11/24/2023 0 Comments Flexion synergy pattern after strokeIn this study, we aimed to determine the effect of core stability exercises on upper limb function and trunk balance in hemiparetic patients. Įxercises for core-stability serve as treatment for simultaneously activating the abdominal and multifidus muscle in order to stabilize the body and head during the beginning of limb movement and during the course of these movements. In rehabilitation of stroke patients, postural control is necessary for smooth functional activity core stability plays a major role in maximizing function and minimizing weight bearing at the joints while doing various activities like walking, running, and throwing. Ĭore stability has a high established reliability concerning improving the trunk muscle performance as core muscles supporting the lumbo-pelvic-hip complex, researchers have reported that core stability training could improve not only trunk function but also balance and mobility. Stroke patients may compensate by sitting with excessive flexed, thoracic spine to avoid falling backward during sitting. In sitting position, weakness of abdominal muscles may cause the line of gravity to be placed relatively posterior to the center of gravity, so increasing the liability to fall backwards. Stroke patients demonstrated altered trunk position sense this may be caused by insufficient co activation of abdominal and back muscles. Impaired anticipatory activity of the superficial lateral trunk muscles (latissimus dorsi, rectus abdominis, and external oblique) on the paretic side has been found to influence their ability to perform activities of daily living. Many patients with stroke suffer from insufficient trunk control, affecting their functional ability in many activities, example: turning in bed, sitting up/lying down, rise from sitting to standing, standing, and walking. The core muscles have a great function in stability and mobility of body parts in maintaining posture and assisting the mobility of upper and lower limbs, against gravity, so facilitating function of arms and legs. Mobility of the upper limbs is vital for daily activities, functional activities, and quality of life upper limb paresis following stroke leads to limitations of daily activities, functional activities, and social roles. The last phase is the chronic stroke that continues from months to years following stroke and the patient may complete his life with this phase. The next phase is subacute stroke that continues for many months up to 6 months following stroke. Stroke is subdivided into three phases, the initial phase or acute stroke that starts immediately following cerebrovascular accident and continues for 2 weeks. Stroke survivors can suffer some neurological impairments such as hemiparesis, communication disorders, cognitive deficits, or disorders in visuospatial perception. Stroke is a common nervous system disorder. ConclusionĬore muscle training is similar to conventional physical therapy program in improving upper limb function in hemiparetic patients, and has beneficial effect on improving trunk balance. In post treatment assessment, there was no statistical significant difference between group A and group B in all the outcome measures, except for trunk impairment subscale (dynamic sitting balance) the statistical significant difference was in favor of group B. There was no statistical significant difference between two groups in pretreatment assessment using wolf motor function test, trunk impairment scale, and shoulder range of motion. All measurement outcomes were assessed before and after applying the treatment program. The upper limb function was assessed using Wolf motor function test with subscales (function ability scale, time, and grip strength), the range of motion of shoulder flexion and abduction was measured by using goniometer, trunk balance was assessed using the trunk impairment scale with subscales (static sitting balance, dynamic sitting balance, and coordination). Patients received 18 sessions for 6 weeks, three sessions/week. They were assigned into two equal groups, the control group, Group A: with 15 patients who received only conventional physical therapy program the study group, Group B: with 15 patients who received conventional physical therapy program and additional core muscle training. Thirty patients with hemiparesis, with age between 45 and 60 years, and with illness duration of more than 6 months. To determine the effect of core stability exercises on upper limb function and trunk balance in hemiparetic patients. Upper limb paresis is a common problem in patients with stroke.
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