• Claudia Miklitsch, Carmen Krewer, Susanna Freivogel, and Diethard Steube.
• Neurologische Klinik Bad Neustadt/Saale, Rhoen Klinikum, Bad Neustadt/Saale, Germany. claudia.miklitsch@web.de
• Clin Rehabil. 2013 Oct 1; 27 (10): 939-47.

ObjectiveTo investigate the effects of a predefined mini-trampoline therapy programme for increasing postural control, mobility and the ability to perform activities of daily living after stroke.DesignRandomized non-blinded controlled pilot study.SettingNeurological rehabilitation hospital.SubjectsFirst-time stroke; age 18-80 years; independent standing ability for a minimum of 2 minutes.InterventionPatients were randomized into two groups: the mini-trampoline group (n = 20) received 10 sessions of balance training using the mini-trampoline over three weeks. The patients of the control group (n =20) participated 10 times in a group balance training also over three weeks.Main MeasuresPostural control (Berg Balance Scale, BBS), mobility and gait endurance (timed 'up and go' test, TUG; 6-minute walk test, 6MWT) and the ability to perform activities of daily living (Barthel Index, BI). Measurements were undertaken prior to and after the intervention period.ResultsBoth groups were comparable before the study. The mini-trampoline group improved significantly more in the BBS (P = 0.003) compared to the control group. Mean or median differences of both groups showed improvements in the TUG 10.12 seconds/7.23 seconds, the 6MWT 135 m/75 m and the BI 20 points/13 points for the mini-trampoline and control group, respectively. These outcome measurements did not differ significantly between the two groups.ConclusionA predefined mini-trampoline training programme resulted in significantly increased postural control in stroke patients compared to balance training in a group. Although not statistically significant, the mini-trampoline training group showed increased improvement in mobility and activities of daily living. These differences could have been statistically significant if we had investigated more patients (i.e. a total sample of 84 patients for the TUG, 98 patients for the 6MWT, and 186 patients for the BI).

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