Effects of Unilateral Step Training on Gait Symmetry in Patients With Hemiparesis: An Experimental study

27011107, (2012) Effects of Unilateral Step Training on Gait Symmetry in Patients With Hemiparesis: An Experimental study. Masters thesis, College of Physiotherapy, Sri Ramakrishna Institute of Paramedical Sciences, Coimbatore.

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Abstract

INTRODUCTION: Stroke is defined as a clinical syndrome and or signs of focal and at times global (applied to patients in deep coma and to there with Subcranial hemorrhage) loss of comfort friction with symptoms lasting more than 24 hours bleeding to death with no other apparent. Cause other then that of vascular origin. The 24 hours threshold in the definition excludes Transient Ischemic Attacks (IIA). Stroke is a World Wide health problem. It is an important case for morbidity, mortality and disability. In developed as well as developing countries. Stroke is an acute onset of neurological dysfunction due to an abnormality. In cerebral circulation with resultant signs and symptoms that correspond to an involvement of focal area of brain. The term cerebrovascular accident is used interchangeably with stroke to refer to the cerebrovascular conditions which is also known as ischemic or hemorrhagic lesions. Stroke may be categorized by etiological categories. (Thrombosis, embolus or hemorrhage) management categories (TIA, Minor stroke, deteriorating stroke, young stroke) and anatomical categories (specific vascular territory). OBJECTIVES: 1. To determine the effect of treadmill gait retraining to improve the postural control, speed, endurance in hemiparesis patients. 2. To determine the effect of traditional gait retraining to improve the postural control, speed endurance in hemiparesis patients. 3. To compare traditional gait retraining and gait retraining with unilateral step training in treadmill to improve postural control, speed and endurance in hemiparesis patients. MATERIALS AND METHODOLOGY: MATERIALS: Treadmill, Wheel Chair, Stopwatch. METHODOLOGY: Study Design: 30 subjects with mild to moderate were assigned in two groups. GROUP A: Control group - 15 subjects traditional gait retraining. GROUP B: Experimental group - 15 subjects traditional gait retraining with unilateral step training in treadmill. Study Setting: This is proposed to be carried out in the Department of Neurology, Special Wards, Department of Physiotherapy, Sri Ramakrishna Hospital, Coimbatore. TREATMENT DURATION: Group A: Control Group - Traditional gait retraining. A time period of 20-30 minutes / session: 2 sessions / per day. Group B: Experimental Group - Gait training with unilateral step training in treadmill. A time period of 20 - 30 minutes / session. 2 session / day. Study Duration: This study implies for a period of 6 months. Sampling: Two groups containing 30 patients selected through convenient random sampling. Inclusion Criteria: 40-60 years age group, Hemi paretic post stroke for > 6 months, Ability to follow instruction, Both genders were included, Stable medical condition, Unilateral involvement. Exclusion Criteria: Lower extremity contractures, Orthopaedic injuries limits ROM, Uncontrolled hypertension and diabetes mellitus, Cardiac arrhythmias and angina, Bilateral Brunstrom and cerebellar stroke, Presence of untreated decubitus. CONCLUSION: Hemiplegic persons showed locomotor function improvement with mobility and speed on being trained intensively on a treadmill. A better modulation pattern of activity. In lower extremity muscles and the increased ability to support body weight were the most important features. After stroke, most people are able to walk, slowly and hesitantly. This study resulted in showing improvement in walking speed and basic mobility on patients with stroke who were given treadmill training program focussing on increasing speed and improving the postural control and balance. Improving step length as well as stride length. On the basis of Analysis of the study the null hypothesis is here by rejected and alternate hypothesis is accepted, which can be stated as “THERE IS A SIGNIFICANT DIFFERENCE WHEN TRADITIONAL GAIT RETRAINING ALONG WITH UNILATERAL STEP TRAINING IN TREADMILL IN PATIENTS WITH HEMIPARESIS”.

Item Type: Thesis (Masters)
Additional Information: Reg.No.27101107
Uncontrolled Keywords: Unilateral Step Training, Gait Symmetry, Hemiparesis, Experimental study.
Subjects: PHYSIOTHERAPY > Physiotherapy in Neurology
Depositing User: Subramani R
Date Deposited: 07 Nov 2020 16:53
Last Modified: 07 Nov 2020 16:54
URI: http://repository-tnmgrmu.ac.in/id/eprint/13172

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