The Immediate Effects of Lumbar Rotational Mobilization on Trunk Control and Gait Parameter in Patients with Stroke

J Stroke Cerebrovasc Dis. 2022 Aug;31(8):106582. doi: 10.1016/j.jstrokecerebrovasdis.2022.106582. Epub 2022 Jun 24.

Abstract

Objectives: Improved gait performance in patients with stroke requires trunk control. This study investigated the effect of lumbar rotational mobilization on improving trunk control and gait parameters.

Materials and methods: This study recruited 42 patients with stroke who were randomly assigned to the grade III (experimental group, n=21) and grade I (control group, n=21) lumbar rotational mobilization groups. Grade III lumbar mobilization with right and left rotation was performed in the experimental group with patients lying on their sides. The control group performed grade I rotation mobilization using the same method. Among outcome measurements, the trunk impairment scale was used for trunk control, while gait parameters were measured using the BTS G-WALK.

Results: The trunk impairment scale score and gait performance were significantly higher in the experimental group than those in the control group.

Conclusions: Grade III lumbar rotational mobilization improved trunk control and increased gait performance in patients with stroke.

Keywords: Gait; Lumbar mobilization; Manual therapy; Stroke; TIS.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Gait
  • Humans
  • Postural Balance
  • Stroke Rehabilitation* / methods
  • Stroke* / complications
  • Stroke* / diagnosis
  • Stroke* / therapy
  • Torso