Enhancing Functional Recovery in Subacute Stroke Patients: The Impact of Vestibular Rehabilitation on Trunk Control and Gait Performance.

Abstract

BackgroundThe vestibular system is crucial for maintaining the body's orientation and postural control, as well as for coordinating movements.ObjectiveThis study investigated the effects of vestibular rehabilitation (VR) in sitting position on trunk control, balance, and gait in subacute stroke patients.MethodsPatients were divided into an experimental group (VR, n = 11) and a control group (neurodevelopmental rehabilitation, n = 12). The trunk impairment scale (TIS) measured trunk control, while the modified functional reaching test (mFRT) assessed dynamic balance using Balancia software. The BTS G-Walk was used to measure gait and pelvic movement.ResultsIn the experimental group, significant increases were observed in TIS total score, sitting balance, and coordination (p < 0.05). The mFRT and the maximum distance of the center of gravity increased on the affected and unaffected side, as well as forward (p < 0.05). Additionally, cadence, velocity, and gait symmetry significantly improved during gait (p < 0.05).ConclusionThe VR in the sitting position effectively improved trunk control, balance, and gait quality in patients with subacute stroke. Therefore, this suggests that VR should be incorporated into rehabilitation protocols to enhance functional outcomes and recovery in these patients.