title: Effects of 3-Dimensional Lumbar Stabilization Training for Balance in Chronic Hemiplegic Stroke Patients: A Randomized Controlled Trial.
abstract: OBJECTIVE
  To investigate the effects of the newly developed Spine Balance 3D system on the balance and gait abilities of hemiplegic stroke patients.
  
  
  METHODS
  Twenty-eight hemiplegic patients with chronic stroke were randomly assigned to an experimental (n=14) or control group (n=14). The experimental and control groups performed balance training by using the newly developed Spine Balance 3D system and the well-known Biodex Balance System 30 minutes per day, three times a week for 7 weeks. The Berg Balance Scale (BBS), 10-m walking test (10mWT), Timed Up and Go Test (TUG), Functional Reach Test (FRT), the Korean version of the Fall Efficacy Scale-International (KFES-I), trunk muscle strength and stability were evaluated before and after 7 weeks of intervention.
  
  
  RESULTS
  The 10mWT improved significantly (p=0.001) in the experimental group (using the Spine Balance 3D system) but not in the control group, and core muscle strength, which we checked using Spine Balance 3D system evaluation program, improved more in the experimental group as well. The results of the BBS, FRT, TUG, KFES-I, and Biodex Balance System evaluation program improved in both groups after 7 weeks of balance training.
  
  
  CONCLUSIONS
  We suggest that the newly-developed Spine Balance 3D system can be a more useful therapeutic tool for gait and dynamic balance rehabilitation in hemiplegic patients than a conventional 2D-based balance training system. A large-scale randomized controlled study is needed to prove the effect of this system.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Jin-Young
authors.identifier: 0000-0002-3971-1366
authors.initials: JY
authors.lastname: Chun
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Jeong-Hwan
authors.identifier: 0000-0002-6915-6674
authors.initials: JH
authors.lastname: Seo
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Sung-Hee
authors.identifier: 0000-0002-4743-2551
authors.initials: SH
authors.lastname: Park
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Yu Hui
authors.identifier: 0000-0003-2007-9652
authors.initials: YH
authors.lastname: Won
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Gi-Wook
authors.identifier: 0000-0002-1628-8382
authors.initials: GW
authors.lastname: Kim
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Sung-Jun
authors.identifier: 0000-0002-1995-8353
authors.initials: SJ
authors.lastname: Moon
authors.affiliation: Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University & Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Myoung-Hwan
authors.identifier: 0000-0002-0566-3677
authors.initials: MH
authors.lastname: Ko
keywords: Balance; Rehabilitation; Stroke