Austin Joseph, (2018) Efficacy of Functional Activity Based Exercise and added Sit to Stand Exercise on the Functional Ambulation in Chronic Hemiparetic Stroke Patients: An Experimental study. Masters thesis, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.
|
Text
270203818austin_joseph.pdf Download (1MB) | Preview |
Abstract
INTRODUCTION: Stroke is characterized as a neurological condition attributed to an acute focal injury of the central nervous system (CNS) by a vascular cause, including cerebral infarction, intracerebral haemorrhage (ICH), and is a major cause of disability. Stroke is one of the leading causes of death in the worldwide population. NEED OF THE STUDY: Current treatment approaches primarily focus on the functional strengthening methods. Sit to stand exercise training is a new concept applied as functional strengthening application in stroke clients. The quantitative analysis in terms of improvement brought about in functional performance in stroke clients between task-specific exercise and functional strengthening exercises have not been clearly delineated. STATEMENT OF THE PROBLEM: 1. To determine the effectiveness of functional activity on activity of daily living of lower extremity among the stroke clients. 2. To determine the effectiveness of functional integrated exercises with added sit to stand exercise on functional performance of lower extremity among the stroke clients. 3. To determine the effectiveness of functional productivity with added sit to stand exercise in relation to overall ability along with functional performance of lower-extremity among the stroke clients. MATERIALS AND METHODOLOGY METHODOLOGY: Study Design : An Experimental study design. Study Setting : Neuro ward and Special Ward of Sri Ramakrishna Hospital, Coimbatore, Study Duration : The study was carried out for the period of 4 weeks. Sampling : Convenient Random Sampling Sample Size : The study includes 30 in-patients (27 males and 3 females) with chronic stroke who has gait impairments was randomly assigned into two groups : Group A (control group I): Task-Specific Exercises, Group B (experimental group II): Task-Specific Exercises with added Stepping-up exercise. CRITERIA FOR SAMPLE SELECTION: Inclusion Criteria: • Age-45 to 55 years, • Both male and female, • Chronic Stroke patients with gait impairment, • Modified Ashworth Scale of spasticity stage 2. • Patients with mini mental state examination score greater than 23. • Patients who were medically stable. • Able to understand and follow simple verbal instructions. • Ambulatory before stroke. Exclusion Criteria: • Uncooperative patients due to cognitive impairments. • Patients with previous medical history of other neurological impairment eg, MS, mysthenia Grevis, MND. • Any visual defects. • Presence of severe contractures and deformity in lower extremity. • Who has Pusher syndrome. RESULT: By comparing the post-test results of group A and group B with respect to Fugl-meyer motor assessment scale, five repetitions sit-to stand and modified time 'up and go' test, Group B received Sit to Stand exercises along with functional activity based training protocols showed a significant improvement in the gait parameters of chronic hemiparetic stroke individuals. CONCLUSION: Functional activity based exercise with added sit to stand exercise applied in stroke patients showed that they are highly beneficial than the Functional activity based exercise alone when motor recovery is compared between the two groups for 4 weeks. Both techniques did not contribute the muscle tone at the end of 4 weeks.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.271620002 |
| Uncontrolled Keywords: | Functional Activity Based Exercise, Sit to Stand Exercise, Functional Ambulation, Chronic Hemiparetic Stroke Patients. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Mar 2020 09:53 |
| Last Modified: | 10 Mar 2020 09:53 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12180 |
Actions (login required)
 |
View Item |
