COMPARATIVE EFFECTS OF TASK-ORIENTED PROGRAM AND PROPRIOCEPTIVE TRAINING ON BALANCE, GAIT AND QUALITY OF LIFE IN PATIENTS WITH HEMIPLEGIC STROKE
DOI:
https://doi.org/10.54112/bcsrj.v2024i1.947Keywords:
Task Oriented Program, Proprioceptive Training, Balance, Gait, Quality of Life, Motor Performance, Berg Balance Scale, Motor Assessment ScaleAbstract
This study compared the effectiveness of a Task-Oriented Program and Proprioceptive Training in improving balance, gait, and quality of life in a specific population. Objective: The objective of this study was to evaluate and compare the outcomes of the Task-Oriented Program and Proprioceptive Training on participants' balance, gait, and quality of life. Methods: The study included two treatment groups: Group A (Task-Oriented Program) and Group B (Proprioceptive Training). The gender distribution and frequencies were assessed within each group. Various variables were measured at different time points, and tests for normality were conducted. Independent samples t-tests were performed to analyze the differences in mean scores between the two groups. Results: In Group A, comprising 36 participants, there were 17 males (47.2%) and 19 females (52.8%), while Group B, also with 36 participants, consisted of 16 males (44.4%) and 20 females (55.6%). At baseline, no significant difference was observed in mean Berg Balance Scale (BBS) scores between the two groups. However, after four weeks of intervention, Group A demonstrated significantly higher BBS scores than Group B (mean difference = 6.26, p < 0.001). This trend continued at week 8, with Group A showing a substantial advantage (mean difference = 14.56, p < 0.001). Regarding Motor Assessment Scale (MAS) scores, similar patterns emerged. At baseline, no significant difference was found. Still, after four weeks, Group A had significantly higher MAS scores than Group B (mean difference = 7.21, p < 0.001), which further increased at week 8 (mean difference = 13.88, p < 0.001). Conclusion: The Task-Oriented Program yielded superior outcomes compared to Proprioceptive Training in improving participants' balance, gait, and quality of life, as indicated by significantly higher BBS and MAS scores. These findings highlight the effectiveness of the Task-Oriented Program as an intervention for enhancing balance and motor performance in the specific population studied.
Downloads
References
Blustein P, Werner S, Sham S, Febles A, Katz H, Villella J. Right middle cerebral artery stroke secondary to ovarian clear cell carcinoma in a 35-year-old: A case report. Case reports in women's health. 2023;37:e00485.
de Oliveira RMW. Neuroplasticity. J Chem Neuroanat. 2020;108(101822):10.
Patrizio E, Calvani R, Marzetti E, Cesari M. Physical Functional Assessment in Older Adults. J Frailty Aging. 2021;10(2):141-9.
Almhdawi KA, Mathiowetz VG, White M, delMas RC. Efficacy of occupational therapy task‐oriented approach in upper extremity post‐stroke rehabilitation. Occupational therapy international. 2016;23(4):444-56.
Kuriakose D, Xiao Z. Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. Int J Mol Sci. 2020;21(20).
Lahiri D, Dubey S, Ardila A, Sawale VM, Roy BK, Sen S, et al. Incidence and types of aphasia after first-ever acute stroke in Bengali speakers: age, gender, and educational effect on the type of aphasia. Aphasiology. 2020;34(6):709-22.
Chi KL, Wen J, Zhang X, Dong Q, Jia CS, Zhang X, et al. [Network visual data mining and analysis of literature on electroacupuncture treatment of post-stroke sequelae]. Zhen ci yan jiu = Acupuncture research. 2023;48(5):508-14.
Morreale M, Marchione P, Pili A, Lauta A, Castiglia SF, Spallone A, et al. Early versus delayed rehabilitation treatment in hemiplegic patients with ischemic stroke: proprioceptive or cognitive approach? Eur J Phys Rehabil Med. 2016;52(1):81-9.
Thant AA, Wanpen S, Nualnetr N, Puntumetakul R, Chatchawan U, Hla KM, et al. Effects of task-oriented training on upper extremity functional performance in patients with sub-acute stroke: a randomized controlled trial. Journal of physical therapy science. 2019;31(1):82-7.
Wang C, Wang G, Lu A, Zhao Y. Effects of attentional control on gait and inter-joint coordination during dual-task walking. Frontiers in Psychology. 2021;12:665175.
Wang G, Goebel JR, Li C, Hallman HG, Gilford TM, Li W. Therapeutic effects of CPAP on cognitive impairments associated with OSA. J Neurol. 2020;267(10):2823-8.
Ahamad AA, Dhasaradharaman K, Radhakrishnan V. Comparison between the Effects of Task Oriented Training Program and Balance Training On Improving Balance in Stroke Patients. Int J Health Sci Res. 2019;9(10):238-41.
Chae SH, Kim YL, Lee SM. Effects of phase proprioceptive training on balance in patients with chronic stroke. Journal of physical therapy science. 2017;29(5):839-44.
Kim K-j, Gang M-y. Effect of taping and virtual reality combined exercise on static and dynamic balance with functional ankle instability. Physical Therapy Korea. 2020;27(4):292-7.
Lee HS, Lim JH, Jeon BH, Song CS. Non-immersive Virtual Reality Rehabilitation Applied to a Task-oriented Approach for Stroke Patients: A Randomized Controlled Trial. Restor Neurol Neurosci. 2020;38(2):165-72.
Park S-E, Moon S-H. Effects of trunk stability exercise using proprioceptive neuromuscular facilitation with changes in chair height on the gait of patients who had a stroke. Journal of Physical Therapy Science. 2016;28(7):2014-8.
Khallaf ME. Effect of task-specific training on trunk control and balance in patients with subacute stroke. Neurology Research International. 2020;2020:1-8.
Kim K, Jung SI, Lee DK. Effects of task-oriented circuit training on balance and gait ability in subacute stroke patients: a randomized controlled trial. Journal of physical therapy science. 2017;29(6):989-92.
Jarrott SE, Scrivano RM, Park C, Mendoza AN. Implementation of Evidence-Based Practices in Intergenerational Programming: A Scoping Review. Res Aging. 2021;43(7-8):283-93.
Jeong HS, Lee SC, Jee H, Song JB, Chang HS, Lee SY. Proprioceptive Training and Outcomes of Patients With Knee Osteoarthritis: A Meta-Analysis of Randomized Controlled Trials. J Athl Train. 2019;54(4):418-28.
Rogers JM, Duckworth J, Middleton S, Steenbergen B, Wilson PH. Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: evidence from a randomized controlled pilot study. J Neuroeng Rehabil. 2019;16(1):019-0531.
Darda PP, Jethwani D, Dadgal R. Combined Effect of Proprioceptive Neuromuscular Facilitation And Electrical Muscle Stimulation In Hemiplegic Stroke Patients To Enhance Upper Extremity Function: A Research Protocol. Indian Journal of Forensic Medicine & Toxicology. 2021;15(2):470-7.
Giotakos O. Neurobiology of emotional trauma. Psychiatriki. 2020;31(2):162-71.
Ito D, Mori N, Shimizu A, Fuji A, Sakata S, Kondo K, et al. Vitality index is a predictor of the improvement in the functional independence measure score in subacute stroke patients with cognitive impairment. Neurological Research. 2021;43(2):97-102.
Liu T-W, Ng GY, Chung RC, Ng SS. Decreasing fear of falling in chronic stroke survivors through cognitive behavior therapy and task-oriented training. Stroke. 2019;50(1):148-54.
Frimpong E, Olawale O, Antwi D, Antwi-Boasiako C, Dzudzor B. Task-oriented circuit training improves ambulatory functions in acute stroke: a randomized controlled trial. 2014.
JalajaJayalakshmi V, Geetha V, Ijaz MM, editors. Analysis and Prediction of Stroke using Machine Learning Algorithms. 2021 International Conference on Advancements in Electrical, Electronics, Communication, Computing and Automation (ICAECA); 2021 8-9 Oct. 2021.
Lee D-K. The effect of breathing training on the physical function and psychological problems in patients with chronic stroke. The Journal of Korean Physical Therapy. 2020;32(3):146-51.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 S MAQBOOL, S KAMRAN, S NAZ, A AMJAD, T MAQBOOL
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.