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Effect of bilateral lower limb strengthening exercise on balance and walking in hemiparetic patients after stroke: a randomized controlled trial
Jeon HJ, Hwang BY
Journal of Physical Therapy Science 2018 Feb;30(2):277-281
clinical trial
4/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: To evaluate the effect of bilateral lower limb strengthening designed to improve balance and walking in stroke patients. SUBJECTS AND METHODS: Twenty hemiparetic stroke patients were divided into two groups: a unilateral therapy group (UTG) (n = 10) and a bilateral therapy group (BTG) (n = 10). The UTG completed strength training only in the paretic lower limb. The BTG completed strength training in the paretic and non-paretic lower limbs. Assessment tools included the functional reach test (FRT), the Berg balance scale (BBS), the timed up and go (TUG) test, and a 10-meter walk test (10MWT). RESULTS: In both groups, the lower limb strengthening exercise for balance and walking significantly improved the FRT, BBS, TUG, and 10MWT scores. Compared with UTG, the BTG attained significantly improved FRT and BBS scores. CONCLUSION: Bilateral therapy using this lower limb strengthening exercise effectively promotes balance in hemiparetic stroke patients.

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