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Neuromuscular Balance Training Enhances Motor Coordination and Postural Control in Post-Stroke Patients: A Randomized Controlled Trial
Talib Saddam Mohsin *1 , Hayder fadhil Lateef2
1- physiologist,Department of Anesthesia Techniques, college of health and medical techniques, University of Kut,Wasit.IRAQ
2- Al.Zahraa Teaching Hospital
Abstract:   (3 Views)
Stroke is the most common cause of long-term disability, which means that the person will always have trouble with their balance and muscle skills. The point of this study was to find out 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. This randomized controlled study had one blinded group of 52 people who were put 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 result. The Berg Balance Scale (BBS), Timed Up and Go (TUG) test, and 10-Meter Walk Test (10MWT) were the secondary outcomes. For all results, there was a significant Group x Time association. 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 got a lot better 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). In conclusion, a focused neuromuscular program makes muscle coordination and balance much better after a stroke. These results show that programs that specifically teach sensorimotor integration are very important for helping people who have had a stroke get better at 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: 2025/11/11 | Accepted: 2025/12/7
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