Effect of selective-task vs set-task program on balance and weight bearing of stroke patient

Abstract

[Purpose] This study investigated the change in functional balance and weight bearing of stroke patients in a set-task balance training program and a selective-task balance training program. [Method] the participants were randomly allocated to either the set-task program or the selective-task program. We evaluated balance capacity using the Berg Balance Scale (BBS). Postural weight bearing was measured using a Tetrax Intractive Balance System, and the lower extremity function was evaluated using the Fugel-Meyer Assessment of Sensorimotor Impairment (FMLE). Both programs were performed three days a week for 30 min, 8 for weeks. The participants were assessed again at the end of the 8 weeks of training, and again after 3 months. [Results] The selective-task group showed significant improvments in BBS and plantar foot pressure after training. FMLS showed no significant difference in the set-task group after training; however, the selective-task group showed a significant improvement. At the 3-month follow-up BBS and Plantar foot pressure had maintained the significant improvement in both groups, but FMLS only showed a significant improvement in the selective-task group. [Conclusion] Based on this study, a selective-task program for stroke patients in which the patients choose tasks is more effective at improving balance, symmetric weight bearing by the lower extremities, and lower extremity function than a set-task program.