Effect of Pelvic Control Exercises on Pelvic Asymmetry and Gait in Stroke Patients

Abstract

Background: Gait abnormality is one of the most common impairments after stroke. Pelvic control exercises may affect gait and pelvic asymmetry in stroke patients. Aim of Study:To determine the effect of pelvic control exercises on pelvic asymmetry and gait in stroke patients.Patients and Methods: Thirty male ischemic stroke patients represented the study. Their age ranged from 45 to 60 years. The patients were assigned into two equal groups; control group (GA) treated by selected physical therapy program and study group while (GB) treated by the same program in addition to pelvic control exercises. The spatiotemporal gait parameters were assessed by Biodex gait trainer 2TM system. Sagittal pelvic tilt angles were measured by Palmation meter (PALM) inclinometer from standing position.Results: Post-treatment there were a significant improvement in all measured variables except the average step length of the non-affected side in both groups. Comparison between both groups revealed a significant decrease of the anterior pelvic tilting angles on both sides, the average step length of the affected side and the percent of time spent on the non affected foot with significant increase of the percent of time spent on the affected foot in favor to (GII) (p<0.05). No significant difference of the average walking speed and average step length of the non affected side was detected between both groups. Conclusion:Pelvic control exercises have a positive effect on the pelvic asymmetry and consequently on gait performance in stroke patients.