Muthuraj, D (2019) A Comparative Study on the Effectiveness of Trunk Stabilization Exercises on Stable and Unstable Surfaces on Balance and Gait among Sub Acute Stroke Patients. Masters thesis, RVS College of Physiotherapy, Coimbatore.
|
Text
270208119muthuraj.pdf Download (1MB) | Preview |
Abstract
INTRODUCTION: A Cerebro Vascular Accident (CVA) or Stroke is a common nervous system disorder that occurs due to abnormal blood circulation in the brain. The individual who sustains a CVA may have temporary or permanent loss of function as a result of injury to the brain tissues OBJECTIVES: 1. To evaluate the effect of trunk stabilization exercises on stable surface on balance ability in patients with sub acute stroke. 2. To evaluate the effect of trunk stabilization exercises on unstable surface on balance ability in patients with sub acute stroke. 3. To compare the effect of trunk stabilization exercises on stable and unstable surfaces on balance ability of patients with sub acute stroke. 4. To evaluate the effect of trunk stabilization exercises on stable surface on gait in patients with sub acute stroke. 5. To evaluate the effect of trunk stabilization exercises on unstable surface on gait in patients with sub acute stroke. 6. To compare the effect of trunk stabilization exercises on stable and unstable surfaces on gait of patients with sub acute stroke. METHODOLOGY: Study setting: This study was conducted in Physiotherapy outpatient department RVS College of Physiotherapy, Sulur, Coimbatore. Selection of subjects: 20 Clinically diagnosed post sub acute stroke patients were selected for the study who fulfilled the inclusion and exclusion criteria and randomly divided into two equal groups. GROUPA: Trunk stabilization exercises on stable surface. GROUP B: Trunk stabilization exercises on unstable surface. Study Design: Pre-test and Post- test experimental study. Study Duration: The duration of treatment for each individual patient was six weeks, five days per week Inclusion Criteria: 1. Stroke patients with duration between 6-12 months. 2. Clinically diagnosed as middle cerebral artery stroke. 3. Both sexes were included in the study. 4. Age between 55-65 years. 5. Subjects who are independently able to sit and perform exercises on Swiss ball. 6. Subject with ability to understand therapist direction and communication. Exclusion criteria: 1. Disease affecting balance other than stroke neurological disorders such as cerebellar disease, Parkinson’s disease, vestibular lesions. 2. Postural hypertension. 3. Subject who depend on any orthotic devices. 4. Orthopedic problems such as fracture, arthritis, deformities and contractures. 5. Brain tumors. 6. Cognitive and perceptual disorders. 7. Traumatic brain injury. 8. Subject with musculo skeletal problems. 9. Subject with psychiatric illness. 10. Visual impairments and hearing deficit. RESULTS: 20 Sub acute stroke subjects were selected for the study. The subjects were randomly divided into two equal groups, Group A and Group B. For Group A trunk stabilization exercises on stable surface was given and for Group B trunk stabilization exercises on unstable surface was given. The patients were treated 45 minutes a day, 5 times for 6 weeks. Before starting the treatment, balance was assessed by Berg balance scale and gait was assessed by Dynamic gait index scale. The measurement was repeated at the end of the study. CONCLUSION: A comparative study was conducted to compare the effectiveness of trunk stabilization exercises on stable and unstable surfaces on balance and gait among sub acute stroke patients. 20 Sub acute stroke patients were included in this study and were randomly divided into two groups, group A and B, each group consist of 10 patients. Group A was treated with trunk stabilization exercises on stable surfaces and Group B was treated with trunk stabilization exercises on unstable surfaces. Balance was assessed before and after intervention by berg balance scale and gait was assessed before and after intervention by dynamic gait index scale. The present study statistically demonstrates that the both the techniques is effective in improving the balance and gait in subjects with sub acute stroke. When comparing the mean values it was found that there was mean significant improvement in patients treated with trunk stabilization exercises on unstable surface than stable surface exercises.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.271720021 |
| Uncontrolled Keywords: | Trunk Stabilization Exercises, Stable and Unstable Surfaces, Balance and Gait, Sub Acute Stroke Patients. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Ravindran C |
| Date Deposited: | 15 Sep 2019 13:27 |
| Last Modified: | 15 Sep 2019 13:27 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11477 |
Actions (login required)
 |
View Item |
