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Karajgi, Asmita
- Effect of Sensorimotor Integration on Balance and Gait in Chronic Stroke Patients
Authors
1 Department of Physiotherapy, Pad. Dr. D.Y Patil University, Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 1 (2014), Pagination: 64-69Abstract
Background: Balance impairment in patients with stroke hemiparesis is frequently related to deficits of central integration of afferent inputs (somatosensory, visual, vestibular). Abnormal interactions between the three sensory systems involved in balance could be the source of abnormal postural reactions in these patients. The ability to analyze, compare, and select the pertinent sensory information to prevent falls can be impaired in hemiparetic stroke patients. A deficit of sensorimotor integration is now acknowledged as a major factor in balance disability after stroke. No general physiotherapy approach has been proven to be superior for promoting balance recovery from stroke. So the main purpose of the study was to study efficacy of sensorimotor integration approach along with conventional physiotherapy program for improving balance and gait in chronic stroke patients.
Objective: To Assess the Efficacy of Sensorimotor Integration on Balance&Gait in Stroke hemiparesis.
Methodology: 30 subjects with chronic stroke who met with the inclusion criteria were randomly divided into Group A and Group B. Group A was treated with Conventional training&Group B with Sensorimotor Integration.
Result: There was significant improvement seen within both the groups on Berg Balance (p<0.0001), Dynamic Gait Index (p<0.0001), 10 m walk test (p=0.0001) and Modified CTSIAB (all conditions) (p<0.0001). When both the groups were compared using unpaired t-test sensorimotor group showed significant improvements in all outcome measures (p<0.0001) except for MCTSIAB conditions 1 and 2 where the difference was not statistically significant. (Condition 1; p>0.999) (Condition 2; p=0.8562)
Conclusion: In the absence of sensory training, very limited changes were observed for both static and dynamic balance tasks. Thus it could be explained that sensorimotor integration training is one of the novel treatment which can have an additive effect along with the conventional training for balance.
Keywords
Sensorimotor Integration, Balance, Gait, Chronic Stroke
References
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- Effect of Pranayama on Diaphragmatic Excursion in Healthy Young Individuals
Authors
1 Padmashree Dr. D. Y. Patil University, Navi Mumbai, 6th Floor, Medical College Building, Sector 5, Nerul, Navi Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 124-129Abstract
Introduction: Pranayama (yogic Breathing) helps in breath control. It is easy to perform exercise having positive influence on cardiopulmonary factors. Pranayama is a known practice for its positive benefits on the respiratory parameters and functional capacity. Diaphragm mobility is a known tool for predicting exercise tolerance. However, the effect of Pranayamic practices on the diaphragm is not yet documented, thus explaining the purpose of this study.
Aim: To assess the effect of Pranayama on diaphragmatic excursion
Method: 30 healthy females between the age group of 18-24 years practiced Pranayama for eight weeks. Diaphragmatic excursion was assessed as a measure of respiratory effort on a portable ultrasound unit.
Result: The Pretest&post test values of diaphragmatic excursion were 33.81 + 7.85&38.01 + 6.05 respectively, having "t" value -4.07&p 0.000 which was highly significant
Conclusion: Pranayama showed significant improvement in the diaphragmatic excursion assessed on real time ultrasound unit.
Keywords
Yogic Breathing, Pranayama, Diaphragmatic Excursion, Real Time Ultrasound- Evaluating Two Scales, Fembaf (Fast Evaluation of Mobility, Balance and Fear) & DGI (Dynamic Gait Index) to Test Balance in Fallers and Non Fallers in Geriatric Population
Authors
1 Dept. of Physiotherapy, Pad. Dr. D. Y. Patil University, Navi Mumbai, IN
2 Dept. of Physiotherapy, T. N. Medical College, Mumbai, IN
3 Dept. of Physiotherapy, G. S. Medical College, Mumbai, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 141-145Abstract
Introduction: Comprehensive balance evaluation along with identification of significant risk factors ia an important step towards fall prevention in geriatric population.
Objective: To evaluate efficacy of two available scales to test balance in fallers and nonfallers in Indian geriatric population.
Methodology: After the ethics committee approval an informed consent was taken from the participants. 70 elderly people above 65 years participated in the study. Group A had fallers and Group B had non fallers(no history of falls.They were evaluated for Fast evaluation of mobility , balance and fear(FEMBAF) and Dynamic gait index (DGI)
Results: There was a significant difference of mean scores between fallers and nonfallers.(P<0.001)Fallers have more number of risk factors with fewer scores on both the scales.
Conclusion: Fast evaluation of mobility, balance and fear (FEMBAF) and Dynamic gait index (DGI) are effective in differentiating between fallers and non fallers.