PNF vs Pertubation Based Balance Training in Subacute Stroke Patients.

Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients

To determine the effects of proprioceptive neuromuscular facilitation exercises versus perturbation-based balance training on balance, coordination, and proprioception in subacute stroke patients, it will be a randomized clinical trial.

Stroke is the major cause of disability and mortality worldwide. Stroke is defined as an abrupt neurological outburst caused by impaired perfusion through the blood vessels to the brain. Every year the number of strokes affected individuals are rising thereby putting an extra pressure on socioeconomic conditions in developing countries. Major complications of stroke include hemiplegia leading to upper limb dysfunction along with gait abnormalities. This study will be conducted to determine the effects of proprioceptive neuromuscular facilitation exercises versus perturbation-based balance training on balance, coordination, and proprioception in subacute stroke patients. The randomized clinical trial will be conducted, participants will be selected through Non probability convenience sampling technique and then randomly allocated into three treatment groups.

Inclusion Criteria:

• Age:40-70 years.
• Gender: Male and female
• The Subacute stroke patients, at least 3 months post stroke.
• Patients able to stand without support from upper limb.
• Patients able to perform 10 meter walk test.

Exclusion Criteria:

• Neurological conditions other than stroke like Guillain barre syndrome, Chronic inflammatory demyelinating polyradiculoneuropathy, Parkinson's disease, Transverse Myelitis etc.
• Patients with not intact higher mental function and cognition.
• Patients with grade 3 arthritis and traumatic injuries like spinal cord injuries and TBIs
• Other chronic disabling pathologies, orthopedic injuries that could impair locomotion