[Home ] [Archive]    
:: Main Online Submission Archive Current Issue In Press ::
:: Volume 6, Issue 1 (Mar 2004) ::
ZJRMS 2004, 6(1): 9-15 Back to browse issues page
The effect of functional, balance and strengthening exercises protocol in treatment of postural control and balance problems in hemi paretic patients
Abstract:   (6947 Views)
Akbari A. PhD*, Karimi H. PhD**, Kazem nezhad A.  PhD***, Ghabaei M. MD****
 
 
Background: Stroke is a major cause of death and disability in all societies and the disability resulting from stroke most commonly presents as hemiplegia or hemiparesis. The purpose of this study was to determine postural control and balance problems in hemiparetic patients and the effects of functional, balance and strengthening exercises protocol (FBS) in treatment of these impairments.
Methods and materials: This clinical trial was performed in Kahrizak charity foundation in 1382. Thirty-four hemiparetic patients secondary to stroke with a mean ± SD age of 52.41 ± 6.19 years participated in the study through simple non-probability sampling. All patients were screened to ensure that their time since onset of stroke was at least 12 months. Patients were assigned randomly to either an experimental group or a control group, and their balance were assessed using balance part of functional, balance and strength scale (FBSS) before and after 12 sessions of intervention. The experimental group received FBS protocol. The control group received all FBS protocol except for strengthening exercises. In parametric data independent and paired t-tests and in nonparametric data Mann-Whitney and Wilcoxon tests allowed for comparisons between the pretreatment and post treatment test results between and within groups, respectively.
Results:  Index of total balance in the experimental group increased from 53.3 ± 8.1 to 70.5 ± 6.3 (ordinal) (P <0.0001). Index of total balance in the control group increased from 48.4 ± 8.5 to 52.9 ± 7.2 (ordinal) (P <0.0001). Significant improvement (P <0.0001) after treatment was seen in the experimental group in measures of total balance index compared to control group. The Mann-Whitney test also identified a significant difference (P <0.0001) between the experimental group and the control group with respect to mean difference of total balance variable scores.
Conclusions: The results of this study support the effectiveness of muscle strength training to improve postural control and balance in the chronic stages of rehabilitation following stroke.
 
 KEY WORDS: Balance, Postural Control, Hemiparesis, FBSS Scale, FBS exercises
 
 
 
* Physiotherapy dept, Faculty of medicine, Zahedan University of Medical Sciences and health                 services, Zahedan, Iran.
** Physiotherapy dept, Faculty of medicine, Tarbiat Modares University, Tehran, Iran.
***Bio-statistics dept, Faculty of medicine, Tarbiat Modarress University, Tehran, Iran.
**** Neurology dept, Faculty of medicine, Tehran University of Medical Sciences and health services,  Tehran, Iran.
Keywords: Balance, Postural Control, Hemiparesis, FBSS Scale, FBS exercises
Full-Text [PDF 262 kb]   (942 Downloads)    
Type of Study: Research |
Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

The effect of functional, balance and strengthening exercises protocol in treatment of postural control and balance problems in hemi paretic patients. ZJRMS. 2004; 6 (1) :9-15
URL: http://zjrms.ir/article-1-161-en.html


Volume 6, Issue 1 (Mar 2004) Back to browse issues page
Zahedan Journal of Research in Medical Sciences
Persian site map - English site map - Created in 0.06 seconds with 31 queries by YEKTAWEB 3921