Anju, Jacob (2019) Effect of Shoe Raise along with Motor Relearning Program for Improving Balance and Gait for Patients with Chronic Stroke. Masters thesis, K.G College of Physiotherapy, Coimbatore.
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Abstract
The poor walking ability, affects the quality of life of the patient. The main problems faced by these patients are lifelong dependency over their caretakers. Therefore being able to walk independently is their ultimate goal. There are lots of studies done for stroke rehabilitation, but for a complete rehabilitation process motor relearning program could be combined with foot wear modification. There are no previous study combining the effects of motor relearning program along with shoe raise for improving balance and gait. Therefore the need of the study is to analyze the effect of shoe raise along with motor relearning program for improving balance and gait for patients with chronic stroke. AIM OF THE STUDY: The aim of the study is to analyze the effect of shoe raise along with motor relearning program for improving balance and gait for patients with chronic stroke. OBJECTIVES: 1. To find out the effectiveness of shoe raise on improving balance and gait in patients with chronic stroke. 2. To find out the effectiveness of motor relearning program on improving balance and gait in patients with chronic stroke. 3. To find out the effectiveness of shoe raise along with motor relearning program on improving balance and gait in patients with chronic stroke. METHODOLOGY: STUDY DESIGN: Pre - test and post-test experimental study design. STUDY SETTING: The study was conducted in Physiotherapy outpatient department, K.G. Hospital, Coimbatore. STUDY DURATION: 6 months duration, individual treatment duration of 6 weeks. Frequency – 6 days/ week Duration – 60 minutes/ day. STUDY SAMPLING: The sample size was determined based on a pilot study 10 participants were divided randomly into two equal parts, and the main part of the study was conducted on them. The mean and SD for the parameters for his pilot study with α= 0.05 and 90% power were used to calculate the sample size of N=30. A total of about 30 post stroke patients were selected according to the selection criteria and they were allotted into 2 groups by simple random sampling method with 15 subjects in each group. CRITERIA FOR SELECTION: INCLUSION CRITERIA: 1. Both sexes are included in the study. 2. Age group between 45-65 years. 3. Chronic stroke patients (> 6 months) with Functional Ambulatory Category score ≥2 and ability to walk a distance of at least 10 meters. 4. Subjects with ability to understand therapist direction and communication. 5. Subjects with no disease affecting balance. EXCLUSION CRITERIA: 1. Subjects with loss of sensation. 2. Subjects with hypersensitivity. 3. Brain tumor. 4. History of diseases with vertigo or vestibular dysfunctions. 5. Subjects with cognitive impairments. 6. Traumatic brain injury. 7. Uncontrolled diabetes mellitus, hypertension and postural hypotension. 8. Subjects with musculoskeletal problems. 9. Visual impairments and hearing deficits. 10. Subjects with psychiatric illness. RESULT: The paired ‘t’ test analysis for the pre-test and post-test variables of Berg Balance Scale for the Group - A and Group - B patients with chronic stroke which was shown in tables I and II. Both the groups show significant difference in the pre-test and post-test values. The ‘t’ value for the Group - A is 22.92 and the ‘t’ value for the Group - B is 13.31. CONCLUSION: Aim of the study was to compare the effect of motor relearning program along with shoe raise and motor relearning alone on balance and gait in patients with chronic stroke. This study was to find out the effectiveness of motor relearning program and shoe raise to improve balance and gait in chronic stroke patients and concluded from the statistical analysis that motor relearning along with shoe raise will improve balance ad gait and is more effective than motor relearning program alone.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271720301 |
| Uncontrolled Keywords: | Stroke, Motor relearning program, Balance and gait, Shoe raise, Dynamic gait index, Berg balance scale. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Ravindran C |
| Date Deposited: | 15 Sep 2019 15:12 |
| Last Modified: | 15 Sep 2019 15:12 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11486 |
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