Data for the rehabilitation protocol for patients with stroke
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Introduction: Stroke is one of the major causes of fatality and disability all over the world. Disabilities after stroke in substantial structure and metabolic function in the hemiparetic leg main leads to unilateral or bilateral deficit and can contribute to involvement of various systemic involvement along with musculoskeletal and neurological disabilities. Patients suffering from stroke are prone to falling down because of improper balance functioning. Their daily life activities are restricted due to hemi paresis. It was hypothesized that the rehabilitation protocol would produce significant changes in balance and gait parameters in stroke survivors. Method: In this study 20 participants were included with sub-acute stroke with age between 35-85 years. Pre assessment was taken for the outcome measures spatial parameters of gait (step length, stride length and cadence) and balance were observed by performing Time Up and Go Test and Berg Balance Score. Intervention was included PNF, Frankel’s exercises, Rood’s approach, Pelvic bridging, Sit to stand, Kneeling, Dynamic quadriceps strengthening, Standing with support, Single leg weight, Walking with assistance, Squat exercise and Figure of 8 training given for 4 weeks and all the outcome measure were assessed again post intervention. Result: P values for all the outcome measures were found significant. Conclusion: The rehabilitation protocol was effective in improving the balance and gait of the patient.
引言:脑卒中(Stroke)是全球范围内致死与致残的主要病因之一。脑卒中后,偏瘫侧肢体的实质结构与代谢功能受损,主要导致单侧或双侧功能缺损,还可伴随多系统累及,同时出现肌肉骨骼与神经功能障碍。脑卒中患者因平衡功能异常,极易发生跌倒;偏瘫会限制患者的日常生活活动能力。本研究提出假设:该康复方案可显著改善脑卒中幸存者的平衡与步态参数。 方法:本研究纳入20名年龄介于35至85岁的亚急性脑卒中患者。首先对结局指标进行基线评估:步态空间参数(步长、步幅与步频),并通过计时起立行走测试(Time Up and Go Test)与伯格平衡量表(Berg Balance Score)评估平衡功能。干预方案包含本体感觉神经肌肉促进技术(PNF)、弗兰克尔训练法、鲁德疗法、骨盆桥接训练、坐站训练、跪位训练、股四头肌动态力量训练、辅助站立训练、单腿负重训练、辅助步行训练、深蹲训练与8字轨迹训练,干预周期为4周,干预后再次评估所有结局指标。 结果:所有结局指标的P值均具有统计学显著性。 结论:该康复方案可有效改善脑卒中患者的平衡功能与步态。




