ec51adfa2887bc9e80441c233e6a9cf7 290529.pdf 22b45d1bd1efbd6a052cc4980b9f7f59b7afd69c 290529.pdf 416932f98199df8b0e6002f8e6708cb842b7c59b9d97e1164411dd4f36dc2414 290529.pdf Title: Influence of Core-Stability Exercises Guided by a Telerehabilitation App on Trunk Performance, Balance and Gait Performance in Chronic Stroke Survivors: A Preliminary Randomized Controlled Trial Subject: Stroke is one of the main causes of disability. Telerehabilitation could face the growing demand and a good strategy for post-stroke rehabilitation. The aim of this study is to examine the possible effects of therapeutic exercises performed by an App on trunk control, balance, and gait in stroke survivors. A preliminary 12-week randomized controlled trial was developed. Thirty chronic stroke survivors were randomly allocated into two groups. Both groups performed conventional physiotherapy, in addition to, the experimental group (EG) had access to a telerehabilitation App to guide home-based core-stability exercises (CSE). Trunk performance was measured with the Spanish-Trunk Impairment Scale (S-TIS 2.0) and Spanish-Function in Sitting Test. Balance and gait were measured with Spanish-Postural Assessment Scale for Stroke patient, Berg Balance Scale and an accelerometer system. In EG was observed an improvement of 2.76 points in S-TIS 2.0 (p = 0.001). Small differences were observed in balance and gait. Adherence to the use of the App was low. CSE guided by a telerehabilitation App, combined with conventional physiotherapy, seem to improve trunk function and sitting balance in chronic post-stroke. Active participation in the rehabilitation process should be increased among stroke survivors. Further confirmatory studies are necessary with a large sample size. Keywords: core-stability exercise; trunk; balance; gait; stroke; telerehabilitation Author: Carina Salgueiro, Gerard Urrútia and Rosa Cabanas-Valdés Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Sat May 7 10:16:29 2022 CEST ModDate: Sat May 7 10:19:39 2022 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1145414 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- VSGGMO+VnURWPalladioL Type 1 Custom yes yes no 10 0 QLQUTP+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 VCXTMX+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 BHSJQK+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 MQFYIK+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 MPUDFL+PazoMath Type 1 Builtin yes yes no 78 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 86 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 90 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 94 0 BCDHEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 98 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 114 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 118 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 122 0 BCDHEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 126 0 PDXFNG+PazoMath-Bold Type 1 Builtin yes yes no 140 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 144 0 FXXUVH+CMSY10 Type 1 Builtin yes yes no 148 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes no 164 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-04-04 02:50:23 CEST RepresentationInformation: 290529.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-04-03 10:22:04 CEST Size: 1145414 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 341 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Design, Ethics and Sample Characteristics Destination: subsection.2.1 Item: Title: Interventions Destination: subsection.2.2 Item: Title: Outcome Measures Destination: subsection.2.3 Item: Title: Statistical Analysis Destination: subsection.2.4 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: Limitations Destination: section.5 Item: Title: Conclusions Destination: section.6 Item: Title: References Destination: section.6 Info: Title: Influence of Core-Stability Exercises Guided by a Telerehabilitation App on Trunk Performance, Balance and Gait Performance in Chronic Stroke Survivors: A Preliminary Randomized Controlled Trial Author: Carina Salgueiro, Gerard Urrútia and Rosa Cabanas-Valdés Subject: Stroke is one of the main causes of disability. Telerehabilitation could face the growing demand and a good strategy for post-stroke rehabilitation. The aim of this study is to examine the possible effects of therapeutic exercises performed by an App on trunk control, balance, and gait in stroke survivors. A preliminary 12-week randomized controlled trial was developed. Thirty chronic stroke survivors were randomly allocated into two groups. Both groups performed conventional physiotherapy, in addition to, the experimental group (EG) had access to a telerehabilitation App to guide home-based core-stability exercises (CSE). Trunk performance was measured with the Spanish-Trunk Impairment Scale (S-TIS 2.0) and Spanish-Function in Sitting Test. Balance and gait were measured with Spanish-Postural Assessment Scale for Stroke patient, Berg Balance Scale and an accelerometer system. In EG was observed an improvement of 2.76 points in S-TIS 2.0 (p = 0.001). Small differences were observed in balance and gait. Adherence to the use of the App was low. CSE guided by a telerehabilitation App, combined with conventional physiotherapy, seem to improve trunk function and sitting balance in chronic post-stroke. Active participation in the rehabilitation process should be increased among stroke survivors. Further confirmatory studies are necessary with a large sample size. Keywords: core-stability exercise; trunk; balance; gait; stroke; telerehabilitation Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Sat May 07 10:16:29 CEST 2022 ModDate: Sat May 07 10:19:39 CEST 2022 ID: 0xd4487057579fe45bb7488a38c732a011, 0xd4487057579fe45bb7488a38c732a011 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: WBVKDJ+URWPalladioL-BoldItal FontSubset: true FirstChar: 112 LastChar: 112 FontDescriptor: FontName: WBVKDJ+URWPalladioL-BoldItal Flags: Symbolic FontBBox: -170, -300, 1073, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: VCXTMX+URWPalladioL-Roma FontSubset: true FirstChar: 2 LastChar: 250 FontDescriptor: FontName: VCXTMX+URWPalladioL-Roma Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: FXXUVH+CMSY10 FontSubset: true FirstChar: 0 LastChar: 0 FontDescriptor: FontName: FXXUVH+CMSY10 Flags: Symbolic FontBBox: -29, -960, 1116, 775 FontFile: true Font: BaseFont: CRUZTT+VnURWPalladioL-Italic FontSubset: true FirstChar: 189 LastChar: 189 FontDescriptor: FontName: CRUZTT+VnURWPalladioL-Italic Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: BHSJQK+URWPalladioL-Ital FontSubset: true FirstChar: 40 LastChar: 121 FontDescriptor: FontName: BHSJQK+URWPalladioL-Ital Flags: Symbolic FontBBox: -170, -305, 1010, 941 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: VSGGMO+VnURWPalladioL FontSubset: true FirstChar: 129 LastChar: 243 FontDescriptor: FontName: VSGGMO+VnURWPalladioL Flags: Symbolic FontBBox: -166, -283, 1021, 943 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: MQFYIK+VnURWPalladioL-Bold FontSubset: true FirstChar: 178 LastChar: 243 FontDescriptor: FontName: MQFYIK+VnURWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Font: BaseFont: PDXFNG+PazoMath-Bold FontSubset: true FirstChar: 68 LastChar: 68 FontDescriptor: FontName: PDXFNG+PazoMath-Bold Flags: Symbolic FontBBox: -10, -266, 829, 695 FontFile: true Font: BaseFont: MPUDFL+PazoMath FontSubset: true FirstChar: 68 LastChar: 68 FontDescriptor: FontName: MPUDFL+PazoMath Flags: Symbolic FontBBox: -40, -283, 878, 946 FontFile: true Font: BaseFont: QLQUTP+URWPalladioL-Bold FontSubset: true FirstChar: 3 LastChar: 151 FontDescriptor: FontName: QLQUTP+URWPalladioL-Bold Flags: Symbolic FontBBox: -152, -301, 1000, 935 FontFile: true EncodingDictionary: Differences: true Pages: Page: Sequence: 1 Annotations: Annotation: Subtype: Link Rect: 54, 323, 152, 332 Annotation: Subtype: Link Rect: 34, 311, 82, 320 Annotation: Subtype: Link Rect: 34, 164, 96, 186 Annotation: Subtype: Link Rect: 126, 90, 154, 99 Annotation: Subtype: Link Rect: 34, 78, 147, 87 Annotation: Subtype: Link Rect: 34, 756, 180, 792 Annotation: Subtype: Link Rect: 515, 756, 560, 792 Annotation: Subtype: Link Rect: 124, 625, 136, 639 Annotation: Subtype: Link Rect: 339, 625, 350, 639 Annotation: Subtype: Link Rect: 334, 243, 341, 252 ActionDest: 161 Annotation: Subtype: Link Rect: 342, 243, 349, 252 ActionDest: 161 Annotation: Subtype: Link Rect: 512, 218, 519, 227 ActionDest: 161 Annotation: Subtype: Link Rect: 419, 181, 426, 189 ActionDest: 161 Annotation: Subtype: Link Rect: 427, 180, 434, 189 ActionDest: 161 Annotation: Subtype: Link Rect: 230, 155, 237, 164 ActionDest: 161 Annotation: Subtype: Link Rect: 237, 155, 244, 164 ActionDest: 161 Annotation: Subtype: Link Rect: 443, 92, 450, 102 ActionDest: 161 Annotation: Subtype: Link Rect: 453, 93, 465, 102 ActionDest: 161 Annotation: Subtype: Link Rect: 246, 80, 258, 89 ActionDest: 161 Annotation: Subtype: Link Rect: 201, 17, 346, 28 Annotation: Subtype: Link Rect: 416, 17, 560, 28 Annotation: Subtype: Link Rect: 34, 444, 87, 463 Page: Sequence: 2 Annotations: Annotation: Subtype: Link Rect: 531, 673, 543, 682 ActionDest: 161 Annotation: Subtype: Link Rect: 544, 673, 556, 682 ActionDest: 161 Annotation: Subtype: Link Rect: 446, 622, 458, 631 ActionDest: 161 Annotation: Subtype: Link Rect: 544, 597, 556, 606 ActionDest: 161 Annotation: Subtype: Link Rect: 522, 585, 534, 594 ActionDest: 161 Annotation: Subtype: Link Rect: 534, 585, 546, 594 ActionDest: 161 Annotation: Subtype: Link Rect: 368, 560, 380, 569 ActionDest: 161 Annotation: Subtype: Link Rect: 383, 560, 395, 569 ActionDest: 161 Annotation: Subtype: Link Rect: 259, 535, 271, 544 ActionDest: 161 Annotation: Subtype: Link Rect: 274, 535, 286, 544 ActionDest: 169 Annotation: Subtype: Link Rect: 312, 510, 324, 519 ActionDest: 169 Annotation: Subtype: Link Rect: 342, 194, 354, 203 ActionDest: 169 Annotation: Subtype: Link Rect: 354, 194, 366, 203 ActionDest: 169 Page: Sequence: 3 Annotations: Annotation: Subtype: Link Rect: 343, 610, 349, 619 ActionDest: 161 Annotation: Subtype: Link Rect: 549, 572, 556, 581 ActionDest: 161 Annotation: Subtype: Link Rect: 455, 509, 467, 518 ActionDest: 169 Annotation: Subtype: Link Rect: 190, 421, 202, 430 ActionDest: 169 Annotation: Subtype: Link Rect: 294, 396, 305, 405 ActionDest: 169 Annotation: Subtype: Link Rect: 430, 346, 442, 355 ActionDest: 161 Annotation: Subtype: Link Rect: 443, 346, 455, 355 ActionDest: 161 Annotation: Subtype: Link Rect: 254, 230, 261, 242 ActionDest: 74 Annotation: Subtype: Link Rect: 197, 107, 209, 116 ActionDest: 169 Annotation: Subtype: Link Rect: 209, 107, 221, 116 ActionDest: 169 Annotation: Subtype: Link Rect: 485, 107, 497, 116 ActionDest: 169 Annotation: Subtype: Link Rect: 500, 107, 512, 116 ActionDest: 169 Annotation: Subtype: Link Rect: 208, 82, 220, 91 ActionDest: 169 Annotation: Subtype: Link Rect: 220, 82, 232, 91 ActionDest: 169 Annotation: Subtype: Link Rect: 361, 82, 373, 91 ActionDest: 169 Annotation: Subtype: Link Rect: 371, 69, 383, 79 ActionDest: 169 Page: Sequence: 4 Annotations: Annotation: Subtype: Link Rect: 279, 710, 290, 719 ActionDest: 169 Annotation: Subtype: Link Rect: 291, 710, 303, 719 ActionDest: 169 Annotation: Subtype: Link Rect: 210, 128, 222, 137 ActionDest: 169 Page: Sequence: 5 Annotations: Annotation: Subtype: Link Rect: 356, 632, 363, 644 ActionDest: 106 Annotation: Subtype: Link Rect: 330, 607, 337, 619 ActionDest: 134 Page: Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 213, 256, 220, 268 ActionDest: 137 Annotation: Subtype: Link Rect: 212, 130, 219, 142 ActionDest: 137 Page: Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 522, 247, 529, 259 ActionDest: 152 Annotation: Subtype: Link Rect: 433, 71, 440, 83 ActionDest: 152 Page: Sequence: 8 Page: Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 254, 645, 261, 657 ActionDest: 152 Annotation: Subtype: Link Rect: 308, 522, 320, 531 ActionDest: 169 Annotation: Subtype: Link Rect: 525, 522, 537, 531 ActionDest: 169 Annotation: Subtype: Link Rect: 329, 446, 336, 455 ActionDest: 161 Annotation: Subtype: Link Rect: 337, 447, 344, 455 ActionDest: 161 Annotation: Subtype: Link Rect: 440, 421, 452, 430 ActionDest: 161 Annotation: Subtype: Link Rect: 452, 421, 464, 430 ActionDest: 161 Annotation: Subtype: Link Rect: 471, 409, 483, 418 ActionDest: 169 Annotation: Subtype: Link Rect: 528, 346, 534, 355 ActionDest: 161 Annotation: Subtype: Link Rect: 535, 346, 542, 355 ActionDest: 161 Annotation: Subtype: Link Rect: 436, 333, 448, 342 ActionDest: 161 Annotation: Subtype: Link Rect: 391, 296, 403, 305 ActionDest: 169 Annotation: Subtype: Link Rect: 293, 170, 305, 179 ActionDest: 169 Page: Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 469, 735, 481, 744 ActionDest: 169 Annotation: Subtype: Link Rect: 481, 735, 493, 744 ActionDest: 169 Annotation: Subtype: Link Rect: 381, 723, 393, 732 ActionDest: 169 Annotation: Subtype: Link Rect: 331, 660, 343, 669 ActionDest: 172 Annotation: Subtype: Link Rect: 351, 635, 363, 644 ActionDest: 172 Annotation: Subtype: Link Rect: 485, 610, 497, 619 ActionDest: 172 Annotation: Subtype: Link Rect: 544, 585, 556, 594 ActionDest: 172 Annotation: Subtype: Link Rect: 266, 394, 343, 406 Annotation: Subtype: Link Rect: 358, 125, 427, 136 Page: Sequence: 11 Annotations: Annotation: Subtype: Link Rect: 434, 655, 471, 666 Annotation: Subtype: Link Rect: 478, 655, 514, 666 Annotation: Subtype: Link Rect: 366, 644, 403, 655 Annotation: Subtype: Link Rect: 413, 632, 450, 643 Annotation: Subtype: Link Rect: 456, 632, 492, 643 Annotation: Subtype: Link Rect: 409, 609, 447, 620 Annotation: Subtype: Link Rect: 453, 609, 489, 620 Annotation: Subtype: Link Rect: 308, 586, 346, 597 Annotation: Subtype: Link Rect: 352, 586, 388, 597 Annotation: Subtype: Link Rect: 490, 551, 527, 562 Annotation: Subtype: Link Rect: 308, 528, 346, 539 Annotation: Subtype: Link Rect: 158, 495, 195, 505 Annotation: Subtype: Link Rect: 392, 471, 430, 482 Annotation: Subtype: Link Rect: 487, 448, 525, 459 Annotation: Subtype: Link Rect: 307, 414, 345, 424 Annotation: Subtype: Link Rect: 351, 414, 387, 424 Annotation: Subtype: Link Rect: 302, 391, 340, 401 Annotation: Subtype: Link Rect: 346, 391, 382, 401 Annotation: Subtype: Link Rect: 309, 367, 346, 378 Annotation: Subtype: Link Rect: 474, 344, 512, 355 Annotation: Subtype: Link Rect: 451, 321, 489, 332 Annotation: Subtype: Link Rect: 233, 298, 270, 309 Annotation: Subtype: Link Rect: 299, 275, 337, 286 Annotation: Subtype: Link Rect: 205, 253, 242, 263 Annotation: Subtype: Link Rect: 329, 229, 366, 240 Annotation: Subtype: Link Rect: 312, 206, 350, 217 Annotation: Subtype: Link Rect: 184, 173, 221, 183 Annotation: Subtype: Link Rect: 227, 173, 264, 183 Annotation: Subtype: Link Rect: 355, 149, 393, 160 Annotation: Subtype: Link Rect: 399, 149, 435, 160 Annotation: Subtype: Link Rect: 266, 126, 304, 137 Annotation: Subtype: Link Rect: 310, 126, 346, 137 Annotation: Subtype: Link Rect: 59, 104, 96, 114 Annotation: Subtype: Link Rect: 227, 80, 264, 91 Page: Sequence: 12 Annotations: Annotation: Subtype: Link Rect: 296, 722, 333, 733 Annotation: Subtype: Link Rect: 150, 687, 187, 698 Annotation: Subtype: Link Rect: 219, 665, 257, 675 Annotation: Subtype: Link Rect: 312, 629, 350, 640 Annotation: Subtype: Link Rect: 428, 606, 560, 617 Annotation: Subtype: Link Rect: 56, 595, 206, 606 Annotation: Subtype: Link Rect: 307, 572, 345, 583 Annotation: Subtype: Link Rect: 319, 549, 356, 560 Annotation: Subtype: Link Rect: 363, 549, 399, 560 Annotation: Subtype: Link Rect: 313, 526, 351, 537 Annotation: Subtype: Link Rect: 357, 526, 393, 537 Annotation: Subtype: Link Rect: 59, 504, 96, 514 Annotation: Subtype: Link Rect: 102, 504, 138, 514 Annotation: Subtype: Link Rect: 350, 468, 387, 479 Annotation: Subtype: Link Rect: 394, 468, 430, 479 Annotation: Subtype: Link Rect: 459, 445, 496, 456 Annotation: Subtype: Link Rect: 334, 411, 371, 422 Annotation: Subtype: Link Rect: 280, 388, 318, 399 Annotation: Subtype: Link Rect: 56, 365, 393, 376 Annotation: Subtype: Link Rect: 301, 343, 339, 353 Annotation: Subtype: Link Rect: 444, 319, 482, 330 Annotation: Subtype: Link Rect: 148, 296, 259, 307 Annotation: Subtype: Link Rect: 188, 262, 226, 272 Annotation: Subtype: Link Rect: 59, 228, 96, 238 Annotation: Subtype: Link Rect: 363, 204, 401, 215 Annotation: Subtype: Link Rect: 253, 182, 290, 192 Annotation: Subtype: Link Rect: 391, 158, 428, 169 Annotation: Subtype: Link Rect: 197, 136, 235, 146 Annotation: Subtype: Link Rect: 170, 101, 208, 111 Annotation: Subtype: Link Rect: 487, 77, 524, 88 Page: Sequence: 13 Annotations: Annotation: Subtype: Link Rect: 484, 722, 522, 733 Annotation: Subtype: Link Rect: 439, 710, 560, 721 Annotation: Subtype: Link Rect: 56, 699, 381, 710 Annotation: Subtype: Link Rect: 246, 676, 284, 687 Checksum: 577d6feb Type: CRC32 Checksum: ec51adfa2887bc9e80441c233e6a9cf7 Type: MD5 Checksum: 22b45d1bd1efbd6a052cc4980b9f7f59b7afd69c Type: SHA-1 Checksum: 416932f98199df8b0e6002f8e6708cb842b7c59b9d97e1164411dd4f36dc2414 Type: SHA-256