Vojta therapy versus balance training program on dynamic sitting balance in chronic motor complete spinal cord injury: a single-blind crossed-over trial study
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Abstract
The purpose of this blind-assessor randomized crossover trial was to
evaluate the effect of Vojta therapy (VT) and a balance training program
(BTP) on dynamic sitting balance in individuals with thoracic chronic
motor complete spinal cord injury (SCI). Eleven individuals with SCI
(T2-T12, American Spinal Injury Association (ASIA) class A-B) were randomly
assigned to undergo either VT or BTP for 45 minutes. One week later,
the interventions were alternated. The primary outcome measures were
dynamic sitting balance assessed via the modified Functional Reach
Test (mFRT) and the ability to don and doff a T-shirt (the T-shirt test).
Gross motor function assessment (GMFA) was the secondary outcome. All
assessments were performed immediately before and after the
intervention. The Mann-Whitney U test was used to compare the change
score between interventions, and the Wilcoxon signed rank test was used
to analyze the data within an intervention. There was not significant
difference at before between interventions. VT was superior to BTP in
yielding a statistically significant difference in dynamic sitting balance and
gross motor function (p-value < 0.05). However, both interventions proved
effective in improving dynamic sitting balance and gross motor function
(p-value < 0.05) in those suffering from motor complete chronic SCI. A
45-minute VT and BTP program was able to improve dynamic sitting balance
and gross motor function relating to the functional ability and activities
daily living of individuals with thoracic SCI with a long post-injury time.
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