Effectiveness of swiss ball training vs trunk and pelvic proprioceptive neuromuscular facilitation pattern for improving trunk control in patients with acute and sub acute stroke

Abstract

Background

Most literatures concerning about motor rehabilitation after stroke focus on the upper and lower extremity. Trunk rehabilitation receives only little attention. The trunk imbalance makes the post stroke patient dependent on the family members for bedside activities such as rolling to sides, reaching etc. These increase the risk for falling even from bed also hence to improve the trunk Balance the trunk rehabilitation is the concerned area for this study

Aim

To evaluate the effectiveness Of Swiss Ball Training Vs Trunk And Pelvic Proprioceptive Neuromuscular Facilitation Pattern For Improving Trunk Control In Patients With Acute And Sub Acute Stroke.

Methods

In this randomized controlled trial, 64 patients with acute and subacute stroke were divided into 2 groups, 32 in each group were recruited from PDVVPFS College of physiotherapy and hospital. Group A- received swiss ball training, Group B received pelvic PNF. Both the groups were evaluated pre – treatment and post treatment using TIA & PASS and results carried out.

Results

The within group (Intra group ) comparisons of the change in the Trunk Impairment Scale score and Postural Assessment Stroke Scale score PRE & POST was assessed by paired t test The between group (Inter group) comparisons of the change in the Trunk Impairment Scale score and Postural Assessment Stroke Scale score score PRE & POST was assessed by unpaired t test.
P < 0.05 were considered significant.

Conclusion

This three weeks study result showed equal improvement in both the group in terms of static setting balance Dynamic sitting balance, co-ordination, maintaining and changing posture. Therefore, these results concluded that both Swiss ball training and PNF techniques are equally effective on improving trunk control in acute and sub acute stroke patients.