Effectiveness Of Early Truncal Facilitation Techniques On Balance And Functional Mobility In Post Stroke Patients.
DOI:
https://doi.org/10.61841/3neetn32Keywords:
Stroke, Trunk Impairment Scale, Functional Independence Measure ScaleAbstract
OBJECTIVES: To find the effectiveness of early truncal facilitation techniques on balance and functional mobility in post-stroke patients.
MATERIAL AND METHODOLOGY: An experimental study was conducted at the physiotherapy department of Krishna College of Physiotherapy. A total of 30 patients were allotted to a single group using convenient sampling and consecutive sampling methods. This group was given early truncal facilitation techniques on post-stroke patients.
STATISTICAL ANALYSIS—Data was analyzed using a paired ‘t’ test.
RESULTS: Statistical analysis was performed using paired t-test Intragroup comparison (within group) was analyzed for TIS for balance and FIMS for functional mobility. The mean TIS score on pre-intervention was 6.06+3.29, which was increased to a mean of 16.53+4.041 post-sessions. The p-value by paired t-test was found to be <0.0001, which is extremely significant. Whereas the mean FIMS score pre-intervention was 49.33+3.20.65, which was increased to a mean of 81.96+21.19 post-intervention. The p-value by paired t-test was found to be <0.0001, which is extremely significant.
CONCLUSION: From this study, it can be concluded that there was extremely significant improvement in subjects who underwent early truncal impairment on post-stroke patients statistically and clinically. Hence this study accepts the alternate hypothesis (H1)
Downloads
References
1. O'Sullivan &z, 2001.
2. Poonam Chaturvedi, Ajai Kumar Singh, Dinkar Kulshreshtha, and Anup Kumar Thacker. PNF in acute stroke, MOJ Anatomy & Physiology Volume 5 Issue 6 – 2018
3. Moghe Devyani M 1, Kanase Suraj. Effect of Early Interventions for Trunk Control in Stroke Patients. Indian Journal Of Physiotherapy and Occupational therapy, volume: 11, issue 3
4. Jeyaraj Durai Pandian and Paulin Sudhanb, Stroke Epidemiology and Stroke Care Services in India. Journal of Stroke 2013;15(3):128-134
5. Paresh Parmar, Stroke: Classification and diagnosis. Pharmaceutical Journal 10 JAN 2018
6. Yiwang Guo, Pengyue Li, Pathophysiology and Biomarkers in Acute Ischemic Stroke—A Review. Tropical Journal of Pharmaceutical Research December 2013; 12 (6): 1097-1105 1596-5996 (print); 1596-9827 (electronic)
7. Soohee Park1) and Joo-Young Park2)* Grip strength in post-stroke hemiplegia J. Phys. Ther. Sci. 28:677–679, 2016
8. Gad Alon, PhD, PT, Alan F. Levitt, MD, and Patricia A. McCarthy, OTR Functional Electrical
Stimulation Enhancement of Upper Extremity Functional Recovery During Stroke Rehabilitation:
A Pilot Study. The American Society of Neurorehabilitation, 2007
9. Young-Sil Bae, PhD, RN1 and Dong-Hee Kim, PhD, RN2 The Applied Effectiveness of Clay Art
Therapy for Patients With Parkinson’s Disease. Journal of Evidence-Based Integrative Medicine
Volume 23: 1-8 The Author(s) 2018
10. Yonghun KIM, Eunjung Kim. Effects of trunk stability exercise using PNF on the functional reach
test and muscle activities of stroke patients. J. Phys. Ther. 23:699-702, 2011.
11. Karthikbabu1, Bhamini K. Rao2 et al, Role of Trunk Rehabilitation on Trunk Control, Balance
and Gait in Patients with Chronic Stroke: A Pre-Post Design. Neuroscience & Medicine, 2011, 2,
61-67 doi:10.4236/nm. 2011.22009 Published Online June 2011
12. Suruliraj Karthikbabu, Mahabala Chakrapani, et al. A review on assessment and treatment of the
trunk in stroke. Neural Regeneration Research, Volume 7, Issue 25, September 2012.
13. Ching-Lin Hsieh, PhD; Ching-Fan Sheu, Trunk Control as an Early Predictor of Comprehensive
Activities of Daily Living Function in Stroke Patients. ahajournals on March 14, 2020
14. Shreedip Patil 1, Dr. G. Varadharajulu 2 , Dr. Suraj Kanase 3. Effect of early trunk facilitation on
functional mobility in hemiplegic individuals 2. Indian journal of public Health Research and
development, volume : 10, 8, 67-72, 2019
15. Ruth Dickstein, DSc, Sara Shefi, MSc., et al. Anticipatory Postural Adjustment in Selected Trunk
Muscles in Poststroke Hemiparetic Patients. Arch Physical Medical Rehabilitation Vol 85,
February 2004
16. Ranjan Kumar Mishra, Mrs. Monalisa Pattnaik, and Dr. Patitapaban Mohanty. effects of trunk
exercises on physioball vs plinth on trunk control and functional balance in post stroke hemiplegic
persons. paripex - indian journal of research Volume 6, Issue 12, December 2017, ISSN 2250-
1991 | IF : 5.761 | IC Value : 86.18
17. Geert Verheyden, PhD, Luc Vereeck. Additional Exercises Improve Trunk Performance After
Stroke: A Pilot Randomized Controlled Trial. Neurorehabilitation and Neural Repair Volume 23
Number 3 March/April 2009, 281-286
18. Eun Park, PT, PhD1), Sang-Hyun Moon, PT, MD2)*. Effects of trunk stability exercise using proprioceptive neuromuscular facilitation with changes in chair height on the gait of patients who had a stroke. J. Phys. Ther. Sci. 28: 2014–2018, 2016
19. Wim Saeys, MSc1,2,3, Luc Vereeck, PhD1,2, Randomized Controlled Trial of Truncal Exercises Early After Stroke to Improve Balance and Mobility. Neurorehabilitation and Neural Repair 26(3), 231–238 © The Author(s) 2012. DOI: 10.1177/1545968311416822
20. Chien-Fen Liao1), Lih-Jiun Liaw2, 3), Relationship between trunk stability during voluntary limb and trunk movements and clinical measurements of patients with chronic stroke. J. Phys. Ther. Sci. 27: 2201–2206, 2015.
21. E. Duarte, E. Marco, J.M. Muniesa, et al. trunk control test as a functional predictor in stroke
patients. J Rehabil Med 2002; 34: 267–272
22. Dae-Hyouk Bang, PT, MSc1), Won-Seob Shin, PT, PhD1, 2), Effect of Unstable Surface Training
on Walking Ability in Stroke Patients J. Phys. Ther. Sci. 26: 1689–1691, 2014
23. Jennifer Nitz Anne Gage, Post-stroke recovery of balanced sitting and ambulation ability.
Australian Physiotherapy Journal, vol. 41, no. 4, 1995.
24. Sinem Sag, Raikan Buyukavci, et al. Assessing the validity and reliability of the Turkish version
of the Trunk Impairment Scale in stroke patients. North Clin Istanb 2019;6(2):156–165
25. Cheol-Min Choi, MD, Jin-Hong Kim, etl., Effects of Repetitive Transcranial Magnetic
Stimulation Over Trunk Motor Spot on Balance Function in Stroke Patients. Ann Rehabil Med
2016;40(5):826-834 pISSN: 2234-0645 • eISSN: 2234-0653
26. Tetsuyai, 1, 2 Meigen Liu et al, trunk muscles in persons with hemiparetic stroke evaluated
with computed tomography. J Rehabil Med 2003; 35: 184–188
27. Metin Karatas, MD Nuri Çetin, MD, et al. Trunk Muscle Strength in Relation to Balance and
Functional Disability in Unihemispheric Stroke Patients. 0894-9115/04/8302-0081/0 American
Journal of Physical Medicine & Rehabilitation February 2004 Copyright © 2004 by Lippincott S
28. Suresh Kumar Kamalakannan, Aashrai S. V. Gudlavalleti, et al. Incidence & prevalence of stroke
in India: A systematic review. Indian J Med Res 146, August 2017, pp 175-185 DOI:
10.4103/ijmr.IJMR_516_15
29. Ching-Lin Hsieh, Ching-Fan Sheu, et al. Trunk Control as an Early Predictor of Comprehensive
Activities of Daily Living Function in Stroke Patients. Home Stroke. 33, No. 11
30. Shawnita Sealy-Jefferson, M.P.H.1,3, Jeffrey J. Wing, M.P.H.2. Age- and Ethnic-specific Sex
Differences in Stroke Risk. National institutes of health Gend Med. 2012 April ; 9(2): 121–128
31. Kenneth S. Yew, MD, MPH, Eric M. Cheng, MD, MS, et al. Diagnosis of Acute Stroke. American
Family Physician Volume Number 8April 15, 2015
32. Alexander P. Coupland, Ankur Thapar, et al. The definition of stroke. Journal of the Royal
Society of Medicine; 2017, Vol. 110(1), 9–12
33. Samir R. Belagaje. Stroke Rehabilitation. American Academy of Neurology, February 2017.
34. Harold P. Adams Jr., MD; Birgitte H. Bendixen, Classification of Subtype of Acute Ischemic
Stroke Definitions for Use in a Multicenter Clinical Trial. ahajournals by on March 22, 2020
35. Gregory J. del Zoppo and John M. Hallenbeck. Advances in the Vascular Pathophysiology of Ischemic Stroke. Thrombosis Research 98 (2000) V73–V81
36. F. P. Franchignoni, L. Tesio, C. Ricupero, and M. T. Martino, Trunk Control Test as an Early Predictor of Stroke Rehabilitation Outcome. American heart association Volume 28, Issue 7, July 1997, Pages 1382-1385
37. Mikhail Saltychev, PhD, MD1, Janne Lahdesmaki, PhD, MD2 Validity of Total Score of Functional Independence Measure (FIMR) in Stroke Survivors. Journal Of Quantitative Research In Rehabilitation Medicine, PRM+ (2018), Volume 1 Issue 2, 42-44 ISSN 2489-8457
38. Geert Verheyden & Paula Kersten. Investigating the internal validity of the Trunk Impairment Scale (TIS) using Rasch analysis: the TIS 2.0. Disability and Rehabilitation, 2010; 32(25): 2127–2137
Downloads
Published
Issue
Section
License
Copyright (c) 2020 AUTHOR
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
