Original Research Article
Year: 2022 | Month: June | Volume: 12 | Issue: 6 | Pages: 239-254
DOI: https://doi.org/10.52403/ijhsr.20220632
Effectiveness of Otago Exercise Versus Task Oriented Progressive Resistance Strength Training on Balance and Functional Performance in Stroke Patients
Aishwarya Satish Valiv1, Vrushali Bhore2
1Intern College of Physiotherapy, Wanless Hospital, MMC Miraj, India, 2 Assistant Professor, Department of Neuro Physiotherapy, College of Physiotherapy, Wanless Hospital, MMC Miraj, India.
Corresponding Author: Vrushali Bhore
ABSTRACT
BACKGROUND:
Stroke is one of the main causes of adult disability worldwide and global health problem. Due to ongoing neurological sequelae post stroke patients have a two-fold higher risk of falling than other people with same age or gender. Around 85% of these patients have residual symptoms of paralysis post stroke, which predisposes them for fall. Balance disorders reduces the independence and level of participation in community. As the stroke patients balance is impaired and can lead to complications such as fall, knowing the questions related to balance and gait will be important in order for these two physical capabilities to be better understood in hemiparetic patients. Promising interventions that could be beneficial to improve the aspects of gait include fitness training, high intensity therapy and repetitive task training.
AIM: The aim of this study is to compare the effectiveness of Otago exercise versus Task oriented progressive resistance strength training on balance and functional performance in stroke patients.
METHOD: 30 hemiplegic stroke patients able to ambulate independently will be taken for the study. The subjects were divided in two groups. Pre-test assessment (Berg balance scale, timed up and go test) will be taken. Group A will be given Task oriented progressive resistance strength training with Conventional Physiotherapy and Group b will be given Otago exercise program fifty minutes each session three times per week for 4 weeks. Then post-test assessment (Berg balance scale, timed up and go test) will be taken.
RESULT: Statistical analysis was done within group using paired t test, which showed significant improvement post exercise protocol in both the groups with p value 0.001. Statistical analysis done between the group using unpaired t test, which showed significant improvement in Group B compared to Group A, with the effect size for group A is 4.89 for BBS and 3.24 for TUG and the effect size for group B is 7.47 for BBS and 4.69 for TUG. Which shows Group B is better than Group A.
CONCLUSION: Otago exercise and Task oriented progressive resistance strength training were significant in terms of clinical outcome and both shows equal p- value of 0.001. the effect size of group B for BBS and TUG is more as compared to group A BBS and TUG, which shows group B is more effective.
Key words:Stroke, Otago exercise program, Task oriented progressive resistance strength training, balance, functional performance, BBS, TUG.