Perturbation Based Training And Bobath-Based Trunk Exercises On Gait , Postural Control And Mobility

Effects of Perturbation Based Training and Bobath-Based Trunk Exercises on Gait, Postural Control and Mobility in Post Stroke Patients

This study compares two approaches for rehabilitating stroke patients: Perturbation-Based Training and Bobath-Based Trunk Exercises. The perturbation based training focuses on challenging patients with unexpected movements to improve their balance and stability. While the Bobath method, concentrating on facilitating normal movement patterns. The study aims to determine which approach yields better outcomes in terms of trunk control, balance, and functional recovery for stroke patients. This study will also enable the individual to be more independent and minimize their falls.

Cerebrovascular is a leading cause of physical impairment and long-term disability in the globe. The complication of stroke is mobility impairment like balance, gait, and posture disorders. This impairment leads to a higher risk of falls, reduced ability in daily activities, and difficulty restoring the overall health and quality of life. Cerebrovascular accident is the second cause of fatality. Hence, one of the primary objectives in stroke rehabilitation is to restore postural stability and functional balance, which is a combination of dynamic, static and reactive balance. For improving postural stability and balance one such technique is the utilization of a rocker board, where a platform positioned on an unstable surface is used to challenge balance. Whilst rocker boards have been used effectively for, postural stability, injury prevention, rehabilitation and balance enhancement. Improvements in rocker board performance may be attributable to one or more of the following: muscle strengthening, enhanced intersegmental coordination, increase in brain activity in the supplementary motor area and/or enhanced feed-forward and feed-backward postural control mechanisms.

Inclusion Criteria:

• Able to walk with or without ambulatory aids
• Able to follow commands.
• Patients in the subacute and chronic stages associated with stroke hemiparesis (time since
• stroke onset 6 months- 1 year)
• Scoring > 21 on MMSE

Exclusion Criteria:

• Patients who have severe limitations in passive range of motion at lower extremities
• Visual and sensory deficits
• Patient who has contracture
• Orthopedic or any other neurological disorder which impair balance.
• Patients undergoing any other balance training protocol.
• Patients with recurrent strokes
• Participants who are currently participating in another clinical trial or research study