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The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial

BACKGROUND: The balance and postural control of humans is related to the coordination of dynamic perception and movement. Multiple senses, such as vision, vestibular sense, proprioception, and/or a single sensory disorder, would lead to its integration disorder and induce imbalance and abnormal gait...

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Autores principales: Shen, Jie, Ma, Lianjie, Gu, Xudong, Fu, Jianming, Yao, Yunhai, Liu, Jia, Li, Yan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473069/
https://www.ncbi.nlm.nih.gov/pubmed/37424480
http://dx.doi.org/10.3233/NRE-230008
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author Shen, Jie
Ma, Lianjie
Gu, Xudong
Fu, Jianming
Yao, Yunhai
Liu, Jia
Li, Yan
author_facet Shen, Jie
Ma, Lianjie
Gu, Xudong
Fu, Jianming
Yao, Yunhai
Liu, Jia
Li, Yan
author_sort Shen, Jie
collection PubMed
description BACKGROUND: The balance and postural control of humans is related to the coordination of dynamic perception and movement. Multiple senses, such as vision, vestibular sense, proprioception, and/or a single sensory disorder, would lead to its integration disorder and induce imbalance and abnormal gait. OBJECTIVE: The present study aimed to determine the effects of dynamic motion instability system training (DMIST) on the balance and motor function of hemiplegic patients after stroke. METHODS: In this assessor-blinded, randomized controlled trial, the participants allocated to the intervention group (n = 20) received 30 minutes of conventional treatment and 20 minutes of DMIST training. Participants randomized to the control group (n = 20) received the same dose of conventional therapy and 20 minutes of general balance training. Rehabilitation was performed 5 times per week for 8 weeks. The primary outcome was the Fugl-Meyer assessment for the lower extremity (FMA-LE), and the secondary outcomes were the Berg balance scale (BBS) and gait function. Data were collected at baseline and immediately after the intervention. RESULTS: After 8 weeks (t1), both groups showed significant post-intervention improvements in BBS, FMA-LE, gait speed and stride length (P < 0.05); there were significant positive correlations between the increase in FMA-LE and gait speed and stride length. Compared with the control group, the DMIST group showed significant post-intervention improvements in FMA-LE, gait speed and stride length (P < 0.05). However, no significant differences between the groups were found over time with respect to BBS (P > 0.05). The experiences of patients with DMIST were positive, and no serious adverse events were related to the interventions. CONCLUSION: Supervised DMIST could be highly effective in treating lower-limb motor function in patients with stroke. Frequent (weekly) and medium-term (8 weeks) dynamic motion instability-guided interventions might be highly effective in enhancing motor function, and subsequently improving gait in stroke patients.
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spelling pubmed-104730692023-09-02 The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial Shen, Jie Ma, Lianjie Gu, Xudong Fu, Jianming Yao, Yunhai Liu, Jia Li, Yan NeuroRehabilitation Research Article BACKGROUND: The balance and postural control of humans is related to the coordination of dynamic perception and movement. Multiple senses, such as vision, vestibular sense, proprioception, and/or a single sensory disorder, would lead to its integration disorder and induce imbalance and abnormal gait. OBJECTIVE: The present study aimed to determine the effects of dynamic motion instability system training (DMIST) on the balance and motor function of hemiplegic patients after stroke. METHODS: In this assessor-blinded, randomized controlled trial, the participants allocated to the intervention group (n = 20) received 30 minutes of conventional treatment and 20 minutes of DMIST training. Participants randomized to the control group (n = 20) received the same dose of conventional therapy and 20 minutes of general balance training. Rehabilitation was performed 5 times per week for 8 weeks. The primary outcome was the Fugl-Meyer assessment for the lower extremity (FMA-LE), and the secondary outcomes were the Berg balance scale (BBS) and gait function. Data were collected at baseline and immediately after the intervention. RESULTS: After 8 weeks (t1), both groups showed significant post-intervention improvements in BBS, FMA-LE, gait speed and stride length (P < 0.05); there were significant positive correlations between the increase in FMA-LE and gait speed and stride length. Compared with the control group, the DMIST group showed significant post-intervention improvements in FMA-LE, gait speed and stride length (P < 0.05). However, no significant differences between the groups were found over time with respect to BBS (P > 0.05). The experiences of patients with DMIST were positive, and no serious adverse events were related to the interventions. CONCLUSION: Supervised DMIST could be highly effective in treating lower-limb motor function in patients with stroke. Frequent (weekly) and medium-term (8 weeks) dynamic motion instability-guided interventions might be highly effective in enhancing motor function, and subsequently improving gait in stroke patients. IOS Press 2023-08-04 /pmc/articles/PMC10473069/ /pubmed/37424480 http://dx.doi.org/10.3233/NRE-230008 Text en © 2023 – The authors. Published by IOS Press https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) License (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research Article
Shen, Jie
Ma, Lianjie
Gu, Xudong
Fu, Jianming
Yao, Yunhai
Liu, Jia
Li, Yan
The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial
title The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial
title_full The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial
title_fullStr The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial
title_full_unstemmed The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial
title_short The effects of dynamic motion instability system training on motor function and balance after stroke: A randomized trial
title_sort effects of dynamic motion instability system training on motor function and balance after stroke: a randomized trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473069/
https://www.ncbi.nlm.nih.gov/pubmed/37424480
http://dx.doi.org/10.3233/NRE-230008
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