BACKGROUND: Boxing training including traditional stretching, muscular strength training, and duration training would be considered to be effective for improved functional stretching, dynamic balance, walking speed, and quality of life.
OBJECTIVE: We aimed to investigate upper limb function, balance, gait, and quality of life in stroke patients before and after a sitting boxing program.
METHODS: Twenty-six participants were randomly allocated to a boxing group (n = 13) and control group (n = 13) after the upper limb function, balance, gait, and quality of Life were recorded. The boxing group underwent a sitting boxing program (3 times/week) as well as conventional physical therapy (3 times/week) for 6 weeks. The control group only underwent conventional physical therapy (3 times/week) for 6 weeks.
RESULTS: The Manual Functional Test (MFT), non-affected hand grip, Berg Balance Scale (BBS), velocity moment with eye opened, 10-m Walk Test (10 MWT), and Stroke-Specific Quality of Life questionnaire (SS-QOL) were significantly improved in the boxing group (p < 0.05) and showed significantly greater improvements in the boxing group compared to the control group (p < 0.05) after 6 weeks.
CONCLUSIONS: The sitting boxing program group had positive effects on upper extremity function, balance, gait, and quality of life in stroke patients.
BergK., Wood-DauphineeS., & WilliamsJ. (1995). The Balance Scale: Reliability assessment with elderly residents and patients with an acute stroke. Scandinavian Journal of Rehabilitation Medicine27(1), 27–36.
2.
BroerenJ., RydmarkM., & SunnerhagenK. S. (2004). Virtual reality and haptics as a training device for movement rehabilitation after stroke: A single-case study. Archives of Physical Medicine and Rehabilitation85(8), 1247–1250.
3.
CombsS. A., DiehlM. D., StaplesW. H., ConnL., DavisK., LewisN., & SchanemanK. (2011). Boxing training for patients with Parkinson disease: A case series. Physical Therapy91(1), 132–142.
4.
DuncanP. W., HornerR. D., RekerD. M., SamsaG. P., HoenigH., HamiltonB., …& DudleyT. K. (2002). Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke33(1), 167–178.
5.
EraP., SainioP., KoskinenS., HaavistoP., VaaraM., & AromaaA. (2006). Postural balance in a random sample of 7,979 subjects aged years and over. Gerontology52(4), 204–213.
6.
FeysH. M., De WeerdtW. J., SelzB. E., SteckG. A. C., SpichigerR., VereeckL. E., …& Van HoydonckG. A. (1998). Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke a single-blind, randomized, controlled multicenter trial. Stroke29(4), 785–792.
7.
ForkanR., PumperB., SmythN., WirkkalaH., CiolM. A., & Shumway-CookA. (2006). Exercise adherence following physical therapy intervention in older adults with impaired balance. Physical Therapy86(3), 401–410.
8.
FrenchB., ThomasL. H., LeathleyM. J., SuttonC. J., McAdamJ., ForsterA., …& WatkinsC. L. (2009). Repetitive task training for improving functional ability after stroke. Stroke40(4), e98–e99.
9.
GranatM. H., MaxwellD. J., FergusonA. C., LeesK. R., & BarbenetJ. C. (1996). Peroneal stimulator: Evaluation for the correction of spastic drop foot in hemiplegia. Archives of Physical Medicine and Rehabilitation77(1), 19–24.
10.
HingtgenB., McGuireJ. R., WangM., & HarrisG. F. (2006). An upper extremity kinematic model for evaluation of hemiparetic stroke. Journal of Biomechanics39(4), 681–688.
11.
HorakF. B., HenryS. M., & Shumway-CookA. (1997). Postural perturbations: New insights for treatment of balance disorders. Physical Therapy77(5), 517–533.
12.
JohnL. T., CherianB., & BabuA. (2010). Postural control and fear of falling in persons with low-level paraplegia. Journal of Rehabilitation Research & Development47(5), 497–502.
13.
KimE., KangJ., & LeeH. (2010). Effects of Virtual Reality Based Game on Balance and Upper Extremity Function in Chronic Stroke Patients. The Research Institute for Special Education & Rehabilitation Science49(3), 131–149.
14.
KimP., WarrenS., MadillH., & HadleyM. (1999). Quality of life of stroke survivors. Quality of Life Research8(4), 293–301.
15.
KingL. A., & HorakF. B. (2009). Delaying mobility disability in people with Parkinson disease using a sensorimotor agility exercise program. Physical Therapy89(4), 384–393.
16.
KuJ., MrazR., BakerN., ZakzanisK. K., LeeJ. H., KimI. Y., …& GrahamS. J. (2003). A data glove with tactile feedback for FMRI of virtual reality experiments. Cyberpsychology & Behavior6(5), 497–508.
17.
LanzettaD., CattaneoD., PellegattaD., & CardiniR. (2004). Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis. Archives of Physical Medicine and Rehabilitation85(2), 279–283.
18.
MacleanN., PoundP., WolfeC., & RuddA. (2000). Qualitative analysis of stroke patients’ motivation for rehabilitation. BMJ: British Medical Journal321(7268), 1051.
19.
MalcolmM. P., MassieC., & ThautM. (2009). Rhythmic auditory-motor entrainment improves hemiparetic arm kinematics during reaching movements: A pilot study. Topics in Stroke Rehabilitation16(1), 69–79.
20.
MichaelsenS. M., DannenbaumR., & LevinM. F. (2006). Task-specific training with trunk restraint on arm recovery in stroke randomized control trial. Stroke37(1), 186–192.
21.
MononenK., ViitasaloJ. T., KonttinenN., & EraP. (2003). The effects of augmented kinematic feedback on motor skill learning in rifle shooting. Journal of Sports Sciences21(10), 867–876.
22.
MorishitaM., AmimotoK., MatsudaT., AraiY., YamadaR., & BabaT. (2009). Analysis of dynamic sitting balance on the independence of gait in hemiparetic patients. Gait & Posture29(4), 530–534.
23.
NakamuraR. (2000), Manual function test (MFT) and functional occupational therapy for stroke patients.
24.
Nichols-LarsenD. S., ClarkP., ZeringueA., GreenspanA., & BlantonS. (2005). Factors influencing stroke survivors’ quality of life during subacute recovery. Stroke36(7), 1480–1484.
25.
NicholsD. S. (1997). Balance retraining after stroke using force platform biofeedback. Physical Therapy77(5), 553–558.
26.
NiemiM.-L., LaaksonenR., KotilaM., & WaltimoO. (1988). Quality of life 4 years after stroke. Stroke19(9), 1101–1107.
27.
NudoR. J., WiseB. M., SiFuentesF., & MillikenG. W. (1996). Neural substrates for the effects of rehabilitative training on motor recovery after ischemic infarct. Science272(5269), 1791–1794.
28.
PageS. J., LevineP., & LeonardA. C. (2005). Modified constraint-induced therapy in acute stroke: A randomized controlled pilot study. Neurorehabilitation and Neural Repair19(1), 27–32.
29.
PageS. J., LevineP., SistoS., BondQ., & JohnstonM. V. (2002). Stroke patients’ and therapists’ opinions of constraint-induced movement therapy. Clinical Rehabilitation16(1), 55–60.
30.
PendletonH. M., & Schultz-KrohnW. (2013). Pedretti’s occupational therapy: Practice skills for physical dysfunction:Elsevier Health Sciences.
31.
PerryJ., GarrettM., GronleyJ. K., & MulroyS. J. (1995). Classification of walking handicap in the stroke population. Stroke26(6), 982–989.
32.
PohlM., MehrholzJ., RitschelC., & RückriemS. (2002). Speed-dependent treadmill training in ambulatory hemiparetic stroke patients A randomized controlled trial. Stroke33(2), 553–558.
33.
QuaneyB. M., HeJ., TimberlakeG., DoddK., & CarrC. (2010). Visuomotor training improves stroke-related ipsilesional upper extremity impairments. Neurorehabilitation and Neural Repair24(1), 52–61.
34.
ReismanD. S., KesarT. M., PerumalR., RoosM. A., RudolphK. S., HigginsonJ., …& Binder-MacleodS. (2013). Time course of functional and biomechanical improvements during a gait training intervention in persons with chronic stroke. Journal of Neurologic Physical Therapy: JNPT37(4), 159–.
35.
RodriguezG. M., & AruinA. S. (2002). The effect of shoe wedges and lifts on symmetry of stance and weight bearing in hemiparetic individuals. Archives of Physical Medicine and Rehabilitation83(4), 478–482.
36.
SalbachN. M., MayoN. E., Robichaud-EkstrandS., HanleyJ. A., RichardsC. L., & Wood-DauphineeS. (2006). Balance self-efficacy and its relevance to physical function and perceived health status after stroke. Archives of Physical Medicine and Rehabilitation87(3), 364–370.
37.
SalminenM., VahlbergT., SihvonenS., SjöstenN., PiirtolaM., IsoahoR., …& KiveläS.-L. (2009). Effects of risk-based multifactorial fall prevention on postural balance in the community-dwelling aged: A randomized controlled trial. Archives of Gerontology and Geriatrics48(1), 22–27.
38.
Shumway-CookA., & WoollacottM. H. (2007). Motor control: Translating research into clinical practice:Lippincott Williams & Wilkins.
39.
SihvonenS. E., SipiläS., & EraP. A. (2004). Changes in postural balance in frail elderly women during a 4-week visual feedback training: A randomized controlled trial. Gerontology50(2), 87–95.
40.
SkilbeckC. E., WadeD. T., HewerR. L., & WoodV. A. (1983). Recovery after stroke. Journal of Neurology, Neurosurgery & Psychiatry46(1), 5–8.
41.
SonY., & ParkY. (2005). The Relationships of Family support, Self-efficacy and Self-care Performance in Patients with Chronic Illness. Journal of Korean Academy of Adult Nursing17(5), 793–801.
42.
SteffenT. M., HackerT. A., & MollingerL. (2002). Age-and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Physical Therapy82(2), 128–137.
43.
StephensonJ. L., LamontagneA., & De SerresS. J. (2009). The coordination of upper and lower limb movements during gait in healthy and stroke individuals. Gait & Posture29(1), 11–16.
44.
TaylorL. M., MaddisonR., PfaeffliL. A., RawstornJ. C., GantN., & KerseN. M. (2012). Activity and energy expenditure in older people playing active video games. Archives of Physical Medicine and Rehabilitation93(12), 2281–2286.
45.
ThorbahnL. D. B., & NewtonR. A. (1996). Use of the Berg Balance Test to predict falls in elderly persons. Physical Therapy76(6), 576–583.
46.
TromblyC. A., & WuC.-Y. (1999). Effect of rehabilitation tasks on organization of movement after stroke. The American Journal of Occupational Therapy53(4), 333–344.
47.
VerheydenG., NieuwboerA., MertinJ., PregerR., KiekensC., & De WeerdtW. (2004). The Trunk Impairment Scale: A new tool to measure motor impairment of the trunk after stroke. Clinical Rehabilitation18(3), 326–334.
48.
VisintinM., BarbeauH., Korner-BitenskyN., & MayoN. E. (1998). A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke29(6), 1122–1128.
49.
WalkerC., BrouwerB. J., & CulhamE. G. (2000). Use of visual feedback in retraining balance following acute stroke. Physical Therapy80(9), 886–895.
50.
WilliamsL. S., WeinbergerM., HarrisL. E., ClarkD. O., & BillerJ. (1999). Development of a stroke-specific quality of life scale. Stroke30(7), 1362–1369.
