EFFECTIVENESS OF SWISS BALL TRAINING VS TRUNK & PELVIC PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION: STROKE POPULATION

Introduction- Most literatures concerning about motor rehabilitation after stroke focus on the upper & lower extremity. Trunk rehabilitation receives only little attention. The trunk imbalance makes the post stroke patient dependent on the family members for bed side activities such as rolling-to-sides, reaching etc. Cerebral Vascular Accident (CVA) is the 5th leading cause of death in US & 3rd leading cause of death in India.

DEFINITION:-According to WHO stroke is defined as “Acute onset of neurological dysfunction due to abnormality in cerebral circulation with resultant signs & symptoms that corresponds to involvement of focal area of brain lasting more than 24 hrs.

ETIOLOGY/ CAUSES OF STROKE:
1. Interrupted brain blood supply
2. Endocarditis
3. Hypertension
4. Cardiac disease
5. Smoking
6. Infection
Generally stroke is classified in to two types are Ischemic stroke (Area deprived of blood) & Hemorrhagic stroke (Area of Bleeding).

CLINICAL FEATURES / MANIFESTATION:
Weakness of Face, Arm & Leg.
1. Difficulty in speaking.
2. Vision problems.
3. Headache.
4. Difficulty in walking.
5. Dizziness.
6. Mental changes (Confusion & Memory impairment)
7. Numbness.
8. Seizures.

GENERAL TREATMENT:
Pharmacological – Aspirin & Warfarin.

Physiotherapy Management –
1. Exercises to improve strength, flexibility & cardiovascular fitness.
2. Retraining movement to achieve improve coordination, balance & control.
3. Spasticity management
4. Mobility training
5. Assessment for walking aids.
6. Chest physiotherapy for bronchial hygiene clearance.

SWISS BALL TRAINING: Improve trunk balance, using less effort & increasing patient’s confidence level.
1. Improve the strength of abdominal & back muscles.
2. Helps to improve balance & coordination.
3.Helps to improve range of motion of joints.

CONCLUSION :
The study concluded that both Swiss ball training & Proprioceptive neuromuscular facilitation techniques are equally effective on improving trunk control in stroke population.

Ms. Harshika Gupta, BPT – III Year, Department Of Physiotherapy, School Of Health & Allied Sciences, Career Point University, Kota

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