The effectiveness of trunk training on Trunk Performance & trunk control in Patients With Stroke: A Systematic review.
Trunk Training Effectiveness Systematic Review.
DOI:
https://doi.org/10.46858/VIMSJPT.5207Keywords:
Proprioception, Trunk Training, PhysiotherapyAbstract
BACKGROUND: The trunk muscle weakness and the loss of proprioception concerning the affected side can interfere with balance, stability, and functional disability. Trunk control has been identified as an important early predictor of functional outcome after stroke.
OBJECTIVE: To explore the literature regarding the use of trunk training exercises (TTE) in patients with stroke to improve trunk performance and trunk control.
METHODS: PubMed/MEDLINE, Google Scholar, and CINHAL databases were searched with the key words Stroke and trunk Training Exercises according to MESH criteria and reference lists screened to identify randomized controlled trials (RCTs) of trunk training exercises in stroke survivors. Two reviewers independently screened references, selected relevant studies, extracted data, and assessed trial report quality.
RESULTS: A total of 09 studies with 328 participants met the inclusion criteria. Out of the 9 studies, 5 included both acute & subacute, 1 study included only acute & 3 only chronic patients with Stroke. Trunk training exercises, Core stability exercises and weight shifting exercises performed with either stable or unstable surfaces showed moderate evidence to improve trunk performance and Trunk Control in Patients with acute & subacute stroke.
CONCLUSION: Trunk Training Exercises performed on a stable surface have been used widely to improve Trunk control in patients with Stroke. However, its effect on functional tasks needs to be explored through well-designed research studies with specific outcome measures.
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