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Effects of trunk stabilization exercise while wearing a pelvic compression belt on walking and balancing abilities in patients whit stroke: an assessor blinded, preliminary, randomized, controlled study
Choi Y-H, Kim N-H, Son S-M, Cha Y-J
American Journal of Physical Medicine & Rehabilitation 2020 Jun 1:Epub ahead of print
clinical trial
8/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To investigate the effects of wearing a pelvic compression belt during trunk stability exercise on balance and gait ability in patients with stroke. DESIGN: Thirty-six patients with stroke participated and were randomly allocated to three groups: the paretic group (trunk stability exercise wearing a pelvic belt on paretic side), the non-paretic group (trunk stability exercise wearing a pelvic belt on non-paretic side), or the control group (trunk stability exercise without a pelvic belt). Walking and balancing abilities were assessed before and after trunk stabilization exercise. RESULTS: Significantly larger gains were identified in the paretic group than in the control group for all variables (p < 0.017). In addition, significantly larger gains were observed in the paretic group than in the non-paretic group (p < 0.017)(limit of stability 15.6%; stance phase of paretic side 4.1%; 10 m walking test -10.1%; 6 minutes walking test 4.6%). CONCLUSION: Wearing a pelvic belt on the paretic side during trunk stabilization exercise appears to be more effective at improving the balancing and walking abilities of patients with stroke than wearing a pelvic compression belt on the non-paretic side or not wearing a pelvic belt.

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