Background: 80% of people with a stroke have impairment of the upper limb (UL). The hemiparetic arm is one of the most devastating consequences after stroke. Improving use of the affected UL is important however, because difficulty in using this UL in daily tasks has been related to lower quality of life.
Design: A prospective randomized control trial type study.
Setting: Malaysia Government and Private Hospitals and also in private Physiotherapy Centre’s.
Population: A total of 25 subjects post stroke were randomly assigned to either in experimental group (n=13) and control group (n=12).
Methods: Control group received 45 minutes of treatment session and therapy consisted of conventional therapy only with the affected upper extremity whereas experimental group also received 45 minutes of treatment session and therapy consisted of conventional therapy along with mirror therapy for three days/week. Outcome measures used were Fugl-meyer assessment and Functional independent measure.
Results: Comparison of the changes in the Fugl-meyer assessment and Functional independent measure from baseline to six weeks between control and experimental group, revealed that significant improvement were in experimental group which was (p<0.05).
Conclusion: Combination of conventional and mirror therapy is an effective method on restoring upper limb motor function among hemiplegic patients.
Bangladesh Journal of Medical Science Vol.19(2) 2020 p.208-213
Abstract:Objective: The kick force is effective only if the flexibility of the muscle is in accord. The stretching capacity of tendons, ligaments and capsule are very limited due to the function of articular stabilization. Pilates exercises are to be performed to improve muscular flexibility with greater movement breadth, strength and fluency. Lack of flexibility is a limiting factor for performance and being a facilitator for muscular injuries. Materials and Methods: Goniometer, Sit and reach table and Exercise mat. 30 football players were randomly distributed into two groups, Pilates group (n=15) and control group (n=15). Control group was given Ballistic, PNF and Static stretching exercises and Pilates group was given Pilates protocol respectively. Both the groups were trained 5 times a week for 4 weeks, 30 minutes each session. Pre and post outcome measures of Goniometer and sit and reach test were taken. Results: The Pilates group training reported a higher level of improvement than control group (p< 0.05).
Introduction: Trunk control is one of the impairments in spastic hemiplegics which affects the balance in cerebral palsy children. Trunk balance is a pre-requisite for upper limb function. By improving trunk control, the balance increases, helping the child to be functionally independent.Objectives: To improve trunk control and balance in spastic hemiplegic cerebral palsy children by Swiss ball training.Method: Thirty subjects were included in the study after obtaining informed consent from their parents and they were separated into two groups. One group was given conventional training and the other group was given Swiss ball training for 30 minutes, 4 times weekly for 6 weeks. Gross Motor Functional Measure (GMFM-88) scale was utilized for assessment of trunk balance and Paediatric Balance Scale (PBS) for assessment of functional balance. Paired t-test was used to analyse the effect of trunk control and balance functions
Results:The post-test mean values of all the variables of Swiss ball training group were significantly improved compared to those of the conventional group (p<0.005).
Conclusions:The study shows that Swiss ball training improves trunk control and balance in spastic hemiplegic cerebral palsy children.
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