To Compare the Efficacy of Trunk Stability Exercise Versus Swiss Ball Exercise Combined with Conventional Therapy on Recovery of Postural Control and Balance in Hemiparetic Patients

Abstract

Introduction :- The term stroke was coined and introduced to medicine by William Cole in the late 17th  century (Cole 1689). Physiologically stroke is an acute, focal injury of the central nervous system of a vascular origin, contributing to a local or systematic neurological insult. After having a stroke, patients exhibit spasticity, cognitive impairment, decreased balance, sensorimotor deficiency, and may also have insufficient strength or tone in their trunk muscles. Balance, stability, and functional impairment might be hampered by the weakening of the trunk muscles and the loss of proprioception on the affected  side.
Aims  &  Objectives:- To compare the efficacy of trunk stability exercise versus Swiss ball exercises in combination with conventional therapy on the recovery of postural control and balance in hemiparetic stroke patients.
Objective of Study:- To evaluate the efficacy of trunk stability exercise versus Swiss ball exercises in combination with conventional therapy on the recovery of postural control and balance in hemiparetic stroke patients.
Methodology :-All the participants were explained about the purpose of study. the subjects were screened for inclusion and exclusion criteria and then the baseline measurement was taken. An informed consent was taken from patients who were willing to participate in the study. Eligible subjects were randomly allocated into two groups. Group A participants receiving Trunk stabilization exercise along with conventional therapy. group B participants receiving Swiss ball training along with conventional therapy. Both groups had received exercise program for postural control and balance. The study was of 6 week , 5 days per week at department of physiotherapy in SMIH.
Results:The data were analyzed using the statistical software SPSS 20 version. To analyze the difference of BBS and PASS of Group-A and Group – B paired t- test was applied. The p values <0.05 in Group- B showing extremely significant and also in Group- A.
Conclusion:-Trunk stabilization exercise along with conventional therapy and Swiss ball training along with conventional therapy both showed improvement on recovery of postural control and balance in hemiparetic patients. But swiss ball exercises along with conventional therapy exercises shows more significant improvement in improving posture, weight shifting and balance reactions.