Role of Trunk Rehabilitation on Trunk Control, Balance and Gait in Patients with Chronic Stroke: A Pre-Post Design

*, S. Karthikbabu and Rao, Bhamini K and *, N. Manikandan and *, John M. Solomon and *, M. Chakrapani and Nayak, Akshatha (2011) Role of Trunk Rehabilitation on Trunk Control, Balance and Gait in Patients with Chronic Stroke: A Pre-Post Design. Neuroscience & Medicine, 2. pp. 61-67.

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Purpose: although proximal stability of the trunk is a prerequisite for balance and gait, to determine the role of trunk rehabilitation on trunk control, balance and gait in patients with chronic stroke is yet unknown. Method: fifteen subjects (post-stroke duration (3.53 ± 2.98) years) who had the ability to walk 10 meters independently with or without a walk-ing aid; scoring ≤ 21 on Trunk Impairment Scale (TIS), participated in a selective trunk muscle exercise regime, con-sisting of 45 minutes training per day, four days a week, and for four weeks duration in an outpatient stroke rehabilita-tion centre. Results: the overall effect size index for trunk rehabilitation was 1.07. This study showed large effect size index for Trunk Impairment Scale (1.75), Berg Balance Scale (1.65) than for gait variables (0.65). After trunk rehabili-tation, there was a significant improvement for gait speed (p = 0.015), cadence (p = 0.001) and gait symmetry (p = 0.019) in patients with chronic stroke. In addition, all the spatial gait parameters had a significant change post-in-tervention. There was no significant change in temporal gait parameters with the exception of affected single limb sup-port time. The level of significance was set at p < 0.05. Conclusion: the exercises consisted of selective trunk movement of the upper and the lower part of trunk had shown larger effect size index for trunk control and balance than for gait in patients with chronic stroke. Future randomized controlled studies incorporating large sample size would provide in-sight into the effectiveness and clinical relevance of this intervention.

Item Type: Article
Uncontrolled Keywords: Selective trunk activity, Trunk rehabilitation, Stroke, Trunk control, Balance, Gait
Subjects: Allied Health > Bangalore Campus > Physiotherapy
Allied Health > Mangalore Campus > Physiotherapy
Allied Health > MCOAHS Manipal > Physiotherapy
Depositing User: KMCMLR User
Date Deposited: 04 Jan 2012 10:07
Last Modified: 27 Dec 2013 06:45

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