The Effects of a Postural Balance Training Program on Balance, Gait and Health-Related Quality of Life in Patients with Essential Tremor
Bilge Kara1
, Turhan Kahraman2, Melda Soysal Tomruk1, Berril Dönmez Çolakoğlu3, Özge Yılmaz Küsbeci4
1Dokuz Eylul University School of Physical Therapy and Rehabilitation, Izmir, Turkey
2Izmir Katip Celebi University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Izmir, Turkey
3Dokuz Eylul University Faculty of Medicine, Department of Neurology, Izmir, Turkey
4Health Sciences University, İzmir Bozyaka Training and Research Hospital, Clinic of Neurology, Izmir, Turkey
Keywords: Balance training, essential tremor, gait, quality of life
Abstract
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 patients with essential tremor (ET) is yet unknown. The aim was to examine the effects of postural balance training program on balance and gait performance, and health-related quality of life in patients with ET.
Materials and Methods: This uncontrolled clinical study included patients with ET. 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 using a computerized balance assessment and training device.
Results: In total, 24 patients with ET 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) between baseline and 8 weeks (p<0.05).
Conclusion: Our results suggest that the balance training program is a feasible method that may have positive effects on balance performance and confidence, gait performance, and health-related quality of life in patients with ET.