In stroke, there is paralysis or weakness of one side of the body including upper limb, trunk and lower limb leading to the disturbances in the trunk muscles. Trunk is often neglected part in the stroke rehabilitation, trunk training... more
In stroke, there is paralysis or weakness of one side of the body including upper limb, trunk and lower limb leading to the disturbances in the trunk muscles. Trunk is often neglected part in the stroke rehabilitation, trunk training exercises and Swiss ball exercises results in better recruitment of trunk muscles thus improving sitting balance. To compare the effect of core strengthening exercises on Swiss ball and Conventional exercise, to improve trunk balance in hemiplegic patients following stroke. A total number of 70 subjects were screened as per inclusion and exclusion criteria. The subjects were divided into two groups, Group-A received core strengthening exercises on Swiss ball along with conventional treatment and Group-B received core strengthening exercises along with conventional treatment. Subjects showed improvement in trunk balance following 6 weeks of core strengthening exercises.Post-intervention the TIS, BBA and MBI score of both groups improved but the Group-A i...
Stroke occurs when the blood supply of the brain is reduced. When this happens, the brain does not get enough oxygen that's why the brain cells start to die. Human balance refers to the ability of a person not to fall. Stroke patients are... more
Stroke occurs when the blood supply of the brain is reduced. When this happens, the brain does not get enough oxygen that's why the brain cells start to die. Human balance refers to the ability of a person not to fall. Stroke patients are at high risk of falling because their balance control is impaired. Falls may cause several serious problems for stroke patients. So the main aim of the study was to compare the effect of BAPS board versus Frenkel's exercise on balance in stroke patients and the objective of the study was to evaluate the efficacy of Balance training by BAPS Board and Frenkel's exercise. The study design is a randomised comparative experimental study. In present study 10 subjects were recruited and divided into two groups, BAPS Board training was given to one group and Frenkel's exercise was given to another group for seven consecutive days and its pre and post intervention effect were noted with the help of Berg Balance Scale. Demographic data was taken from the subjects. Pre and post berg balance test observe significant improvement with the BAPS Board and frenkel's exercises both in balance of post stroke patient. As per study, it has been concluded that BAPS Board and Frenkel exercise both improve balance in post stroke patient.
To compare the effects on balance and walking of three models of stroke rehabilitation: early supported discharge with rehabilitation in a day unit or at home, and traditional uncoordinated treatment (control). Group comparison study... more
To compare the effects on balance and walking of three models of stroke rehabilitation: early supported discharge with rehabilitation in a day unit or at home, and traditional uncoordinated treatment (control). Group comparison study within a randomised controlled trial. Hospital stroke unit and primary healthcare. a score of 2-26 on National Institutes of Health Stroke Scale, assessed with Postural Assessment Scale for Stroke (PASS), and discharge directly home from the hospital stroke unit. Two intervention groups were given early supported discharge with treatment in either a day unit or the patient's own home. The controls were offered traditional, uncoordinated treatment. Primary: PASS. Secondary: Trunk Impairment Scale-modified Norwegian version; timed Up-and-Go; 5 m timed walk; self-reports on problems with walking, balance, ADL, physical activity, pain and tiredness. The patients were tested before randomisation and 3 months after inclusion. From a total of 306 randomise...
Compromised postural balance is a common manifestation of multiple sclerosis (MS). Effective quantitative methods of assessing postural imbalance are needed to help clinicians evaluate progression of this impairment. The primary objective... more
Compromised postural balance is a common manifestation of multiple sclerosis (MS). Effective quantitative methods of assessing postural imbalance are needed to help clinicians evaluate progression of this impairment. The primary objective of this study was to compare postural balance in MS patients and healthy controls using a standard screening tool, the Berg Balance Scale (BBS), as well as a more technically sophisticated device, the NeuroCom SMART Balance Master (NeuroCom International, Inc, Clackamas, OR). The study participants consisted of 14 individuals diagnosed with MS and 10 healthy controls. Each participant was assessed with the BBS and also underwent six different balance tests using the NeuroCom, most comprising several subcomponent measures. Assessment with the BBS showed significantly more postural instability in the MS group than in the control group (P < .05). Testing with the NeuroCom showed significantly more postural instability in the MS group than in the co...
Stroke is one of the major causes of morbidity and mortality. Sequels deriving from this event may lead to motor disability and from mild to severe deficits. In order to better classify sensory-motor dysfunction, balance and ability to... more
Stroke is one of the major causes of morbidity and mortality. Sequels deriving from this event may lead to motor disability and from mild to severe deficits. In order to better classify sensory-motor dysfunction, balance and ability to perform activities of daily living, quantitative and qualitative evaluation scales have been used. OBJECTIVE: To correlate the scales Fugl-Meyer assessment scale, Berg balance scale and Barthel index. Twenty subjects with sequel after a single, unilateral stroke in chronic phase (>6 months post ictus) were evaluated for about one hour. RESULTS: Barthel scale was statistically related to the total motor score of Fugl-Meyer assessment (r=0.597, p=0.005). The lower limb section at Fugl-Meyer had positive correlation with Berg scale (r=0.653, p=0.002) and with the balance section of Fugl-Meyer own scale (r=0.449, p=0.047). Both balance scales were correlated one with other (r=0.555, p=0.011). Statistical divergence appeared when Barthel's Index was...
Introduction: Stroke patients often experience falls with potentially serious consequences. Associated factors with falling in stroke patients have already been identified. The present study was conducted to find a better assessment tool... more
Introduction: Stroke patients often experience falls with potentially serious consequences. Associated factors with falling in stroke patients have already been identified. The present study was conducted to find a better assessment tool for measuring the risk of falling, Fear of Falling (FOF), and balance between Falls Efficacy Scale-International (FES-I) and Berg Balance Scale (BBS). Materials and Methods: One hundred stroke patients were recruited from the physiotherapy clinics affiliated to Tehran University of Medical Sciences (TUMS) based on inclusive criteria to administer two predictive scales; FES-I and BBS. In 16-item FES-I, face to face interview provide information on FOF in daily life activities. BBS is used to measure the FOF during sitting, standing, and postural changes (reaching, balancing on one limb and transferring). Data were analyzed on the basis of age, post stroke duration, history of falling since disease onset and in the last 6 months as well as risk of falling. Results: Based on FES-I scale, the majority (69.8%) of old patients (50-64 years) showed low risk of falls and according to BBS, the majority of the stroke patients older than 64 years had high concern for falling. Both genders showed low concern for falling on FES-I and BBS scales and the results were not significant. On BBS, the falling concern was more among those who had one falling during the last 6 months. Conclusion: BBS is more relevant to predict the risk of falls among Iranian stroke patients and is also easy to administer at the stroke centers with minimum equipment.
In terms of manner of data collection, the present research is considered as a descriptive-correlative study and also in terms of purpose, it is considered as an applied research which is carried out under field methods. The population of... more
In terms of manner of data collection, the present research is considered as a descriptive-correlative study and also in terms of purpose, it is considered as an applied research which is carried out under field methods. The population of this research includes the staff and customers of governmental and private pools of the province of Kurdistan. The number of the staff is equal to 135 individuals and according to the Morgan’s chart, the sample number was determined as 100 individuals. Since this research includes two separate populations, and only the number of the staff of pools is known; the method of synchronization is employed and the same amount of samples is considered for customers as well. For the purpose of data collection, Gregory C. Petty’s (1990) questionnaire of ethics including 23 questions and the factors of interest in work, perseverance, human relations at work environment and collaboration in work was used. The validity of this questionnaire is approved by 15 spo...
Recent research has shown that dance, specifically tango, may be an appropriate and effective strategy for ameliorating functional mobility deficits in people who are frail and elderly. Individuals with Parkinson's disease (PD)... more
Recent research has shown that dance, specifically tango, may be an appropriate and effective strategy for ameliorating functional mobility deficits in people who are frail and elderly. Individuals with Parkinson's disease (PD) experience declines in functional mobility that may be even more pronounced than those experienced by frail elderly individuals without PD. The purpose of this study was to compare the effects of two movement programs: tango classes or exercise classes. Nineteen subjects with PD were randomly assigned to a tango group or a group exercise class representative of the current classes offered in our geographical area for individuals with PD. Subjects completed a total of 20 tango or exercise classes and were evaluated the week before and the week following the intervention. Both groups showed significant improvements in overall Unified Parkinson's Disease Rating Scale (UPDRS) score and nonsignificant improvements in self-reported Freezing of Gait. In addi...
Objective Spinal cord injury is a major problem for all communities that affect personal and social aspects of the patient's life. The most common issues that spinal cord injury patients face are paralysis, muscle atrophy, pain, and... more
Objective Spinal cord injury is a major problem for all communities that affect personal and social aspects of the patient's life. The most common issues that spinal cord injury patients face are paralysis, muscle atrophy, pain, and spasticity. The ability to walk also may be disrupted or lost in many of the patients with spinal cord injury. Most common approaches to rehabilitation for patients with spinal cord injury are the emphasis on healthy neuromuscular sections to promote these sectors and compensate existing defects. But recent studies have reported that the neuromuscular system is capable of plasticity and after spinal cord injury is necessary to pay attention to health and impaired neuromuscular parts of the body. Gait training is one of the rehabilitation approaches that is trying to recruit impaired neuromuscular parts and improve them. This rehabilitation is performed in different ways. In this study, the effect of body weight supported treadmill training on balance and quality of life in patients with incomplete spinal cord injury was evaluated. Materials & Methods This is a quasi-experimental study. Patients with incomplete spinal cord injury (n=15) aged 26 and 48 years with a chronic (>1 year post-injury), grade D=4 and C=11 (according to American spinal cord injury association scale [ASIA]) voluntarily participated in this study. Sampling was conducted from hospitals and spinal cord injury rehabilitation centers of Tehran. For intervention, the patient was in the body weight support system. Patients' weight supported and suspended with harnesses and lifter of the body weight support system to the extent that knees were not bent in stance phase and fingers can't be dragged into swing phase. Treadmill speed and amount of weight support adjusted depending on the patient's conditions. Intervention applied for eight weeks and three sessions a week. Each session lasted 30 minutes. Outcome measures were Berg balance scale and SF-36 questioner. The quality of life evaluated before and after the intervention. Berg balance scale was evaluated at baseline and every two weeks throughout the intervention. The results were compared with each assessment. Repeated measure ANOVA test used for analysis of the scores of Berg balance scale and SF-36, paired t-test used. Results The evaluation results indicated that the scores of Berg balance scale, increased significantly compared to the previous stage in each reevaluation. Between the various stages of evaluation, the maximum difference was between the second and third stages (P=0.008) that were after two and four weeks after the first session respectively. The score of SF-36 showed no significant difference. Between 8 items that measured in SF-36 questioner, just score of »emotional roll functioning « increased significantly (P=0.006). Conclusion According to achieved results, eight weeks body weight supported treadmill training can improve the balance of the patients with spinal cord injury. It was observed that the gait training with stimulation and use of proprioceptors and increase of patient's confidence in walking and standing positions improve the patient's balance. The patients were also able to control the internal and external perturbations and maintain the better balance. But eight weeks gait training had no significant effect on the quality of life in patients with spinal cord injury which suggest that more extended rehabilitation is required.