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Mitra Parsa1 
, Iraj Abdollahi *1 , Hossein Negahban2 , Mohammad Ali Sanjari3 , Enayatollah Bakhshi4 , Haniyeh Fakur Haddadiyan5 , Mina Rouhani5
, Iraj Abdollahi *1 , Hossein Negahban2 , Mohammad Ali Sanjari3 , Enayatollah Bakhshi4 , Haniyeh Fakur Haddadiyan5 , Mina Rouhani5
1- Neuromusculoskeletal Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
2- Department of Physiotherapy, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Biomechanics Lab, Rehabilitation Research Center, and Department of Basic Rehabilitation Sciences, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5- Department of Physiotherapy, Faculty of Rehabilitation, Mashhad University of Medical Sciences, Mashhad, Iran.
2- Department of Physiotherapy, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
3- Biomechanics Lab, Rehabilitation Research Center, and Department of Basic Rehabilitation Sciences, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
5- Department of Physiotherapy, Faculty of Rehabilitation, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:
Introduction: This study investigated the impact of frontal plane-focused balance training (FPBT) on fall prevention in stroke survivors.
Methods: 59 chronic stroke survivors (mean age: 52.24±16.35, 18 female) were divided into the FPBT and control group, both underwent an 8-week training program with three one-hour sessions weekly, incorporating single- and dual-task balance exercises. Primary outcomes included fall numbers and faller odds, while secondary outcomes assessed balance function using the Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (Mini-BEST), Activities-Specific Balance Confidence Scale (ABC), and Fall Risk for Older People in the Community (FROP-Com).
Results: No statistically significant differences were found in fall numbers or faller odds between the groups during the training (P=0.768 and P=0.065) or follow-up period (P=0.461 and P=0.298), using Negative binomial and Logistic regression, respectively. A declining trend in fall risk was observed in the FPBT group compared to the control group. Both groups showed significant improvements in secondary outcomes (BBS: P=0.013, Mini-BEST: P<0.001, ABC: P<0.001, and FROP-Com: P<0.001), with no significant between-group differences (BBS: P=0.395, Mini-BEST: P=0.295, ABC: P=0.186, and FROP-Com: P=0.886).
Conclusion: The findings suggest that while FPBT did not significantly outperform conventional balance training in reducing falls, a trend toward fall risk reduction was observed. Further research is needed to optimize FPBT’s effectiveness for stroke survivors.
Methods: 59 chronic stroke survivors (mean age: 52.24±16.35, 18 female) were divided into the FPBT and control group, both underwent an 8-week training program with three one-hour sessions weekly, incorporating single- and dual-task balance exercises. Primary outcomes included fall numbers and faller odds, while secondary outcomes assessed balance function using the Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (Mini-BEST), Activities-Specific Balance Confidence Scale (ABC), and Fall Risk for Older People in the Community (FROP-Com).
Results: No statistically significant differences were found in fall numbers or faller odds between the groups during the training (P=0.768 and P=0.065) or follow-up period (P=0.461 and P=0.298), using Negative binomial and Logistic regression, respectively. A declining trend in fall risk was observed in the FPBT group compared to the control group. Both groups showed significant improvements in secondary outcomes (BBS: P=0.013, Mini-BEST: P<0.001, ABC: P<0.001, and FROP-Com: P<0.001), with no significant between-group differences (BBS: P=0.395, Mini-BEST: P=0.295, ABC: P=0.186, and FROP-Com: P=0.886).
Conclusion: The findings suggest that while FPBT did not significantly outperform conventional balance training in reducing falls, a trend toward fall risk reduction was observed. Further research is needed to optimize FPBT’s effectiveness for stroke survivors.
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