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Volume : 23 Issue : 4 Year : 2017

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The effects of a postural balance training program on balance, gait, and health-related quality of life in persons with essential tremor [Turk J Neurol]
Turk J Neurol. Ahead of Print: TJN-76148

The effects of a postural balance training program on balance, gait, and health-related quality of life in persons with essential tremor

Bilge Kara1, Turhan Kahraman2, Melda Soysal Tomruk1, Berril Dönmez Çolakoğlu3, Özge Yılmaz Küsbeci4
1School Of Physical Therapy And Rehabilitation, Dokuz Eylül University, İzmir, Turkey
2Department Of Physiotherapy And Rehabilitation, Faculty Of Health Sciences, İzmir Katip Celebi University, İzmir, Turkey
3Department Of Neurology, Faculty Of Medicine, Dokuz Eylül University, İzmir, Turkey
4Department Of Neurology, Bozyaka Training And Research Hospital, İzmir, Turkey

Objective: Although the effectiveness of postural balance training on balance and gait impairment has been proven as an effective treatment approach in several patient and healthy populations, its effectiveness in persons with essential tremor (PwET) is yet unknown. The aim was to examine the effects of postural balance training program on the balance and gait performance, and health-related quality of life in PwET.
Materials and Methods: This uncontrolled clinical study included PwET. The outcome measures were the Postural Stability Test, Limits of Stability Test, Fall Risk Test, Activities-Specific Balance Confidence scale, Dynamic Gait Index, and Short Form-36. The assessments were performed before and after the training program. The participants underwent an 8-week balance training designed to improve their ability to integrate multisensory inputs and postural control by a computerized balance assessment and training device.
Results: In total, 24 PwET participated in the study. The compliance rate was 87.5%. There were significant improvements in all outcome measures of balance and gait performance, balance confidence, fall risk, and health-related quality of life (except the mental component, p>0.05) from baseline at 8 weeks (p<0.05).
Conclusion: The results have suggested that the balance training program is a feasible method which may have positive effects on the balance performance and confidence, gait performance, and health-related quality of life in PwET.

Keywords: Balance training, Essential tremor, Gait, Quality of life.




Corresponding Author: Turhan Kahraman, Türkiye


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