Effects of lumbar joint mobilization on trunk function, postural balance, and gait in patients with chronic stroke: A randomized pilot study

J Back Musculoskelet Rehabil. 2023;36(1):79-86. doi: 10.3233/BMR-200046.

Abstract

Background: Patients with stroke have hypomobility in the facet joint of affected side. Lumbar joint mobilization could be used to maintain function and mobility of the joints.

Objective: This study aimed to investigate the effects of lumbar joint mobilization on trunk function, postural balance, and gait in patients with stroke.

Methods: Thirty patients with stroke were randomly assigned to two groups. Lumbar joint mobilization was provided for 15 min, 5 times a week for 6 weeks to patients who were allocated into the experimental group. Patients who were allocated into the control group received a sham intervention. Trunk function (trunk impairment scale), postural balance (weight distribution, Berg balance scale, and timed up and go test), and walking (10 m walk test, functional gait assessment, step length, and stride length) were evaluated before and after the experiment for all the patients.

Results: Lumbar joint mobilization significantly improved trunk function, postural balance, and gait compared with pre-test values in the experimental group (P< 0.05). Significant differences were seen in trunk function, postural balance, and walking between the two groups (P< 0.05).

Conclusion: Lumbar joint mobilization might be an effective intervention for trunk function, postural balance, and walking in patients with stroke.

Keywords: Lumbar; gait; mobilization; postural balance; trunk.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Exercise Therapy
  • Gait
  • Humans
  • Pilot Projects
  • Postural Balance
  • Stroke Rehabilitation*
  • Stroke* / complications
  • Time and Motion Studies