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Group Balance Skills Class for People with Chronic Stroke: A Case Series

Background and Purpose A history of stroke increases risk of falls even years after stroke, and subsequent fear of falling causes individuals to reduce their activities. The purpose of this case series is to describe a group balance skills class for individuals poststroke living in the community, and to assess the feasibility and outcomes of this class. Examination and Intervention Twice a week for 8 weeks, 4 individuals >6 months poststroke attended a group class designed to challenge their balance. The group was carried out under the supervision of one physical therapist assisted by physical therapy students. Changes in balance were measured using Berg Balance Scale (BBS), Performance Oriented Mobility Assessment (POMA), and a post-test questionnaire addressing changes in daily activities. Outcomes Participants' responses to the questionnaire and pretest/post-test differences in scores on BBS and POMA suggest trends towards improvement in balance. Relevance A group balance skills class for individuals who had a stroke >6 months ago appears feasible. Further research is needed to determine the effectiveness of this class for improving functional balance and decreasing incidence of falls.