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Thu, Jul 30, 2026
Volume 24, Issue 2 (June 2026)
Iranian Rehabilitation Journal 2026, 24(2): 231-242 |
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Mohsin T S, Fadhil Lateef H. Neuromuscular Balance Training Enhances Motor Coordination and Postural Control in Post-stroke Patients: A Randomized Controlled Trial. Iranian Rehabilitation Journal 2026; 24 (2) :231-242
URL: http://irj.uswr.ac.ir/article-1-2663-en.html
URL: http://irj.uswr.ac.ir/article-1-2663-en.html
1- Department of Anesthesia Techniques, College of Health and Medical Techniques, University of Kut, Wasit, Iraq.
2- Al.Zahraa Teaching Hospital, Iraq, Iraq.
2- Al.Zahraa Teaching Hospital, Iraq, Iraq.
Abstract: (1926 Views)
Objectives: Stroke is the most common cause of long-term disability, and people with stroke often have trouble with balance and motor skills. This study aimed to determine whether an 8-week, multi-component neuromuscular balance training program or regular physiotherapy was better at helping people with chronic stroke improve their motor coordination and body control.
Methods: This assessor-blinded randomized controlled trial included 52 people who were placed into either a progressive muscle program (n=26) or time-matched standard physiotherapy (n=26). The Fugl-meyer assessment of lower extremity (FMLE) score was the main clinical outcome. The Berg balance scale (BBS), timed up and go (TUG) test, and 10-meter walk test (10MWT) were the secondary outcomes.
Results: A significant group×time association was observed for all results. Motor coordination (FMLE change: 5.14±1.63 points vs 1.76±0.69 points; P<0.001; Cohen’s d=2.69), balance (BBS change: 7.91±3.11 points vs 2.25±0.78 points; P<0.001; d=2.49), functional mobility (TUG change: −3.21±1.39 s vs −1.14±0.58 s; P<0.001; d=1.94), and gait speed (10MWT change: 0.21±0.06 m/s vs 0.08±0.04 m/s; P<0.001; d=2.55) all improved in the intervention group. In the intervention group, better motor coordination was strongly linked to better balance (r=0.68, P<0.001) and functional movement (TUG change: r=-0.59, P=0.001).
Discussion: In conclusion, a focused neuromuscular program significantly improves muscle coordination and balance after a stroke. These results show that programs that specifically teach sensorimotor integration are very important for helping people who have had a stroke improve their daily lives.
Methods: This assessor-blinded randomized controlled trial included 52 people who were placed into either a progressive muscle program (n=26) or time-matched standard physiotherapy (n=26). The Fugl-meyer assessment of lower extremity (FMLE) score was the main clinical outcome. The Berg balance scale (BBS), timed up and go (TUG) test, and 10-meter walk test (10MWT) were the secondary outcomes.
Results: A significant group×time association was observed for all results. Motor coordination (FMLE change: 5.14±1.63 points vs 1.76±0.69 points; P<0.001; Cohen’s d=2.69), balance (BBS change: 7.91±3.11 points vs 2.25±0.78 points; P<0.001; d=2.49), functional mobility (TUG change: −3.21±1.39 s vs −1.14±0.58 s; P<0.001; d=1.94), and gait speed (10MWT change: 0.21±0.06 m/s vs 0.08±0.04 m/s; P<0.001; d=2.55) all improved in the intervention group. In the intervention group, better motor coordination was strongly linked to better balance (r=0.68, P<0.001) and functional movement (TUG change: r=-0.59, P=0.001).
Discussion: In conclusion, a focused neuromuscular program significantly improves muscle coordination and balance after a stroke. These results show that programs that specifically teach sensorimotor integration are very important for helping people who have had a stroke improve their daily lives.
Keywords: Neuromuscular training, Balance, Post-stroke rehabilitation, Motor coordination, Proprioception, Sensorimotor integration, Randomized controlled trial
Article type: Original Research Articles |
Subject:
Occupational therapy
Received: 2025/07/11 | Accepted: 2025/12/7 | Published: 2026/04/1
Received: 2025/07/11 | Accepted: 2025/12/7 | Published: 2026/04/1
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