Title: A Comparative study between effectiveness of Swiss Ball Training and Conventional Balance Training Versus Conventional Balance Training to improve Balance in subacute stroke patients.
Abstract: INTRODUCTION :
Hemiplegia is one of the commonest neurological disorder seen these
days generally the hemiplegia patients affect the limb movements and the
body balance besides other disabilities.
Damage to any one of the central balancing mechanisms might result
in deficiency of balance.
The damage to sensory or motor pathways and the imbalance of the
trunk musculature may lead to deficient balance in hemiplegic patients.
Conventional balance training for stroke patients given in sitting and
standing postures.
The Swiss ball has been used in physiotherapy for neuromuscular /
neuro developmental treatment for the last 40 years.
The Swiss ball is one of the devices for proprioceptive feedback. It is
an easily perdurable element suitable for rocking the posture of the patients
to train the balance control.
AIM OF THE STUDY :
To compare the study between effectiveness of swiss ball training and
conventional balance training versus conventional balance training to
improve balance in subacute stroke patients.
O BJECTIVES OF THE STUDY :
1. To determine the effect of swiss ball training& conventional balance
training in improving the balance in subacute stroke patients with berg
balance scale.
2. To determine the effect of conventional training in improving the
balance in subacute stroke patients with berg balance scale
3. To determine the effectiveness of swissball training &conventional
balance training versus conventional balance training to improve
balance in subacute stroke patients.
MATERIALS AND METHODOLOGY
MATERIALS:
• Swiss ball
• Mat
• Couch
• Pillows
• Chair
• Assessment chart
• Hammer
• Marking tools
• Berg balance scale
• Ruler
• Two standard chairs (1 with arm rests, 1 without)
• Footstool or step
• Stopwatch
• 15 ft walkway
METHODOLOGY: The sample size of 30 subjects was selected who satisfied inclusion criteria.
They were divided into two groups, one as group A, and other as
group B for each 15 subjects. A pre test score was evaluated by using berg
balance scale.The group A of the hemiplegic patients was treated by
conventional therapy for 45 min for 5 days per week for a period of 1 month.
The group B of the hemiplegia patients was treated by 30 min
conventional therapy & 15 min Swiss ball training for 5 days per week for a
period of 1 month.
Study Design - Quasi- experimental design.
Study Setting - The study was conducted at out patient department in J.K.K.
Munirajahh Medical Research Foundation College of Physiotherapy,
Komarapalayam and District Head Quarters Hospital, Erode under the
supervision of the concerned authorities. Study Sampling - A total number of 30 subjects with sub acute stroke patients were
selected by convenient sampling method after the consideration of inclusion
and exclusion criteria and they were divided into group A and group B with
15 subjects in each group.
Study Duration -
Duration of study: 1 month.
Group A: 45 min (Conventional training) for 5 days per week for a
period of 1 month.
Group B: 45 min (30 min conventional experimental) 15 min Swiss
ball for 5 days per week for a period of 1 month.
Inclusion Criteria -
• The sub acute hemiplegic patients who were medically stable and also cooperative,
• Both male and female patients,
• Embolism,
• Age between 45 to 60 years,
Exclusion Criteria -
• The patients having seizures,
• Patients having any secondary complications,
• Cognitive defects,
• Dysarthria,
• Aphasia,
• Degenerating and demyelinating conditions
Parameters - Berg balance scale.
CONCLUSION :
With the limitation of the study the following conclusion were draw
from the results obtained.
Swiss ball balance exercises combine with conventional exercises
show improvement in balance in sub acute hemiplegic patients
Conventional balance exercises also improve balance in sub acute
hemiplegic patients.
Swiss ball balance exercise combine with conventional exercises
shows more improvement than conventional balance exercise to improving
balance in sub acute hemiplegic patient.
Based on these results this study concluded that Swiss ball
exercises combine with conventional balance exercise is much more
effective for balance training in sub acute hemiplegic patients, and also
documented that berg Balance Scale is a better tool for assess balance in
hemiplegia.
Publication Year: 2011
Publication Date: 2011-04-01
Language: en
Type: dissertation
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