERG values increased significantly. MAS upper extremity and MAS lower extremity values decreased significantly. (p<0.01). In the comparison between the groups, one of the spatiotemporal parameters, cadence, total weight transfer, and maximum plantar pressure values, increased significantly after the treatment. Step cycle duration, swing phase, step length and foot angle values decreased significantly after the treatment. (p<0.01)

Conclusion Unlike the literature, proprioceptive exercises that we add to the conventional rehabilitation program can be used to improve muscle tone, balance, perception, postural control, mobility, and spatiotemporal parameters.

Zusammenfassung

Ziel Es war geplant, die Auswirkungen von propriozeptiven Übungen bei Patienten mit Hemiplegie auf Muskeltonus, Gleichgewicht, Wahrnehmung, Körperhaltung, Mobilität und raumzeitliche Parameter zu untersuchen.

Materialien und Methoden 70 Teilnehmer mit Hemiplegie wurden randomisiert einer experimentellen Gruppe (konventionelles Schlaganfall-Rehabilitationsprogramm+propriozeptive Übungen, 30 Sitzungen) und einer Kontrollgruppe (konventionelles Schlaganfall-Rehabilitationsprogramm, 30 Sitzungen) zugeteilt. Timed Up and Go (TUG) Test, MAS Score, Posture Assessment Scale for Stroke Patients (PASS), Mini-Mental State Examination (MMSE), Rivermead Mobility Index (RMI), Raumzeitliche Parameter (Kadenz, maximaler Plantardruck, Gesamtgewichtsverlagerung , Schrittzyklusdauer, Schwungphase, Schrittlänge und Fußwinkel) und Berg-Balance-Skala wurden bei allen Teilnehmern vor und nach der Behandlung angewendet.

Ergebnisse Beim Vergleich der gruppeninternen Werte vor und nach der Behandlung stiegen die TUG-, PASS-, MMSE-, RMI- und BERG-Werte signifikant an. Die MAS-Werte der oberen Extremität und der MAS der unteren Extremität nahmen signifikant ab. (p<0,01). Im Vergleich zwischen den Gruppen stieg einer der raumzeitlichen Parameter Trittfrequenz, Gesamtgewichtsverlagerung und maximale Plantardruckwerte nach der Behandlung signifikant an. Schrittzyklusdauer, Schwungphase, Schrittlänge und Fußwinkelwerte nahmen nach der Behandlung signifikant ab (p<0,01).

Schlussfolgerung Im Gegensatz zur Literatur können propriozeptive Übungen, die wir dem konventionellen Rehabilitationsprogramm hinzufügen, verwendet werden, um Muskeltonus, Gleichgewicht, Wahrnehmung, posturale Kontrolle, Mobilität und raumzeitliche Parameter zu verbessern.

Key words

hemiplegia - assessment - exercise therapy - medical rehabilitation - sensorimotor training - spatiotemporal parameters

Schlüsselwörter

Hemiplegie - Assessment - Bewegungstherapie - medizinische Rehabilitation - sensomotorisches Training - raumzeitliche Parameter

Publication History

Received: 03 November 2022

Accepted: 19 April 2023

Article published online:
09 May 2023

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