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Effects of Whole Body Tilt Exercise with Visual Feedback on Trunk Control, Strength, and Balance in Patients with Acute Stroke: a Randomized Controlled Pilot Study
J korean soc phys med 2018;13(4):75-84
Published online November 30, 2018;
© 2018 Korean Society of Physical Medicine.

Kyeoung-Man Jung, PT, PhD

Department of Physical Therapy, Wonkwang University School of Medicine and Hospital
Received August 10, 2018; Revised August 14, 2018; Accepted September 16, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PURPOSE: This study was conducted to determine the effects of whole-body tilt exercise with visual feedback on trunk control, strength, and balance in patients with acute stroke.
METHODS: The study included 18 patients with acute stroke who were randomly allocated to a Whole Body Tilt Exercise Group (WBTEG, N=9) and a General Trunk Exercise Group (GTEG, N=9). The WBTEG conducted whole-body tilt exercises with visual feedback, and the GTEG performed general trunk exercises. Both groups performed the exercises five times a week for 4 weeks. Outcomes were assessed using the trunk impairment scale (TIS), the trunk flexor and extensor strength test, the static balance test, and the Brunel Balance Assessment.
RESULTS: After 4 weeks of intervention, both groups showed significantly improved TIS scores, muscle strength, and balance components (p<.05 in="" both="" groups="" however="" the="" improvement="" in="" tis="" muscle="" strength="" and="" static="" balance="" in="" the="" wbteg="" was="" significantly="" better="" than="" that="" in="" the="" gteg="" em="">p<.05).
CONCLUSION: Although both groups in this study showed post-intervention improvement, patients from the WBTEG who received visual feedback demonstrated more improvement. These findings indicate that whole-body tilt exercise with visual feedback may be effective at improving trunk control, trunk muscle strength, and balance in patients with acute stroke. Further studies are needed to gain a better understanding of the effectiveness of whole-body tilt exercise in patients with acute stroke.
Keywords : Acute stroke, Balance, Exercise, Trunk, Visual feedback

November 2018, 13 (4)
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