Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Trunk Control Retraining in Hemiparetic Patients with Postural Disturbances


Affiliations
1 Department of Physiotherapy, Guru Jambheshwar University, Hisar, Haryana, India
     

   Subscribe/Renew Journal


Background

Postural disorders are frequent in victims of hemiplegia and limit or delay the recovery of gait and functional independence. This makes postural control a priority in post stroke rehabilitation.

Objective

To find out the effectiveness of Trunk Control Retraining in Hemiparetic patients with postural disturbances and also to find out any probable relationship between postural disturbance and side of paresis.

Design

One group pre-test post-test quasi experimental design.

Setting

Tagore Hospital and Research Centre, Jalandhar.

Population & sampling

15 hemiparetic subjects of both sexes in age group of 40-65 years and of either side affection were selected by convenient sampling method (right and left hemi.) and assigned in a single group.

Intervention

Trunk control retraining therapy for duration of 30 min everyday for 4 times a week and for a total of 4 weeks duration. i.e. total 16 sessions was administered with trivially made Bon Saint Come device.

Main outcome measure

Patients were assessed before commencement and after the completion of 16th treatment session by a fixed battery of tests namely sitting equilibrium index and upright equilibrium index and then postural graphs were taken with the help of trivially made swaymeter.

Results and conclusions

Trunk Control Retraining has significant effect in improving the postural disturbances in right hemiparetic patients but there is no statistically significant effect on Left hemiparetic patients.


Subscription Login to verify subscription
User
Notifications
Font Size


  • Shumway-cook A, Woollacott M. motor control theory and practical application. Williams and Wilkins, Baltimore 1995.

  • Wade DT, Wood VA, Hewer RL. Recovery after stroke: the first three months. J Neurol Neurosurg Psychiatry, 1985; 48:7-13.

  • Cirstea MC, Ptito A, Levin MF: Arm reaching improvement with short term practice based on the severity of the motor deficits in stroke. Exp Brain Res. 2003; 152:476-488.

  • Feigin L, Sharon B, Czaczkes B, Rosin AJ. Sitting equilibrium 2 weeks after a stroke can predict the walking ability after 6 months. Gerontology. 1996; 42:348 –353.

  • Jongbloed L. Prediction of function after stroke: a critical review. Stroke.1986; 17:765–766.

  • Kaminski TR, Bock C, Gentile AM. The coordination between trunk and arm movements. Exp brain Res, 1995; 106:457-466.

  • Bobath B. Adult hemiplegia: evaluation and treatment. London: Heinemann; 1974.

  • Winstein C, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil 1989; 70:755-62.

  • Rode G, Tiliket C, Charlopain P, Boisson D. Postural asymmetry reduction by vestibular caloric stimulation in left hemiparetic patients. Scand J Rehabil Med 1998; 30:9-14.

  • Magnusson M, Johansson K, Johansson BB. Sensory stimulation promotes normalization in postural control after stroke. Stroke 1994;25:1176-1180.

  • Wiart L, Bon saint come A, Debelleix X, Petit H, Joseph PA, Mazaux JM, et al. unilateral neglect syndrome rehabilitation by trunk rotation and scanning training. Arch Phys Med Rehabil 1997; 78:424-9.

  • Peurala SH, Könönen P, Pitkänen K, Sivenius J, Tarkka IM Postural instability in patients with chronic stroke. Restor Neurol Neurosci. 2007; 25(2):101-8.

  • Ioffe ME, Ustinova KI, Chernikova LA, Kulikov MA. Supervised learning of postural tasks in patients with post stroke hemiparesis, Parkinson's disease or cerebellar ataxia, Exp Brain Res. 2006 Jan; 168(3):384- 94. Epub 2005 Sep 21.

  • Winter DA, Prince F, Steriou P, Powell C. Medial-lateral and anterior-posterior motor responses associated with center of pressure changes in quite standing. Neurosciences Res Commun 1993; 12:141-148.


Abstract Views: 518

PDF Views: 0




  • Effect of Trunk Control Retraining in Hemiparetic Patients with Postural Disturbances

Abstract Views: 518  |  PDF Views: 0

Authors

A. Kumar
Department of Physiotherapy, Guru Jambheshwar University, Hisar, Haryana, India

Abstract


Background

Postural disorders are frequent in victims of hemiplegia and limit or delay the recovery of gait and functional independence. This makes postural control a priority in post stroke rehabilitation.

Objective

To find out the effectiveness of Trunk Control Retraining in Hemiparetic patients with postural disturbances and also to find out any probable relationship between postural disturbance and side of paresis.

Design

One group pre-test post-test quasi experimental design.

Setting

Tagore Hospital and Research Centre, Jalandhar.

Population & sampling

15 hemiparetic subjects of both sexes in age group of 40-65 years and of either side affection were selected by convenient sampling method (right and left hemi.) and assigned in a single group.

Intervention

Trunk control retraining therapy for duration of 30 min everyday for 4 times a week and for a total of 4 weeks duration. i.e. total 16 sessions was administered with trivially made Bon Saint Come device.

Main outcome measure

Patients were assessed before commencement and after the completion of 16th treatment session by a fixed battery of tests namely sitting equilibrium index and upright equilibrium index and then postural graphs were taken with the help of trivially made swaymeter.

Results and conclusions

Trunk Control Retraining has significant effect in improving the postural disturbances in right hemiparetic patients but there is no statistically significant effect on Left hemiparetic patients.


References