Effect of Plyometric Exercises of Lower Limb on Strength, Postural Control, and Risk of Falling in Stroke Patients

Background and Objective: Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one’s quality of life a...

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Published in:Medicina (Kaunas, Lithuania) Vol. 61; no. 2; p. 223
Main Authors: Abd Elsabour, Ahmed K., Zakaria, Hoda M., Fahmy, Ebtesam M., Khalil, Azza Sayed Abdelrehim, Alwhaibi, Reem M., Ragab, Walaa M., Taha, Shreen I.
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Language:English
Published: Switzerland MDPI AG 01.02.2025
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Abstract Background and Objective: Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one’s quality of life and independence. Finding an effective protocol for rehabilitation to improve these points will decrease the impact of stroke and its coast of rehabilitation. Materials and Methods: This study was conducted to assess the effect of lower limb plyometric exercises on strength, postural control, and risk of falling in stroke patients. Materials and Methods: This study involved 40 chronic left stroke patients randomly divided into two equal groups. The experimental group participated in a 12-week supervised plyometric training program, while the control group received conventional physical therapy program. Lower limb muscle strength was measured using a handheld dynamometer, and balance and fall risk were assessed via the Biodex Balance System (BBS). These measurements were conducted before and after the intervention period to evaluate treatment effects. Results: The results of this study demonstrated significant improvements in muscle strength and balance parameters among stroke patients who underwent plyometric exercise compared to those receiving a conventional program. The plyometric group exhibited significantly greater increases in knee extension strength (p < 0.05), hip abduction strength (p < 0.05), ankle dorsiflexion strength (p < 0.05), and ankle eversion strength (p < 0.05). Furthermore, the plyometric group showed significant improvements in overall stability (p < 0.05), mediolateral stability (p < 0.05), and anteroposterior stability (p < 0.05), as measured by the Biodex Balance System (BBS). Conclusions: The results of this study suggest that plyometric exercise may be an effective intervention for decreased risk of falling and enhancing muscle strength and balance during recovery from stroke.
AbstractList Background and Objective: Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one’s quality of life and independence. Finding an effective protocol for rehabilitation to improve these points will decrease the impact of stroke and its coast of rehabilitation. Materials and Methods: This study was conducted to assess the effect of lower limb plyometric exercises on strength, postural control, and risk of falling in stroke patients. Materials and Methods: This study involved 40 chronic left stroke patients randomly divided into two equal groups. The experimental group participated in a 12-week supervised plyometric training program, while the control group received conventional physical therapy program. Lower limb muscle strength was measured using a handheld dynamometer, and balance and fall risk were assessed via the Biodex Balance System (BBS). These measurements were conducted before and after the intervention period to evaluate treatment effects. Results: The results of this study demonstrated significant improvements in muscle strength and balance parameters among stroke patients who underwent plyometric exercise compared to those receiving a conventional program. The plyometric group exhibited significantly greater increases in knee extension strength (p < 0.05), hip abduction strength (p < 0.05), ankle dorsiflexion strength (p < 0.05), and ankle eversion strength (p < 0.05). Furthermore, the plyometric group showed significant improvements in overall stability (p < 0.05), mediolateral stability (p < 0.05), and anteroposterior stability (p < 0.05), as measured by the Biodex Balance System (BBS). Conclusions: The results of this study suggest that plyometric exercise may be an effective intervention for decreased risk of falling and enhancing muscle strength and balance during recovery from stroke.
Background and Objective: Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one's quality of life and independence. Finding an effective protocol for rehabilitation to improve these points will decrease the impact of stroke and its coast of rehabilitation. Materials and Methods: This study was conducted to assess the effect of lower limb plyometric exercises on strength, postural control, and risk of falling in stroke patients. Materials and Methods: This study involved 40 chronic left stroke patients randomly divided into two equal groups. The experimental group participated in a 12-week supervised plyometric training program, while the control group received conventional physical therapy program. Lower limb muscle strength was measured using a handheld dynamometer, and balance and fall risk were assessed via the Biodex Balance System (BBS). These measurements were conducted before and after the intervention period to evaluate treatment effects. Results: The results of this study demonstrated significant improvements in muscle strength and balance parameters among stroke patients who underwent plyometric exercise compared to those receiving a conventional program. The plyometric group exhibited significantly greater increases in knee extension strength (p < 0.05), hip abduction strength (p < 0.05), ankle dorsiflexion strength (p < 0.05), and ankle eversion strength (p < 0.05). Furthermore, the plyometric group showed significant improvements in overall stability (p < 0.05), mediolateral stability (p < 0.05), and anteroposterior stability (p < 0.05), as measured by the Biodex Balance System (BBS). Conclusions: The results of this study suggest that plyometric exercise may be an effective intervention for decreased risk of falling and enhancing muscle strength and balance during recovery from stroke.Background and Objective: Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one's quality of life and independence. Finding an effective protocol for rehabilitation to improve these points will decrease the impact of stroke and its coast of rehabilitation. Materials and Methods: This study was conducted to assess the effect of lower limb plyometric exercises on strength, postural control, and risk of falling in stroke patients. Materials and Methods: This study involved 40 chronic left stroke patients randomly divided into two equal groups. The experimental group participated in a 12-week supervised plyometric training program, while the control group received conventional physical therapy program. Lower limb muscle strength was measured using a handheld dynamometer, and balance and fall risk were assessed via the Biodex Balance System (BBS). These measurements were conducted before and after the intervention period to evaluate treatment effects. Results: The results of this study demonstrated significant improvements in muscle strength and balance parameters among stroke patients who underwent plyometric exercise compared to those receiving a conventional program. The plyometric group exhibited significantly greater increases in knee extension strength (p < 0.05), hip abduction strength (p < 0.05), ankle dorsiflexion strength (p < 0.05), and ankle eversion strength (p < 0.05). Furthermore, the plyometric group showed significant improvements in overall stability (p < 0.05), mediolateral stability (p < 0.05), and anteroposterior stability (p < 0.05), as measured by the Biodex Balance System (BBS). Conclusions: The results of this study suggest that plyometric exercise may be an effective intervention for decreased risk of falling and enhancing muscle strength and balance during recovery from stroke.
Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include weakness, impaired balance, and decreased coordination, which can have a significant influence on one's quality of life and independence. Finding an effective protocol for rehabilitation to improve these points will decrease the impact of stroke and its coast of rehabilitation. This study was conducted to assess the effect of lower limb plyometric exercises on strength, postural control, and risk of falling in stroke patients. This study involved 40 chronic left stroke patients randomly divided into two equal groups. The experimental group participated in a 12-week supervised plyometric training program, while the control group received conventional physical therapy program. Lower limb muscle strength was measured using a handheld dynamometer, and balance and fall risk were assessed via the Biodex Balance System (BBS). These measurements were conducted before and after the intervention period to evaluate treatment effects. The results of this study demonstrated significant improvements in muscle strength and balance parameters among stroke patients who underwent plyometric exercise compared to those receiving a conventional program. The plyometric group exhibited significantly greater increases in knee extension strength ( < 0.05), hip abduction strength ( < 0.05), ankle dorsiflexion strength ( < 0.05), and ankle eversion strength ( < 0.05). Furthermore, the plyometric group showed significant improvements in overall stability ( < 0.05), mediolateral stability ( < 0.05), and anteroposterior stability ( < 0.05), as measured by the Biodex Balance System (BBS). The results of this study suggest that plyometric exercise may be an effective intervention for decreased risk of falling and enhancing muscle strength and balance during recovery from stroke.
Audience Academic
Author Taha, Shreen I.
Abd Elsabour, Ahmed K.
Alwhaibi, Reem M.
Fahmy, Ebtesam M.
Ragab, Walaa M.
Khalil, Azza Sayed Abdelrehim
Zakaria, Hoda M.
AuthorAffiliation 1 Department of Physical Therapy for Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Beni-Suef University, Beni Suef 62521, Egypt; ahmedkamel@pt.bsu.edu.eg (A.K.A.E.); shreen_taha@pt.bsu.edu.eg (S.I.T.)
3 Department of Neurology, Faculty of Medicine, Cairo University, Cairo 12613, Egypt; em_fahmy@kasralainy.edu.eg
5 Department of Physical Therapy, College of Medical Rehabilitation Sciences, Taibah University, Medina 42353, Saudi Arabia
4 Rehabilitation Sciences Department, Health and Rehabilitation Sciences College, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia; ASKhalil@pnu.edu.sa (A.S.A.K.); rmalwhaibi@pnu.edu.sa (R.M.A.)
2 Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo 12613, Egypt; dr.hodazakaria@cu.edu.eg
AuthorAffiliation_xml – name: 4 Rehabilitation Sciences Department, Health and Rehabilitation Sciences College, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia; ASKhalil@pnu.edu.sa (A.S.A.K.); rmalwhaibi@pnu.edu.sa (R.M.A.)
– name: 3 Department of Neurology, Faculty of Medicine, Cairo University, Cairo 12613, Egypt; em_fahmy@kasralainy.edu.eg
– name: 2 Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo 12613, Egypt; dr.hodazakaria@cu.edu.eg
– name: 1 Department of Physical Therapy for Neuromuscular Disorders and Its Surgery, Faculty of Physical Therapy, Beni-Suef University, Beni Suef 62521, Egypt; ahmedkamel@pt.bsu.edu.eg (A.K.A.E.); shreen_taha@pt.bsu.edu.eg (S.I.T.)
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/40005340$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_2147_JMDH_S515576
crossref_primary_10_1109_ACCESS_2025_3563385
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Issue 2
Keywords muscle strength
rehabilitation
balance
stroke
fall risk
plyometric exercise
Language English
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Snippet Background and Objective: Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These...
Stroke, a major contributor to long-term disability worldwide, often results in significant impairments in motor function. These impairments can include...
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StartPage 223
SubjectTerms Accidental Falls - prevention & control
Accidental Falls - statistics & numerical data
Aged
Balance
Clinical trials
Disability
fall risk
Falls
Falls (Accidents)
Female
Humans
Injuries
Lower Extremity - physiopathology
Male
Medical research
Medicine, Experimental
Middle Aged
Mortality
Muscle strength
Muscle Strength - physiology
Outpatient care facilities
Patients
Physical therapy
plyometric exercise
Plyometric Exercise - methods
Plyometric Exercise - standards
Postural Balance - physiology
Posture
rehabilitation
Rest
Risk factors
Spasticity
Stroke
Stroke - complications
Stroke - physiopathology
Stroke Rehabilitation - methods
Stroke Rehabilitation - standards
Therapeutics, Physiological
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Title Effect of Plyometric Exercises of Lower Limb on Strength, Postural Control, and Risk of Falling in Stroke Patients
URI https://www.ncbi.nlm.nih.gov/pubmed/40005340
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Volume 61
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