Impact Of Balance Training and Coordination Exercises in Post Hemiplegic Stroke Patients: Balance Training and Coordination Exercises for Post Hemiplegic Stroke

Sania  Maqbool; Rabia  Jawa; Tayyaba  Sattar; Muhammad  Awais; Hafiz Muhammad  Uzair Asghar; Maheen  Shad; Muqadas  Chaudhry; Maida  Mushtaq

doi:10.54393/pbmj.v5i7.614

Authors

Sania Maqbool University of Management Sciences & Technology
Rabia Jawa Department of DPT, School of Health Sciences, SHS, University of Management Sciences & Technology
Tayyaba Sattar University of Management Sciences & Technology, Lahore
Muhammad Awais University of Management Sciences & Technology, Lahore
Hafiz Muhammad Uzair Asghar Lahore College of Physical Therapy, Lahore
Maheen Shad SHS (School of Health Sciences ) University of Management Sciences & Technology, Lahore
Muqadas Chaudhry Lecturer at School of Health Sciences SHS University of Management Sciences & Technology, Lahore
Maida Mushtaq School of Health Sciences SHS University of Management Sciences & Technology, Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i7.614

Keywords:

Hemiplegic stroke, Balance & Coordination

Abstract

A medical condition that occurs due to interrupted blood supply to the brain leading to restricted oxygen supply to the tissues resulting in cell death is known as “stroke”. It is considered as a second leading cause of death globally and a major cause of disabilities for the patients surviving from its fatality. Monoplegia, Diplegia, Hemiplegia, Quadriplegia, hemiparesis are all the different gifts of the stroke given to multiple patients suffering from it. Objective: The aim of the study was to evaluate the difference between the hemiplegic stroke patients who have undergone physical therapy treatment in contrast to those patients who have not taken any physical therapy treatment. Methods: Cross sectional study design was selected for the performance of the research. Research setting was a Government Sector Hospital. Specific balance and coordination exercises were given to the hemiplegic stroke patients and their effect was observed in the term of their recovery speed. Out of sample of 40 individuals, some have taken physical therapy rehabilitation with varying number of sessions and intensity of exercises while in contrast, some have not taken any physical therapy from scratch following stroke. Brunel Balance Assessment (BBA) scale was measured in relation to the effect of exercises given to the patients. Results: The data analysis has shown significant improvement in balance and different fine motor movements in post training group as compared to those who have not taken physical therapy rehabilitation. Data analysis has clearly shown that percentage of improvement in the condition of patients is directly related to the frequency of exercise given to them in their post stroke period. The BBA scale was having higher values in the patients undergoing physical therapy rehabilitation as compared to the patients who have not undergone any sort of physical therapy rehabilitation. Conclusion: Balance and coordination exercises have impact in the post hemiplegic stroke patients

References

Warlow CP. Epidemiology of stroke. The Lancet. 1998 Oct; 352: S1-4. doi: 10.1016/S0140-6736(98)90086-1.

Kim JG, Lee SJ. Pathophysiology of Stroke Resulting from Large-Artery Atherothrombosis. InStroke Revisited: Pathophysiology of Stroke. Springer, Singapore. 2020: 51-8. doi: 10.1007/978-981-10-1430-7_5.

Hu C, Qin X, Jiang M, Tan M, Liu S, Lu Y, Lin C, Ye R. Effects of Tai Chi Exercise on Balance Function in Stroke Patients: An Overview of Systematic Review. Neural Plasticity. 2022 Mar; 2022:3895514. doi: 10.1155/2022/3895514.

Belagaje SR. Stroke Rehabilitation. Continuum (Minneap Minn). 2017 Feb; 23(1, Cerebrovascular Disease): 238-253. doi: 10.1212/CON.0000000000000423.

Onigbinde A.T, Awotidebe T, Awosika H. Effect of 6 weeks wobble board exercises on static and dynamic balance of stroke survivors. Technology and Health Care. 2009; 17(5-6): 387-92. doi: 10.3233/THC-2009-0559.

An M, Shaughnessy M. The effects of exercise-based rehabilitation on balance and gait for stroke patients: a systematic review. Journal of Neuroscience Nursing. 2011 Dec; 43(6):298-307. doi: 10.1097/JNN.0b013e318234ea24.

Salgueiro C, Urrútia G, Cabanas-Valdés R. Influence of Core-Stability Exercises Guided by a Telerehabilitation App on Trunk Performance, Balance and Gait Performance in Chronic Stroke Survivors: A Preliminary Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2022 May; 19(9):5689. doi: 10.3390/ijerph19095689.

Mubin O, Alnajjar F, Al Mahmud A, Jishtu N, Alsinglawi B. Exploring serious games for stroke rehabilitation: a scoping review. Disability and Rehabilitation: Assistive Technology. 2022 Feb; 17(2):159-165. doi: 10.1080/17483107.2020.1768309.

Maqbool S, Asghar HM, Zia A, Anwar M, Mushtaq Q, Asghar M. Effectiveness of Static and Dynamic Weight Shift Balance Strategies to Improve Balance Performance in patients With Stroke. Pakistan Journal of Medical & Health Sciences. 2022 Apr; 16(04):136- doi: 10.53350/pjmhs22164136.

Ortega-Bastidas P, Gómez B, Barriga K, Saavedra F, Aqueveque P. Post-Stroke Balance Impairments Assessment: Clinical Scales and Current Technologies. 2022 Jan. doi: 10.5772/intechopen.101984.

Lubetzky-Vilnai A, Kartin D. The effect of balance training on balance performance in individuals poststroke: a systematic review. Journal of neurologic physical therapy. 2010 Sep; 34(3):127-37. doi: 10.1097/NPT.0b013e3181ef764d.

Vahlberg B, Cederholm T, Lindmark B, Zetterberg L, Hellström K. Short-term and long-term effects of a progressive resistance and balance exercise program in individuals with chronic stroke: a randomized controlled trial. Disability and Rehabilitation. 2017 Aug; 39(16):1615-1622. doi: 10.1080/09638288.2016.1206631.

Hebert D, Lindsay MP, McIntyre A, Kirton A, Rumney PG, Bagg S, et al. Canadian stroke best practice recommendations: Stroke rehabilitation practice guidelines, update 2015. International Journal of Stroke. 2016 Jun; 11(4):459-84. doi: 10.1177/1747493016643553.

Yelnik AP, Le Breton F, Colle FM, Bonan IV, Hugeron C, Egal V, et al. Rehabilitation of balance after stroke with multisensorial training: a single-blind randomized controlled study. Neurorehabilitation and Neural Repair. 2008 Sep-Oct; 22(5):468-76. doi: 10.1177/1545968308315996.

Zandvliet SB, Meskers CGM, Kwakkel G, van Wegen EEH. Short-Term Effects of Cerebellar tDCS on Standing Balance Performance in Patients with Chronic Stroke and Healthy Age-Matched Elderly. Cerebellum. 2018 Oct; 17(5):575-589. doi: 10.1007/s12311-018-0939-0.

Lee K. Balance Training with Electromyogram-Triggered Functional Electrical Stimulation in the Rehabilitation of Stroke Patients. Brain Science. 2020 Feb; 10(2):80. doi: 10.3390/brainsci10020080

Nguyen PT, Chou LW, Hsieh YL. Proprioceptive Neuromuscular Facilitation-Based Physical Therapy on the Improvement of Balance and Gait in Patients with Chronic Stroke: A Systematic Review and Meta-Analysis. Life (Basel). 2022 Jun; 12(6):882. doi: 10.3390/life12060882

Jeon SN, Choi JH. The effects of ankle joint strategy exercises with and without visual feedback on the dynamic balance of stroke patients. Journal of Physical Therapy Science. 2015 Aug; 27(8):2515-8. doi: 10.1589/jpts.27.2515.

Haarman JAM, Vlutters M, Olde Keizer RACM, van Asseldonk EHF, Buurke JH, Reenalda J, et al. Paretic versus non-paretic stepping responses following pelvis perturbations in walking chronic-stage stroke survivors. Journal of Neuroengineering and Rehabilitation. 2017 Oct; 14(1):106. doi: 10.1186/s12984-017-0317-z.

Seo KC, Kim HA. The effects of ramp gait exercise with PNF on stroke patients' dynamic balance. Journal of Physical Therapy Science. 2015 Jun; 27(6):1747-9. doi: 10.1589/jpts.27.1747.