Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial

Background: Recovery of balance and walking abilities is important for the rehabilitation of stroke patients. Objectives: To evaluate the effects of the Bad Ragaz Ring method on functional recovery in chronic stroke patients. Methods: Twenty-two chronic stroke patients were randomly assigned to two...

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Main Authors: Hyun-Gyu Cha, PT, PhD, Young-Jun Shin, PT, MS, Myoung-Kwon Kim, PT, PhD
Format: Article
Language:English
Published: World Scientific Publishing 2017-12-01
Series:Hong Kong Physiotherapy Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013702516300033
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author Hyun-Gyu Cha, PT, PhD
Young-Jun Shin, PT, MS
Myoung-Kwon Kim, PT, PhD
author_facet Hyun-Gyu Cha, PT, PhD
Young-Jun Shin, PT, MS
Myoung-Kwon Kim, PT, PhD
author_sort Hyun-Gyu Cha, PT, PhD
collection DOAJ
description Background: Recovery of balance and walking abilities is important for the rehabilitation of stroke patients. Objectives: To evaluate the effects of the Bad Ragaz Ring method on functional recovery in chronic stroke patients. Methods: Twenty-two chronic stroke patients were randomly assigned to two groups: a Bad Ragaz Ring method group (the experimental group) or a control group. Stroke patients in the experimental group underwent Bad Ragaz Ring exercise and comprehensive rehabilitation therapy, whereas patients in the control group underwent comprehensive rehabilitation therapy alone. The participants in both groups received therapy 3 days per week for 6 weeks. Muscle activations, balance indices, and Timed Up and Go test results were assessed before and after the 6-week therapy period. Results: The experimental group showed significant improvements in activations of tibialis anterior and gastrocnemius muscles, balance index, and Timed Up and Go test results as compared with preintervention results (p < 0.05), whereas the control group showed significant improvement in Timed Up and Go test (p < 0.05). Significant differences in posttraining gains in the activations of tibialis anterior and gastrocnemius muscles and in balance index were observed between the experimental and control groups (p < 0.05). Effect sizes for gains in the experimental and control groups were strong for tibialis anterior and gastrocnemius muscles (effect sizes, 1.04 and 1.45 respectively). Conclusion: The Bad Ragaz Ring method may be beneficial for improving balance and leg muscle activation of chronic stroke patients. Keywords: Bad Ragaz Ring method, balance, stroke
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spelling doaj.art-8e46a5df69de4fc1aaeaa8068247c2ea2022-12-21T19:00:45ZengWorld Scientific PublishingHong Kong Physiotherapy Journal1013-70252017-12-01373945Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trialHyun-Gyu Cha, PT, PhD0Young-Jun Shin, PT, MS1Myoung-Kwon Kim, PT, PhD2Department of Physical Therapy, College of Tourism and Health Science, Joongbu University, Republic of KoreaDepartment of Physical Therapy, Daegu University, Daegudae-ro, Gyeongsan-si, Gyeongsangbuk-do, Republic of KoreaDepartment of Physical Therapy, Daegu University, Daegudae-ro, Gyeongsan-si, Gyeongsangbuk-do, Republic of Korea; Corresponding author. Department of Physical Therapy, Daegu University, 201, Daegudae-ro, Gyeongsan-si, Gyeongsangbuk-do, Republic of Korea.Background: Recovery of balance and walking abilities is important for the rehabilitation of stroke patients. Objectives: To evaluate the effects of the Bad Ragaz Ring method on functional recovery in chronic stroke patients. Methods: Twenty-two chronic stroke patients were randomly assigned to two groups: a Bad Ragaz Ring method group (the experimental group) or a control group. Stroke patients in the experimental group underwent Bad Ragaz Ring exercise and comprehensive rehabilitation therapy, whereas patients in the control group underwent comprehensive rehabilitation therapy alone. The participants in both groups received therapy 3 days per week for 6 weeks. Muscle activations, balance indices, and Timed Up and Go test results were assessed before and after the 6-week therapy period. Results: The experimental group showed significant improvements in activations of tibialis anterior and gastrocnemius muscles, balance index, and Timed Up and Go test results as compared with preintervention results (p < 0.05), whereas the control group showed significant improvement in Timed Up and Go test (p < 0.05). Significant differences in posttraining gains in the activations of tibialis anterior and gastrocnemius muscles and in balance index were observed between the experimental and control groups (p < 0.05). Effect sizes for gains in the experimental and control groups were strong for tibialis anterior and gastrocnemius muscles (effect sizes, 1.04 and 1.45 respectively). Conclusion: The Bad Ragaz Ring method may be beneficial for improving balance and leg muscle activation of chronic stroke patients. Keywords: Bad Ragaz Ring method, balance, strokehttp://www.sciencedirect.com/science/article/pii/S1013702516300033
spellingShingle Hyun-Gyu Cha, PT, PhD
Young-Jun Shin, PT, MS
Myoung-Kwon Kim, PT, PhD
Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial
Hong Kong Physiotherapy Journal
title Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial
title_full Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial
title_fullStr Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial
title_full_unstemmed Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial
title_short Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial
title_sort effects of the bad ragaz ring method on muscle activation of the lower limbs and balance ability in chronic stroke a randomised controlled trial
url http://www.sciencedirect.com/science/article/pii/S1013702516300033
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