This study aimed to investigate the effect of mat-based Pilates exercise on balance and walking ability in a patient with chronic stroke. A single-subject experimental study with an A-B-A′ design was used, in which phase A was the baseline phase, phase B was the intervention phase, and phase A′ was the follow-up phase. A total of 20 sessions were conducted (4 baseline, 8 intervention, and 8 follow-up sessions), five times per week. During the intervention phase, mat-based Pilates exercise was performed for 60 minutes per day to improve spinal mobility, trunk stability, and lower extremity strength. The timed up-and-go test (TUGT) and 10-meter walk test (10MWT) were measured at every session, whereas the Berg balance scale (BBS) and dynamic gait index (DGI) were assessed only before and after the intervention period as supplementary pre-post outcomes. Compared with the baseline phase, the TUGT decreased by 6.13 seconds during the intervention phase (from 47.97 to 41.84 seconds) and by 13.12 seconds during the follow-up phase (to 34.85 seconds). The 10MWT decreased by 5.89 seconds during the intervention phase (from 53.13 to 47.24 seconds) and by 10.25 seconds during the follow-up phase (to 42.88 seconds). BBS and DGI scores improved by 14 points (from 30 to 44) and 7 points (from 10 to 17), respectively. These findings suggest that mat-based Pilates exercise may be a feasible intervention for improving balance and walking ability in patients with chronic stroke. However, because this study involved a single participant and concurrent conventional rehabilitation was provided, the findings should be interpreted with caution. Further randomized controlled studies with larger samples are needed.
목차
Abstract Ⅰ. Introduction Ⅱ. Methods 1. Participant 2. Research design 3. Outcome measures 4. Intervention Ⅲ. Results 1. Timed up-and-go test results 2. 10-meter walk test results 3. Berg balance scale and dynamic gait index results Ⅳ. Discussion Ⅴ. Conclusion References