To Find the Effectiveness of Strengthening Exercises along with Stretching Exercises in the Gait Pattern of Stroke Patients

Rajasekar, V (2019) To Find the Effectiveness of Strengthening Exercises along with Stretching Exercises in the Gait Pattern of Stroke Patients. Masters thesis, Madha College of Physiotherapy, Chennai.

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Abstract

The idea that ‘increase effort will increase spasticity’ – still persist and many Neuro Rehabilitation Centre in the country are not using strengthening exercise in spastic adults with hemiplegia. Though spastic also shows some muscle weakness which can be improved by strengthening exercises, thus the study is planned to find out the effectiveness of strengthening exercise for the lower limb in gait performance in adults with using step length, stride length and speed. OBJECTIVES: 1. To achieve maximum gait performance in step length in response to strengthening exercise for adults with hemiplegia. 2. To achieve maximum gait performance in stride length in response to strengthening exercise for adults with hemiplegia. 3. To achieve maximum gait performance in speed in response to strengthening exercise for adults with hemiplegia. METHODOLOGY: STUDY DESIGN: Quazi Experimental. STUDY SETUP: 1. Madha Medical College and Research Institute Hospital, Kovur, Thandalam Chennai. 2. Focus Rehabilitation Centre Porur, Chennai. Population: All the patients who certified the selection criteria were the population of the study. Sample size: 30 subjects (Group A-15 patients and GroupB-15 patients). Inclusion criteria: 1. Moderately increase muscle tone (grade2 Modified Ashworth Scale). 2. Age group between 50 and 70 years. 3. Patients obeying commands. 4. Ambulatory adult. 5. Patient with moderate neurological deficit. 6. Patients having duration less than 3months of stroke attack. 7. Patients who are willing. Exclusion criteria: 1. Patient with associated cognitive deficit. 2. Patient with any lower limb joint deformity. 3.Any other major medical problems. RESULTS: The statistical results of the study is highly significant in both Control & Experimental group in all the three parameters of the gait pattern – Step length, Stride length, Speed length, following both strengthening & stretching exercises, on which the Experimental group showed higher percentage of improvement comparatively. CONCLUSION: This study adds to the accumulating evidence that strengthening exercise is beneficial in improving the walking ability of adults with spastic hemiplegia. The finding that there is no adverse effect accompanied with the positive outcomes.

Item Type: Thesis (Masters)
Additional Information: Reg.no.271620222
Uncontrolled Keywords: Strengthening Exercises, Stretching Exercises, Gait Pattern, Stroke Patients.
Subjects: PHYSIOTHERAPY > Physiotherapy in Neurology
Depositing User: Ravindran C
Date Deposited: 15 Sep 2019 15:47
Last Modified: 15 Sep 2019 15:47
URI: http://repository-tnmgrmu.ac.in/id/eprint/11490

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