Effectiveness of physio ball and plinth trunk exercises to improve trunk balance along with conventional physiotherapy among stroke

Abstract

Stroke is the third most leading cause of death in Bangladesh, now stroke cases have significantly increased in Bangladesh in number. Purpose: To assess the functional outcome andbalance after taking Plinth Trunk Control Exercise and Physio Ball Exercise at CRP. Objectives: The aim of the study is to know that, to find out the functional outcome and balance after receiving 12 sessions treatment. Methodology: The design was a quantitative quasi experimental study that followed the patient who were receiving treatment and check outcome and balance of stroke patient from CRP. Total 48 patients were taken for the study. Data were collected by semi structured questionnaires; TIS was used for functional outcome of trunk, BBS was used for balance measurement. Wilcoxon Signed-Ranked Test and Mann-Whitney U Testwas performed for finding result. Result: This study was found that male participants about 50% and 50% were female. Among n= 48 patients, both treatment protocol had beneficial effects on the improvement of the functional outcome and balance measured by Berg Balance Scale (BBS) and Trunk Impairment Scale (TIS) among stroke patient. In comparison between two groups, results are not found significant (P = 0.200, Z = 1.280)in balance assessment by BBS but functional outcome of trunk measured by TIS is found significant (P = 0.007, Z = 2.700). Although Saeys et al., (2012) said within group analysis showed significant results of BBS and TIS in both groups.Discussion: Many studies also found Significant results of TIS and BBS, although Some study found not significant BBS score. Limitation:Samples were very small in number; study duration was also limitedand data was collected only from CRP which was not sufficient enough for the study to generalize the wider population of this condition due to covid 19 situation. Conclusion: Both treatment protocol had beneficial effects on the improvement of the functional outcome and balance among stroke patient. Both treatment protocols are very much important. For future studies, larger sample size may improve the statistical significance.There needs a plan to conduct Randomized Control Trial within two groups (Control & Trial group) and maintaining the double blinding procedure. Keywords: Stroke, Berg Balance Scale, Trunk Impairment Scale