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Effectiveness of Task-Oriented Balance Training Versus Perturbation-Based Training as Adjuncts to Conventional Physiotherapy in Stroke Rehabilitation


Authors : Dr. Pooja Chaudhuri; Angkita Kakati; Najima Sultana; Nargis Alom

Volume/Issue : Volume 11 - 2026, Issue 10 - October


Google Scholar : https://tinyurl.com/2v3nx4tk

DOI : https://doi.org/10.38124/ijisrt/26Oct633

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background: Balance impairment and reduced functional mobility are common consequences of stroke and can limit independence in activities of daily living. Conventional physiotherapy plays an important role in stroke rehabilitation; however, incorporating specific balance-training strategies may further improve postural control and mobility. Taskoriented balance training focuses on practising functional activities, whereas perturbation-based balance training aims to improve postural responses to balance disturbances. Comparative evidence regarding their effectiveness when combined with conventional physiotherapy remains an important area of investigation.  Objective: To compare the effects of Task-Oriented Balance Training and Perturbation-Based Balance Training, when combined with conventional physiotherapy, in improving balance and functional mobility among stroke patients.  Methods: A randomized controlled trial was conducted on 30 subacute stroke patients aged 40–70 years. Participants were randomly allocated into two groups: Group A (TOBT + conventional physiotherapy) and Group B (PBBT + conventional physiotherapy), with 15 patients in each group. Both groups received intervention for 4 weeks, three sessions per week. Outcome measures included the Berg Balance Scale (BBS) and Barthel Index (BI), assessed before and after the intervention period.

Keywords : Stroke, Balance Training, Task-Oriented Balance Training, Perturbation-Based Balance Training, Berg Balance Scale, Barthel Index, Rehabilitation, Functional Independence.

References :

  1. World Health Organization. Stroke [Internet]. Geneva: World Health Organization; 2025 Dec 19 [cited 2026 Oct 22]. Available from: https://www.who.int/news-room/fact-sheets/detail/stroke
  2. Lee MH, Lee DY. Effects of task-oriented training on gait outcomes and balance in individuals with stroke: a systematic review and meta-analysis of randomized controlled trials. J Clin Med. 2025;14(24):8766. doi:10.3390/jcm14248766.
  3. Park MH, Won JI. The effects of task-oriented training with altered sensory input on balance in patients with chronic stroke. J Phys Ther Sci. 2017;29(7):1208-11. doi:10.1589/jpts.29.1208.
  4. Choi JU, Kang SH. The effects of patient-centered task-oriented training on balance, activities of daily living and self-efficacy following stroke. J Phys Ther Sci. 2015;27(9):2985-8. doi:10.1589/jpts.27.2985.
  5. Alayat MSM, Almatrafi NA, El Fiky AAR, Elsodany AM, Shousha TM, Basuodan R. The effectiveness of perturbation-based training in the treatment of patients with stroke: a systematic review and meta-analysis. SAGE Open Med. 2022;10:20503121221114818. doi:10.1177/26331055221114818.
  6. Handelzalts S, Kenner-Furman M, Gray G, Soroker N, Shani G, Melzer I. Effects of perturbationbased balance training in subacute persons with stroke: a randomized controlled trial. Neurorehabil Neural Repair. 2019;33(3):213-24. doi:10.1177/1545968319829453.
  7. Brown D, Simpkins C, Yang F. A systematic review of perturbation-based balance training on reducing fall risk among individuals with stroke. Clin Biomech (Bristol). 2023;109:106078. doi:10.1016/j.clinbiomech.2023.106078.
  8. Berg K, Wood-Dauphinee S, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.
  9. Shirley Ryan AbilityLab. Berg Balance Scale [Internet]. Chicago (IL): Shirley Ryan AbilityLab; [cited 2026 Oct 22]. Available from: https://www.sralab.org/rehabilitation-measures/berg-balancescale
  10. Barthel Index for Stroke Trials Development, Properties, and Application Terence J. Quinn, MD, MBChB (hons), BSc (hons), MRCP (UK); Peter Langhorne, PhD; David J. Stott, MD.
  11. Marda M, Thorat K. Effect of task oriented balance training versus virtual reality based balance training in stroke patients—a comparative study. Pravara Med Rev. 2023;15(4):58-66. doi:10.36848/PMR/2023/00000.511228.
  12. Kumar C, Pathan N. Effectiveness of manual perturbation exercises in improving balance, function and mobility in stroke patients: a randomized controlled trial. J Nov Physiother. 2016;6(2):284. doi:10.4172/2165-7025.1000284.
  13. Schinkel-Ivy A, Huntley AH, Aqui A, Mansfield A. Does perturbation-based balance training improve control of reactive stepping in individuals with chronic stroke? J Stroke Cerebrovasc Dis. 2019;28(4):935-43. doi:10.1016/j.jstrokecerebrovasdis.2018.12.011.

Background: Balance impairment and reduced functional mobility are common consequences of stroke and can limit independence in activities of daily living. Conventional physiotherapy plays an important role in stroke rehabilitation; however, incorporating specific balance-training strategies may further improve postural control and mobility. Taskoriented balance training focuses on practising functional activities, whereas perturbation-based balance training aims to improve postural responses to balance disturbances. Comparative evidence regarding their effectiveness when combined with conventional physiotherapy remains an important area of investigation.  Objective: To compare the effects of Task-Oriented Balance Training and Perturbation-Based Balance Training, when combined with conventional physiotherapy, in improving balance and functional mobility among stroke patients.  Methods: A randomized controlled trial was conducted on 30 subacute stroke patients aged 40–70 years. Participants were randomly allocated into two groups: Group A (TOBT + conventional physiotherapy) and Group B (PBBT + conventional physiotherapy), with 15 patients in each group. Both groups received intervention for 4 weeks, three sessions per week. Outcome measures included the Berg Balance Scale (BBS) and Barthel Index (BI), assessed before and after the intervention period.

Keywords : Stroke, Balance Training, Task-Oriented Balance Training, Perturbation-Based Balance Training, Berg Balance Scale, Barthel Index, Rehabilitation, Functional Independence.

Paper Submission Last Date
31 - October - 2026

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