Unstable Surface is More Effective than Stable Surface to Improve Trunk Control in Post-Stroke Patients Varshney Vidhu1,*, Gupta Neha2 1Neuro-Physiotherapist, Dr. Varshney's Physiotherapy Clinic, Noida 2Assistant Professor, Amity Institute of Physiotherapy, Noida *Corresponding Author: Vidhu Varshney, MPT (Neurology), Neuro-Physiotherapist, Dr Varshney's Physiotherapy Clinic, 40, Street No-3, New Krishna Nagar, Delhi, India. Email: vidhuvarshney@gmail.com, Ph: 9953339554
Online published on 21 November, 2019. Abstract Introduction Stroke is the most common cause of morbidity worldwide, mainly affecting elderly population. As a consequence of stroke, it becomes difficult to have trunk control because of sensory and motor impairment of trunk muscles, while sitting and standing in doing everyday activities. Therefore trunk muscle exercises are indeed important and should be the part of rehabilitation in post-stroke patients. Alteration in exercise platform with small BOS enables the patient to engage many more trunk muscles together. This study is aimed to analyze the effect of Swiss ball activities on trunk control in post-stroke patient. Methodology A total of 30 post-stroke patients in the age group of 35 to 60 years participated in the study. The participants who met the inclusion criteria were selected and randomly assigned into two groups. The experimental group (Group A) received conventional physiotherapy along with Swiss ball protocol and the control group (Group B) receives only conventional physiotherapy, 4 times per week for 3 weeks. Trunk impairment scale was used to evaluate the trunk control. Outcome Measure Trunk Impairment Scale (TIS) Results Post intervention, both the groups improved on trunk control but the experimental group (Group A) improved more significantly than the control group (Group B). The mean difference of pre and post intervention in TIS score of Group A was 4.30 and Group B was 2.87 which is significant (p<0.05) in both the groups. The mean difference of post intervention TIS score of Group A and Group B was 1.36 with p value <0.05, which is significant Conclusion This study revealed a significant improvement in both the groups but experimental group (Group A) showed more improvement than the control group (Group B). Top Keywords Swiss Ball, Stroke, Trunk Control, Trunk Exercises, Trunk Impairment Scale, Postural Assessment Scale for Stroke. Top |