Effects of a predefined mini-trampoline training programme on balance, mobility and activities of daily living after stroke: a randomized controlled pilot study
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vor 10 Jahren
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).
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).
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