The Effect of Toe-grasping Exercises on Balance Ability in Home-based Rehabilitation: A Randomized Controlled Trial by Block Randomization.

Physical therapy research Pub Date : 2021-10-27 eCollection Date: 2021-01-01 DOI:10.1298/ptr.E10105
Kazunori Kojima, Daisuke Kamai, Akie Yamamoto, Yuji Tsuchitani, Hiroaki Kataoka
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Abstract

Objective: The purpose of the study was to clarify the causal effect of toe-grasping exercises on the improvement of static or dynamic balance ability in home-based rehabilitation users.

Method: Our study included 34 subjects who met the criteria and were evaluable out of 98 rehabilitation service users at home nursing stations. This study was a randomized controlled trial. The intervention group performed towel gathering exercises in addition to the regular home-based rehabilitation program. The primary outcome was one-leg standing time, and the secondary outcomes were two-step test and toe grip strength.

Results: Seventeen subjects were assigned to the intervention group and seventeen to the control group by block randomization. Data from 15 and 12 subjects in the intervention group and control group, respectively, who were able to complete the initial evaluation and the evaluation after 3 months, were analyzed. We compared the amount of change after 3 months of evaluation in the intervention group with the change in the control group. The results showed that the left/right mean value of oneleg standing time in the intervention group was significantly greater than that in the control group. In terms of the amount of change in the intervention period (T2-T1) within each assessment, there were significant improvements in both the toe-grip strength and the two-step values in the intervention group.

Conclusion: We found that toe-grasping exercises could improve the balance ability of home-based rehabilitation users. This suggests the clinical significance of toe function in rehabilitation programs.

家庭康复中抓趾练习对平衡能力的影响:一项区块随机对照试验。
目的:探讨抓趾运动对居家康复患者静、动态平衡能力改善的因果关系。方法:从98名家庭护理站康复服务使用者中抽取34名符合标准的被试进行评估。本研究为随机对照试验。干预组除了常规的家庭康复计划外,还进行了毛巾收集练习。主要指标为单腿站立时间,次要指标为两步测试和脚趾握力。结果:采用分组随机法分为干预组17例,对照组17例。分析干预组和对照组分别有15名和12名受试者能够完成初始评估和3个月后的评估。我们比较了干预组和对照组3个月后的变化量。结果显示,干预组左/右单腿站立时间均值显著大于对照组。就每次评估的干预期(T2-T1)的变化量而言,干预组的脚趾握力和两步值均有显著改善。结论:我们发现抓趾练习可以提高居家康复患者的平衡能力。这提示了足趾功能在康复计划中的临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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