SWISS BALL TRAINING VS TRUNK & PELVIC PNF PATTERN IN STROKE PATIENTS


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. Stroke is a common neurological disorder, representing a major cause of disability.

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.

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 :-
1. Weakness of Face, Arm & Leg.
2. Difficulty in speaking.
3. Vision problems.
4. Headache.
5. Difficulty in walking.
6. Dizziness.
7. Mental changes (Confusion & Memory impairment)
8. Numbness.
9. 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.

PELVIC PNF TECHNIQUES :- this pattern helps to improve functional trunk activities & treat the upper trunk & cervical areas indirectly through irradiation.

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, Career Point University, Kota

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