PNF and Movement 2024; 22(2): 201-211
https://doi.org/10.21598/JKPNFA.2024.22.2.201
The Effect of Trunk Stabilization Exercise Using a Reformer on Trunk Control Ability, Balance, and Gait Function in Chronic Stroke Patients
Sang-Yong Han, P.T., M.Sc.⋅Seong-Ho Jo, P.T., M.Sc.⋅Dong-Hwan Park, P.T., Ph.D.
Department of Physical Therapy, College of Health Sciences, Kyungnam University
Correspondence to: Dong-Hwan Park (donghwan80@kyungnam.ac.kr)
Received: May 24, 2024; Revised: June 24, 2024; Accepted: June 28, 2024; Published online: August 31, 2024.
© Korea Proprioceptive Neuromuscular Facilitation Association. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: This study aimed to evaluate the effects of trunk stabilization exercises using a Reformer on trunk control, balance ability, and gait function in chronic stroke patients.
Methods: The participants were 24 chronic stroke patients, randomly divided into two groups: trunk stabilization exercise using the Reformer group (TS-R, n = 12) and general trunk stabilization exercise group (GT-E, n = 12). Assessment methods included the Trunk Impairment Scale for trunk control, the AMTI force platform for static balance, the Timed Up and Go test for dynamic balance, and the Dynamic Gait Index for gait function. Assessments were conducted before and after the intervention. The intervention for the TS-R group consisted of bridging exercises using a Reformer, while the GT-E group performed bridging exercises on a mat. All interventions were performed for 17 minutes per session, five times a week, for a total of 20 sessions over four weeks. Statistical analysis was performed using repeated-measures ANOVA to analyze the interaction between groups and time.
Results: The results of the repeated measures ANOVA indicated a significant interaction between the groups and time. The TS-R group showed statistically significant differences in all variables before and after the intervention. In contrast, the GT-E group did not show statistically significant differences in any variables before and after the intervention.
Conclusion: The findings of this study suggest that trunk stabilization exercises using a reformer are effective in improving trunk control, balance ability, and gait function in chronic stroke patients.
Keywords: Stroke, Reformer, Trunk stabilization exercise, Trunk control


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