Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23054
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Technology-supported sitting balance therapy versus usual care in the chronic stage after stroke : a pilot randomized controlled trial
Authors: Thijs, Liselot
Voets, Eline
Wiskerke, Evelien
Nauwelaerts, Thomas
Arys, Yves
Haspeslagh, Harold
Kool, Jan
Bischof, Patrick
Bauer, Christoph
Lemmens, Robin
Baumgartner, Daniel
Verheyden, Geert
et. al: No
DOI: 10.1186/s12984-021-00910-7
10.21256/zhaw-23054
Published in: Journal of NeuroEngineering and Rehabilitation
Volume(Issue): 18
Issue: 120
Issue Date: 28-Jul-2021
Publisher / Ed. Institution: BioMed Central
ISSN: 1743-0003
Language: English
Subjects: Stroke; Technology-supported; Sitting balance; Trunk rehabilitation; Randomized controlled trial; Feasibility
Subject (DDC): 615.82: Physical therapy
616.8: Neurology, diseases of nervous system
Abstract: Background: Technology development for sitting balance therapy and trunk rehabilitation is scarce. Hence, intensive one-to-one therapist-patient training is still required. We have developed a novel rehabilitation prototype, specifically aimed at providing sitting balance therapy. We investigated whether technology-supported sitting balance training was feasible and safe in chronic stroke patients and we determined whether clinical outcomes improved after a four-week programme, compared with usual care. Methods: In this parallel-group, assessor-blinded, randomized controlled pilot trial, we divided first-event chronic stroke participants into two groups. The experimental group received usual care plus additional therapy supported by rehabilitation technology, consisting of 12 sessions of 50 min of therapy over four weeks. The control group received usual care only. We assessed all participants twice pre-intervention and once post-intervention. Feasibility and safety were descriptively analysed. Between-group analysis evaluated the pre-to-post differences in changes in motor and functional outcomes. Results: In total, 30 participants were recruited and 29 completed the trial (experimental group: n = 14; control group: n = 15). There were no between-group differences at baseline. Therapy was evaluated as feasible by participants and therapist. There were no serious adverse events during sitting balance therapy. Changes in clinical outcomes from pre- to post-intervention demonstrated increases in the experimental than in the control group for: sitting balance and trunk function, evaluated by the Trunk Impairment Scale (mean points score (SD) 7.07 (1.69) versus 0.33 (2.35); p < 0.000); maximum gait speed, assessed with the 10 Metre Walk Test (mean gait speed 0.16 (0.16) m/s versus 0.06 (0.06) m/s; p = 0.003); and functional balance, measured using the Berg balance scale (median points score (IQR) 4.5 (5) versus 0 (4); p = 0.014). Conclusions: Technology-supported sitting balance training in persons with chronic stroke is feasible and safe. A four-week, 12-session programme on top of usual care suggests beneficial effects for trunk function, maximum gait speed and functional balance.
URI: https://digitalcollection.zhaw.ch/handle/11475/23054
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
School of Engineering
Organisational Unit: Institute of Mechanical Systems (IMES)
Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit
Publikationen School of Engineering

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