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. 2023 Jan 5:13:937305.
doi: 10.3389/fneur.2022.937305. eCollection 2022.

Effects of balance training in addition to auxiliary activity on balance function of patients with stroke at high risk for falls

Huiqun Tan  1   2 , Zhaohui Gong  2   3 , Sisi Xing  2   4 , Lanhua Cao  2   5 , Huan Liu  2   6 , Lijun Xu  2   7
Affiliations

Effects of balance training in addition to auxiliary activity on balance function of patients with stroke at high risk for falls

Huiqun Tan et al. Front Neurol. .

Abstract

Objective: The aim of this study was to investigate the effect of balance training in addition to auxiliary activity on the balance function of patients with stroke at high risk for falls.

Methods: A total of 112 patients with stroke at high risk for falls in our hospital from inception to January 2020 to December 2020 were selected as the research objects who were equally divided into the control group and study group according to the random number table method. Patients in the control group were intervened with auxiliary activity, and the patients in the study group received additional balance training for auxiliary activity. The balance function, lower extremity motor function, fall risk, walking ability, and other indicators were compared between the two groups of patients before and after treatment. The hospitalization time and the frequency of falls 3 months after discharge were also compared between the two groups.

Results: Before treatment, there was no significant difference in balance function, lower extremity motor function, fall risk, and walking ability scores between the two groups (P > 0.05). After 3 months of treatment, the balance function, lower extremity motor function, and walking ability scores of the study group were significantly higher than those of the control group, with the fall risk score significantly lower than that of the control group (P < 0.05). Evidently, lower hospitalization time and the frequency of falls in the 3-month follow-up of the study group were observed than those in the control group (P < 0.05). However, there was no significant difference in the frequency of falls between the two groups during hospitalization (P > 0.05).

Conclusion: Our results indeed revealed that balance training in addition to auxiliary activity elicited beneficial outcomes in terms of effectively improving the balance function and walking ability of patients with stroke at high risk of falling, which may have the potential for wide clinical application.

Keywords: activity auxiliary; balance function; balance training; stroke; stroke fall.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Schematic diagram of the auxiliary device.
Figure 2
Figure 2
Comparison of balance function scores between the two groups. Balance function in the research group including walking ability, stance balance, sitting balance, and total score improved after treatment. Additionally, balance function of the research group after treatment was significantly better than that of the control group.
Figure 3
Figure 3
Comparison of lower extremity motor function scores between the two groups. Lower extremity function in the research group including coordinate/speed, normal reflex, movement out of synergy, extensor synergy, flexor synergy, reflex activity, and movement combining synergy improved after treatment. Additionally, lower extremity motor function of the research group after treatment was significantly better than that of the control group.
Figure 4
Figure 4
Comparison of fall risk scores between the two groups. Fall risks in the research group including cognitive state, gait, intravenous therapy fluid, walking aids, diagnosis, and history of falls improved after treatment. Additionally, fall risks of the research group after treatment was significantly better than that of the control group.
Figure 5
Figure 5
Comparison of walking ability between the two groups. Walking ability in the research group including functional walking scale, timed Up & Go improved after treatment. Additionally, walking ability of the research group after treatment was significantly better than that of the control group.
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