Effectiveness of physioball with bed exercises to improve gait of stroke patient

Abstract

Introduction: Stroke is the third leading cause of dealth in Bangladesh. It is the most common clinical manifestation of diseases which occurs motor, sensory, perceptual or cognitive deficiency and has serious impact on independence, functioning and quality of life of the stroke survivors. Purpose: The purpose of this study is to explore the effectiveness of physio-ball with bed exercise to improve gait of stroke patient. Objectives: To find out the effectiveness of physio-ball with bed exercise to improve gait of stroke patient. Methodology: This was Quasi-experimental quantitative type of study which was used in this study and that was Single blinded; this research was conducted with total 30 stroke patients who were listed from Neurology and Stroke Rehabilitation Unit of CRP, Savar, Dhaka. The subjects of the trial group performed bed and physio-ball exercise 3 days per week of total 12 session within 4 weeks. All subjects were evaluated with a 10-meter walk and 6 minute walk test. Results: The finding of the study was carried out by using Wilcoxon test, Microsoft Excel and scientific calculator to find out the result. The mean age among 30 participants was 51.17. Gender distribution was male 76.7% and female 23.3%. Among 30 participants 56.67% were right side affected and 43.33% were left side. The mean score of 10 MWT was 41.11 to 29.80 sec and mean difference was 11.31 sec (p=0.000, Z= 4.784) which was significant. Another result of the mean score of 6 MWT test was 95.14 meter to 134.17 which was decreased and mean difference of was 39.03 meter (p= 0.000, Z= 4.783) which indicated the result was significant and improvement of gait of stroke patient. Discussion: Sharma & Kaur, 2017 suggested that core muscle strengthening exercise combined with pelvic PNF was effective for improving trunk impairment, balance and gait of chronic stroke patients. Conclusion: The study concluded as bed and physio-ball exercise is effective to improve gait of stroke patient. Small amount of sample is included in this study and time duration was also limited. Further study should be done with RCT study design for more specific result. Keywords: Stroke, Gait, Bed and physioball exercise.