Improving balance with wobble board exercises in stroke patients: single-blind, randomized clinical trial

References

• Naghavi M, Abajobir AA, Abbafati C, et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the global burden of disease study 2016. Lancet. 2017;390:1151–1210. doi:10.1016/S0140-6736(17)32152-9.
   PubMed Web of Science ®Google Scholar
• Suwanwela NC, Poungvarin N. Asian stroke advisory P. Stroke burden and stroke care system in Asia. Neurol India. 2016;64(Suppl):S46–51. doi:10.4103/0028-3886.178042.
   PubMedGoogle Scholar
• Venketasubramanian N, Yoon BW, Pandian J, Navarro JC. Stroke epidemiology in South, East, and South-East Asia: a review. J Stroke. 2017;19:286–294. doi:10.5853/jos.2017.00234.
   PubMed Web of Science ®Google Scholar
• Guzik A, Bushnell C. Stroke epidemiology and risk factor management. Continuum (Minneap Minn). 2017;23:15–39. doi:10.1212/CON.0000000000000416.
   PubMedGoogle Scholar
• Miller CM. Stroke Epidemiology. Translational Research in Stroke. 41–49. Gateway East, Singapore: Springer; 2017.
   Google Scholar
• Mensah GA, Wei GS, Sorlie PD. et al. Decline in cardiovascular mortality: possible causes and implications. Circ Res. 2017;120:366–380. doi:10.1161/CIRCRESAHA.116.309115.
   PubMed Web of Science ®Google Scholar
• Wasay M, Khatri IA, Kaul S. Stroke in South Asian countries. Nat Rev Neurol. 2014;10:135–143. doi:10.1038/nrneurol.2014.13.
   PubMed Web of Science ®Google Scholar
• Gunaratne P. Stroke in Sri Lanka: remedies for recovery. J Ceylon College Physicians. 2011;42:4.
   Google Scholar
• Drowatzky JN, Zuccato FC. Interrelationships between selected measures of static and dynamic balance. Res Q. 1967;38:509–510. doi:10.1080/10671188.1967.10613424.
   PubMed Web of Science ®Google Scholar
• Tashiro H, Isho T, Hoshi F. Relationship of dynamic balance and mobility to community ambulation following stroke. Arch Phys Med Rehabil. 2017;98:e101–e2. doi:10.1016/j.apmr.2017.08.327.
   Google Scholar
• Keenan MA, Perry J, Jordan C. Factors affecting balance and ambulation following stroke. Clin Orthop Relat Res. 1984:165–171. https://www.ncbi.nlm.nih.gov/pubmed/6692611.
   PubMed Web of Science ®Google Scholar
• Bohannon RW. Gait performance of hemiparetic stroke patients: selected variables. Arch Phys Med Rehabil. 1987;68:777–781. https://www.ncbi.nlm.nih.gov/pubmed/3675175.
   PubMed Web of Science ®Google Scholar
• Kumar S, Selim MH, Caplan LR. Medical complications after stroke. Lancet Neurol. 2010;9:105–118. doi:10.1016/S1474-4422(09)70266-2.
   PubMed Web of Science ®Google Scholar
• Belgen B, Beninato M, Sullivan PE, Narielwalla K. The association of balance capacity and falls self-efficacy with history of falling in community-dwelling people with chronic stroke. Arch Phys Med Rehabil. 2006;87:554–561. doi:10.1016/j.apmr.2005.12.027.
   PubMed Web of Science ®Google Scholar
• Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait Posture. 2005;22:267–281. doi:10.1016/j.gaitpost.2004.10.002.
   PubMed Web of Science ®Google Scholar
• Mansfield A, Wong JS, McIlroy WE, et al. Do measures of reactive balance control predict falls in people with stroke returning to the community? Physiotherapy. 2015;101:373–380. doi:10.1016/j.physio.2015.01.009.
   PubMed Web of Science ®Google Scholar
• Mihara M, Miyai I, Hattori N. et al. Cortical control of postural balance in patients with hemiplegic stroke. Neuroreport. 2012;23:314–319. doi:10.1097/WNR.0b013e328351757b.
   PubMed Web of Science ®Google Scholar
• Wahl AS. State-of-the-art techniques to causally link neural plasticity to functional recovery in experimental stroke research. Neural Plast. 2018;2018:3846593. doi:10.1155/2018/3846593.
   PubMedGoogle Scholar
• Pekna M, Pekny M, Nilsson M. Modulation of neural plasticity as a basis for stroke rehabilitation. Stroke. 2012;43:2819–2828. doi:10.1161/STROKEAHA.112.654228.
   PubMed Web of Science ®Google Scholar
• Noh DK, Lim J-Y, Shin H-I, Paik N-J. The effect of aquatic therapy on postural balance and muscle strength in stroke survivors—a randomized controlled pilot trial. Clin Rehabil. 2008;22:966–976. doi:10.1177/0269215508091434.
   PubMed Web of Science ®Google Scholar
• Montagna JC, Santos BC, Battistuzzo CR, Loureiro AP. Effects of aquatic physiotherapy on the improvement of balance and corporal symmetry in stroke survivors. Int J Clin Exp Med. 2014;7:1182–1187. https://www.ncbi.nlm.nih.gov/pubmed/24955206.
   PubMed Web of Science ®Google Scholar
• Kim JH, Jang SH, Kim CS, et al. Use of virtual reality to enhance balance and ambulation in chronic stroke: a double-blind, randomized controlled study. Am J Phys Med Rehabil. 2009;88:693–701. doi:10.1097/PHM.0b013e3181b33350.
   PubMed Web of Science ®Google Scholar
• Cho KH, Lee KJ, Song CH. Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. Tohoku J Exp Med. 2012;228:69–74. https://www.ncbi.nlm.nih.gov/pubmed/22976384.
   PubMed Web of Science ®Google Scholar
• Lloréns R, Gil-Gómez J-A, Alcañiz M, et al. Improvement in balance using a virtual reality-based stepping exercise: a randomized controlled trial involving individuals with chronic stroke. Clin Rehabil. 2015;29:261–268. doi:10.1177/0269215514543333.
   PubMed Web of Science ®Google Scholar
• Verma S, Kumar D, Kumawat A, et al. A low-cost adaptive balance training platform for stroke patients: a usability study. IEEE Trans Neural Syst Rehabil Eng. 2017;25:935–944. doi:10.1109/TNSRE.2017.2667406.
   PubMed Web of Science ®Google Scholar
• Plummer P. Gait and balance training using virtual reality is more effective for improving gait and balance ability after stroke than conventional training without virtual reality [synopsis]. J Physiother. 2017;63:114. doi:10.1016/j.jphys.2017.02.009.
   PubMedGoogle Scholar
• Morone G, Paolucci S, Cherubini A. et al. Robot-assisted gait training for stroke patients: current state of the art and perspectives of robotics. Neuropsychiatr Dis Treat. 2017;13:1303–1311. doi:10.2147/NDT.S114102.
   PubMed Web of Science ®Google Scholar
• Burgar CG, Lum PS, Shor PC. Machiel Van der Loos HF. Development of robots for rehabilitation therapy: the Palo Alto VA/Stanford experience. J Rehabil Res Dev. 2000;37:663–673. https://www.ncbi.nlm.nih.gov/pubmed/11321002.
   PubMed Web of Science ®Google Scholar
• Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function. Disabil Rehabil. 1997;19:536–546. https://www.ncbi.nlm.nih.gov/pubmed/9442992.
   PubMed Web of Science ®Google Scholar
• Srivastava A, Taly AB, Gupta A. et al. Post-stroke balance training: role of force platform with visual feedback technique. J Neurol Sci. 2009;287:89–93. doi:10.1016/j.jns.2009.08.051.
   PubMed Web of Science ®Google Scholar
• Gopalai AA, Senanayake SAA. A wearable real-time intelligent posture corrective system using vibrotactile feedback. IEEE ASME Trans Mechatron. 2011;16:827–834. doi:10.1109/TMECH.2011.2161486.
   Web of Science ®Google Scholar
• Mayr A, Kofler M, Quirbach E, et al. Prospective, blinded, randomized crossover study of gait rehabilitation in stroke patients using the Lokomat gait orthosis. Neurorehabil Neural Repair. 2007;21:307–314. doi:10.1177/1545968307300697.
   PubMed Web of Science ®Google Scholar
• Matjačić Z, Hesse S, Sinkjaer T. BalanceReTrainer: a new standing-balance training apparatus and methods applied to a chronic hemiparetic subject with a neglect syndrome. NeuroRehabilitation. 2003;18:251–259.
   PubMed Web of Science ®Google Scholar
• de Brito Silva P, Mrachacz-Kersting N, Oliveira AS, Kersting UG. Effect of wobble board training on movement strategies to maintain equilibrium on unstable surfaces. Hum Mov Sci. 2018;58:231–238. doi:10.1016/j.humov.2018.02.006.
   PubMed Web of Science ®Google Scholar
• Waddington G, Seward H, Wrigley T, et al. Comparing wobble board and jump-landing training effects on knee and ankle movement discrimination. J Sci Med Sport. 2000;3:449–459. https://www.ncbi.nlm.nih.gov/pubmed/11235009.
   PubMedGoogle Scholar
• Waddington G, Adams R, Jones A. Wobble board (ankle disc) training effects on the discrimination of inversion movements. Aust J Physiother. 1999;45:95–101. https://www.ncbi.nlm.nih.gov/pubmed/11676754.
   PubMed Web of Science ®Google Scholar
• Ogaya S, Ikezoe T, Soda N, Ichihashi N. Effects of balance training using wobble boards in the elderly. J Strength Cond Res. 2011;25:2616–2622. doi:10.1519/JSC.0b013e31820019cf.
   PubMed Web of Science ®Google Scholar
• Hölmich P, Uhrskou P, Ulnits L, et al. Effectiveness of active physical training as treatment for long-standing adductor-related groin pain in athletes: randomised trial. Lancet. 1999;353:439–443. doi:10.1016/S0140-6736(98)03340-6.
   PubMed Web of Science ®Google Scholar
• Wester JU, Jespersen SM, Nielsen KD, Neumann L. Wobble board training after partial sprains of the lateral ligaments of the ankle: a prospective randomized study. J Orthop Sports Phys Ther. 1996;23:332–336. doi:10.2519/jospt.1996.23.5.332.
   PubMed Web of Science ®Google Scholar
• Clark VM, Burden AM. A 4-week wobble board exercise programme improved muscle onset latency and perceived stability in individuals with a functionally unstable ankle. Phys Ther Sport. 2005;6:181–187. doi:10.1016/j.ptsp.2005.08.003.
   Web of Science ®Google Scholar
• Onigbinde AT, Awotidebe T, Awosika H. Effect of 6 weeks wobble board exercises on static and dynamic balance of stroke survivors. Technol Health Care. 2009;17:387–392. doi:10.3233/THC-2009-0559.
   PubMedGoogle Scholar
• Pajala S, Era P, Koskenvuo M. et al. Contribution of genetic and environmental effects to postural balance in older female twins. J Appl Physiol (1985). 2004;96:308–315. doi:10.1152/japplphysiol.00660.2003.
   PubMed Web of Science ®Google Scholar
• Pajala S, Era P, Koskenvuo M. et al. Genetic and environmental contribution to postural balance of older women in single and dual task situations. Neurobiol Aging. 2007;28:947–954. doi:10.1016/j.neurobiolaging.2006.04.002.
   PubMed Web of Science ®Google Scholar
• Kejonen P, Kauranen K, Vanharanta H. The relationship between anthropometric factors and body-balancing movements in postural balance. Arch Phys Med Rehabil. 2003;84:17–22. doi:10.1053/apmr.2003.50058.
   PubMed Web of Science ®Google Scholar
• Alonso AC, Luna NMS, Mochizuki L, et al. The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults. Clinics. 2012;67:1433–1441. doi:10.6061/clinics/2012(12)14.
   PubMed Web of Science ®Google Scholar
• Hue O, Simoneau M, Marcotte J, et al. Body weight is a strong predictor of postural stability. Gait Posture. 2007;26:32–38. doi:10.1016/j.gaitpost.2006.07.005.
   PubMed Web of Science ®Google Scholar
• Era P, Schroll M, Ytting H, et al. Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study. J Gerontol A Biol Sci Med Sci. 1996;51:M53–63. doi:10.1093/gerona/51a.2.m53.
   PubMed Web of Science ®Google Scholar
• Population and Housing, Department of Census and Statistics Sri Lanka; 2018, http://www.statistics.gov.lk/page.asp?page=Population%20and%20Housing. Updated April 11, 2018. Accessed November 24, 2018.
   Google Scholar
• Association GAotWM. World Medical Association declaration of Helsinki: ethical principles for medical research involving human subjects. J Am Coll Dent. 2014;81:14.
   PubMedGoogle Scholar
• Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010;8:18. doi:10.1186/1741-7015-8-18.
   PubMed Web of Science ®Google Scholar
• Berg K, Wood-Dauphine S, Williams J, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989;41:304–311. doi:10.3138/ptc.41.6.304.
   Google Scholar
• Mitchell AJ. The Mini-Mental State Examination (MMSE): update on its diagnostic accuracy and clinical utility for cognitive disorders. Cognitive Screening Instruments: Springer. 2017;37–48.https://www.springer.com/gp/book/9783319447742
   Google Scholar
• Dite W, Temple VA. A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil. 2002;83:1566–1571. https://www.ncbi.nlm.nih.gov/pubmed/12422327.
   PubMed Web of Science ®Google Scholar
• Louie DR, Eng JJ. Berg balance scale score at admission can predict walking suitable for community ambulation at discharge from inpatient stroke rehabilitation. J Rehabil Med. 2018;50:37–44. doi:10.2340/16501977-2280.
   PubMed Web of Science ®Google Scholar
• Saso A, Moe-Nilssen R, Gunnes M, Askim T. Responsiveness of the Berg Balance Scale in patients early after stroke. Physiother Theory Pract. 2016;32:251–261. doi:10.3109/09593985.2016.1138347.
   PubMed Web of Science ®Google Scholar
• Goh EY, Chua SY, Hong S-J, Ng SS. Reliability and concurrent validity of Four Square Step Test scores in subjects with chronic stroke: a pilot study. Arch Phys Med Rehabil. 2013;94:1306–1311. doi:10.1016/j.apmr.2013.01.027.
   PubMed Web of Science ®Google Scholar
• Blennerhassett JM, Jayalath VM. The Four Square Step Test is a feasible and valid clinical test of dynamic standing balance for use in ambulant people poststroke. Arch Phys Med Rehabil. 2008;89:2156–2161. doi:10.1016/j.apmr.2008.05.012.
   PubMed Web of Science ®Google Scholar
• Moore M, Barker K. The validity and reliability of the four square step test in different adult populations: a systematic review. Syst Rev. 2017;6:187. doi:10.1186/s13643-017-0577-5.
   PubMed Web of Science ®Google Scholar
• Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35:121. doi:10.4103/0253-7176.116232.
   PubMedGoogle Scholar