IMEMR
66.92
Volume 2, Issue 2 (2021)                   J Clinic Care Skill 2021, 2(2): 51-56 | Back to browse issues page
Article Type:
Original Research |

Print XML PDF HTML


History

How to cite this article
Pirayesh F, Karimi Z, Ghatee M, Yazdanpanah P, Razmeh S, Mohammad Hossini S. Comparison of the Effect of Core Stability Exercises and Otago Exercises on Quality of Life in Patients with Stroke. J Clinic Care Skill 2021; 2 (2) :51-56
URL: http://jccs.yums.ac.ir/article-1-96-en.html
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rights and permissions
1- Department of Nursing, School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
2- Department of Operating Room, School of Paramedicine, Yasuj University of Medical Sciences, Yasuj, Iran
3- Cellular & Molecular Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
4- Physical Medicine and Rehabilitation, Yasuj University of Medical Sciences, Yasuj, Iran
5- Department of Neurology, Yasuj University of Medical Sciences, Yasuj, Iran
* Corresponding Author Address: Yasuj University of Medical Sciences, Yasuj, Iran. (hossini3270@yahoo.com)
Abstract   (3393 Views)
Aims: Stroke has unforeseen and destructive effects on patients' lives and reduces the quality of life of these patients leading to a decrease in quality of life, stress, and anxiety in these patients and disrupting their daily and daily activities. Therefore, this study aimed to compare the effect of core stability training using Otago exercises on quality of life in patients with stroke.
Materials & Methods: The present clinical trial was conducted on all stroke patients referring to the educational and medical centers of Yasuj University of Medical Sciences in 2020. A total of 69 patients were selected by the convenience sampling method. The samples were randomly assigned to three groups: core stability exercises group (first intervention group, 23 people), Otago exercises group (second intervention group, 23 people), and control group (23 people). For patients in the first intervention group, core stability exercises were performed for 8 weeks and 3 sessions per week, and for patients in the second intervention group, Otago exercises were performed for 8 weeks and 3 sessions per week. No training was given to the control group. Demographic characteristics checklist and stroke Specific- Quality of Life (SS-QOL) were used to collect data before the intervention and one month after the intervention. The collected data were analyzed using SPSS software version 21 and descriptive statistics and Paired T-test, One-way Analysis of Variance, Bonferroni Post Hoc test.
Findings: Before the intervention, there was no statistically significant difference in the overall score of quality of life in the experimental and control groups (p>0.001). At the end of the intervention, there was a statistically significant difference in the mean score of quality of life between the two groups of core stability and Otago exercises compared with the control group (p<0.001). After the intervention, the mean total scores of quality of life in the Otago group increased by about 11.86 points compared with the group core stability, and this difference was significant (p<0.001).
Conclusion: Both core stability and Otago exercises improved patients' quality of life with stroke, but Otago exercise was more effective than core stability exercises.
Keywords:

References
1. Wang H, Zhou K, Li W, Du J, Xiao J. Ctnnb1 transcriptional upregulation compensates for Mdm2/p53-mediated β-catenin degradation in neutrophils following cardioembolic stroke. Gene. 2021;766:145022. [DOI:10.1016/j.gene.2020.145022] [PMID]
2. Willeit P, Toell T, Boehme C, Krebs S, Mayer L, Lang C, et al. Stroke-card care to prevent cardiovascular events and improve quality of life after acute ischaemic stroke or TIA: A randomized clinical trial. EClin Med. 2020;16:1-10. [DOI:10.1016/j.eclinm.2020.100476] [PMID] [PMCID]
3. Farhoudi M, Pashapour A, Alizadeh M, Ladan A, Mostafaei S. Epidemiology and risk factors of stroke in Tabriz, Iran: A population based study. J Exp Clin Neurosci. 2019;6(1):1-4. [link]
4. Ojaghihaghighi SH, Shams Vahdati S, Mikaeilpour A, Ramouz A. Comparison of neurological clinical manifestation in patients with hemorrhagic and ischemic stroke. World J Emerg Med. 2017;8(1):34-8. [DOI:10.5847/wjem.j.1920-8642.2017.01.006] [PMID] [PMCID]
5. Kilkenny MF, Grimley R, Lannin NA. Quality of life and age following stroke. Aging. 2019;11(3):845-6. [DOI:10.18632/aging.101797] [PMID] [PMCID]
6. Lo Buono V, Corallo F, Bramanti P, Marino S. Coping strategies and health-related quality of life after stroke. J Health Psychol. 2017;22(1):16-28. [DOI:10.1177/1359105315595117] [PMID]
7. Park J, Kim TH. The effects of balance and gait function on quality of life of stroke patients. Neuro Rehabil. 2019;44(1):37-41. [DOI:10.3233/NRE-182467] [PMID]
8. Crouch MC, Skan J, David EJR, Lopez EDS, Prochaska JJ. Indigenizing quality of life: The goodness of life for every Alaska native research study. Appl Res Qual Life. 2020 Jan:1-21. [DOI:10.1007/s11482-019-09782-5]
9. Winters C, Kwakkel G, Van Wegen EEH, Nijland RHM, Veerbeek JM, Meskers CGM. Moving stroke rehabilitation forward: The need to change research. Neuro Rehabil. 2018;43(1):19-30. [DOI:10.3233/NRE-172393] [PMID]
10. Zhu Z, Cui L, Yin M, Yu Y, Zhou X, Wang H, et al. Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: A randomized controlled trial. Clin Rehabil. 2016;30(6):587-93. [DOI:10.1177/0269215515593392] [PMID]
11. Xing Y, Yang SD, Dong F, Wang MM, Feng YS, Zhang F. The beneficial role of early exercise training following stroke and possible mechanisms. Life Sci. 2018;198:32-7. [DOI:10.1016/j.lfs.2018.02.018] [PMID]
12. Narouei S, Barati AH, Akuzawa H, Talebian S, Ghiasi F, Akbari A, et al. Effects of core stabilization exercises on thickness and activity of trunk and hip muscles in subjects with nonspecific chronic low back pain. J Bodyw Mov Ther. 2020;24(4):138-46. [DOI:10.1016/j.jbmt.2020.06.026] [PMID]
13. Shubert TE, Smith ML, Jiang L, Ory MG. Disseminating the Otago exercise program in the United States: Perceived and actual physical performance improvements from participants. J Appl Gerontol. 2018;37(1):79-98. [DOI:10.1177/0733464816675422] [PMID]
14. Martins AC, Santos C, Silva C, Baltazar D, Moreira J, Tavares N. Does modified Otago Exercise Program improves balance in older people? a systematic review. Prev Med Rep. 2018;11:231-9. [DOI:10.1016/j.pmedr.2018.06.015] [PMID] [PMCID]
15. Benavent-Caballer V, Rosado-Calatayud P, Segura-Orti E, Amer-Cuenca JJ, Lison JF. The effectiveness of a video-supported group-based Otago exercise program on physical performance in community-dwelling older adults: A preliminary study. Physiotherapy. 2016;102(3):280-6. [DOI:10.1016/j.physio.2015.08.002] [PMID]
16. Bai M, Guo Z, Fang P, Jin J. Effect of Otago exercise program on the elderly′s falls: A Meta-analysis. Chin J Pract Nurs. 2018;34(4):309-14. [link]
17. Kocic M, Stojanovic Z, Nikolic D, Lazovic M, Grbic R, Dimitrijevic L, et al. The effectiveness of group Otago exercise program on physical function in nursing home residents older than 65 years: A randomized controlled trial. Arch Gerontol Geriatr. 2018;75:112-8. [DOI:10.1016/j.archger.2017.12.001] [PMID]
18. Cederbom S, Arkkukangas M. Impact of the fall prevention Otago Exercise Programme on pain among community-dwelling older adults: A short-and long-term follow-up study. Clin Interv Aging. 2019;14:721-6. [DOI:10.2147/CIA.S200188] [PMID] [PMCID]
19. Bjerk M, Brovold T, Skelton DA, Liu-Ambrose T, Bergland A. Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: A randomised controlled trial. Age Ageing. 2019;48(2):213-9. [DOI:10.1093/ageing/afy192] [PMID]
20. Hoglund LT, Pontiggia L, Kelly JD. A 6-week hip muscle strengthening and lumbopelvic-hip core stabilization program to improve pain, function, and quality of life in persons with patellofemoral osteoarthritis: A feasibility pilot study. Pilot Feasibility Stud. 2018;4:70. [DOI:10.1186/s40814-018-0262-z] [PMID] [PMCID]
21. Vincent S, Joseph J. The combined effectiveness of gaze stability exercise and Otago exercise on balance and fall risk in elderly people. Int J Med Exerc Sci. 2017;3(3):390-401. [DOI:10.36678/ijmaes.2017.v03i03.008]
22. Williams LS, Weinberger M, Harris LE, Clark DO, Biller J. Development of a stroke-specific quality of life scale. Stroke. 1999;30(7):1362-9. [DOI:10.1161/01.STR.30.7.1362] [PMID]
23. Mahmoodi M, Safari A, Vossoughi M, Golbon-Haghighi F, Kamali-Sarvestani M, Ghaem H, et al. Stroke specific quality of life questionnaire: Test of reliability and validity of the Persian version. Iran J Neurol. 2015;14(2):94-100. [link]
24. Mansouri-Mehryan SM. Musculoskeletal deformities-sports injury and corrective exercises. Tehran: MAHVAREH; 2016. [Persian] [link]
25. Hager AGM, Mathieu N, Lenoble-Hoskovec C, Swanenburg J, De Bie R, Hilfiker R. Effects of three home-based exercise programmes regarding falls, quality of life and exercise-adherence in older adults at risk of falling: Protocol for a randomized controlled trial. BMC Geriatr. 2019;19(1):13. [DOI:10.1186/s12877-018-1021-y] [PMID] [PMCID]
26. Tidman M, Skotzke, E. Effects of a community-based exercise program on mobility, balance, cognition, sleep, activities of daily living, and quality of life in PD: A pilot study. Neurodegener Dis Manag. 2020;10(1):27-39. [DOI:10.2217/nmt-2019-0027] [PMID]
27. Park Y, Chang M. Effects of the Otago exercise program on fall efficacy, activities of daily living and quality of life in elderly stroke patients. J Phys Ther Sci. 2016;28(1):190-3. [DOI:10.1589/jpts.28.190] [PMID] [PMCID]
28. Heidari RS, Sahebozamani M, Karimi Afshar S. Comparison of the effects of 8 weeks of core stability exercise on ball and sling exercise on the quality of life and pain in the female with non-specific chronic low back pain (NSLBP). J Adv Med Biomed Res. 2018;26(117):44-56. [Persian] [link]
29. Omidi M, Shamsi Majalan A, Karimizadeh Ardakani M, Mansoori MH. The effect of a 6-week core stability exercises on the risk of falling and quality of life in blind people. Phys Treat J. 2019;9(4):227-34. [Persian] [DOI:10.32598/ptj.9.4.227]
30. Almasi S, Shojaedin S, Karimi Z. Effect and durability of eight weeks of central stability and Pilates exercises on sensory function, quality of life and pain in women with non-specific chronic low back pain. J Anesthesiol Pain. 2020;10(4):36-49. [Persian] [link]