Guru Murugan, A (2018) A Study to Assess the Effectiveness of Rhythmic Auditory Stimulation along with Neurodevelopmental Therapy in improving the Gait Pattern of Post Stroke patients. Masters thesis, Thanthai Roever College of Nursing, Perambalur.
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Abstract
INTRODUCTION: Gait restoration after stroke is a major concern of neurological rehabilitation. Stroke is the major cause of disability and raising mare number of handicaps in this industrialized world. In India thy rate of people affected by stroke is keep on increasing because of poor life style and other major factors. The need of rehabilitation after stroke places an important role to make the patient functionally independent in all aspect of basic life style. Physiotherapist is one of the team members who treat the patient in gross motor aspect. AIM OF THE STUDY: The aim of the study is to find the efficacy of combined treatment (Rhythmic auditory stimulation and Neuro Developmental Treatment approach) in improving the gait pattern of post stroke patient. MATERIALS AND METHODOLOGY: MATERIALS: Couch, Foot stool, Blocks\steps, Chalk, Inch tape, Ramp. METHODOLOGY: Study Design: Pre test – Post test experimental study design. Study setting: Health Care Institutes approved by college and Guide. Sampling Method: Simple random sampling method. Sample size: A total number of 10 subjects diagnosed as stroke were taken for the study. Study Duration: The study was conducted for a period of 3 months. Inclusion criteria: • Age 40 to 65 years. • Sex – both male and female. • Able to walk 10 meter independently. • Hemiplegia due to cerebrovascular accident of more than 3 months duration. Exclusion criteria: • Cerebellar ataxia. • Impaired cognitive function. • Aphasia. • Basal ganglion lesion. • Unconscious patient. • Condition that affect mobility like arthritis disease, spinal abnormalities (or) any amputations. • Communicative disorder. RESULT: The most common cause for stroke is due to occlusion of one of the major cerebral artery especially anterior cerebral artery. The stroke patient has reduced functional mobility and reduced leg function and spasticity. Deana and Richards (2000) suggested that rhythmic auditory stimulation along with NDT training had a greater contribution in improving the lower limb extensor muscles after the intervention. At thighs-off, the centre of the body mass has moved forward over the feet. This position ensures that the relative position of body segment at thighs-off enables lower limb extensor forces to accelerate the body vertically into the standing position. (Carr 2009). Stepping up and down in difference direction (forward and sideways) strengthen difference synergic relationship between hip, knee, ankle extensor and hip abductors or adductors to train in different pattern muscles activation and flexible walking performance. (Shepherd 2000). Repetitive stepping exercise using of various steps of various heights increase the strength in the lower extensor muscle. Reaching forward, sideways and in different direction help the individual regain strength and control of the lower limbs, which may enable them to take more weight through the affected leg. Therefore there is mounting evidence that progressive resistance training is effective in improving gait pattern following stroke. CONCLUSION: The study concluded that was the rhythmic auditory stimulation along with NDT effective treatment for improving gait pattern in stroke patients. And also step length and stride length test could be used as the assessment tool for stroke patients.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg No: 271620142 |
| Uncontrolled Keywords: | Rhythmic Auditory Stimulation, Neurodevelopmental Therapy, Gait Pattern, Post Stroke patients. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Neurology |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Mar 2020 15:26 |
| Last Modified: | 10 Mar 2020 15:26 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12188 |
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