Effects of a predefined mini-trampoline training programme on balance, mobility and activities of daily living after stroke: a randomized controlled pilot study.

Abstract:

OBJECTIVE:To investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke. DESIGN:Randomized non-blinded controlled pilot study. SETTING:Neurological rehabilitation hospital. SUBJECTS:First-time stroke; age 18-80 years; independent standing ability for a minimum of 2 minutes. INTERVENTION:Patients were randomized into two groups: the mini-trampoline group (n = 20) received 10 sessions of balance training using the mini-trampoline over three weeks. The patients of the control group (n =20) participated 10 times in a group balance training also over three weeks. MAIN MEASURES:Postural control (Berg Balance Scale, BBS), mobility and gait endurance (timed 'up and go' test, TUG; 6-minute walk test, 6MWT) and the ability to perform activities of daily living (Barthel Index, BI). Measurements were undertaken prior to and after the intervention period. RESULTS:Both groups were comparable before the study. The mini-trampoline group improved significantly more in the BBS (P = 0.003) compared to the control group. Mean or median differences of both groups showed improvements in the TUG 10.12 seconds/7.23 seconds, the 6MWT 135 m/75 m and the BI 20 points/13 points for the mini-trampoline and control group, respectively. These outcome measurements did not differ significantly between the two groups. CONCLUSION:A predefined mini-trampoline training programme resulted in significantly increased postural control in stroke patients compared to balance training in a group. Although not statistically significant, the mini-trampoline training group showed increased improvement in mobility and activities of daily living. These differences could have been statistically significant if we had investigated more patients (i.e. a total sample of 84 patients for the TUG, 98 patients for the 6MWT, and 186 patients for the BI).

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Miklitsch C,Krewer C,Freivogel S,Steube D

doi

10.1177/0269215513485591

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

939-47

issue

10

eissn

0269-2155

issn

1477-0873

pii

0269215513485591

journal_volume

27

pub_type

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