Stroke is the leading cause of disability leading to Gait and balance dysfunction leading to decreased Quality of Life. Difficulty in turning is a major target in Gait Rehabilitation. Task specific exercises has proven to be effective in all stages of stroke rehabilitation, therefore Turning based specific training is to be used in order to improve turning and balance in post stroke patients moreover functional strength training of lower extremities prove to be more effective than traditional training.
Age group: 45-60 years onwards
Both males and females
Subacute and chronic stroke (MCA >6months)
MMSE score 25 or higher.
Hemorrhagic stroke.
Patients with Epilepsy.
Patients with other neurological conditions like Alzheimer, Parkinson and other Dementias.
Parallel
Turning based specific training along with functional Muscle training
Procedure/SurgeryExperimental group will receive Turning based specific training protocol for 6 weeks along with functional muscle training, training will be done on alternate days. Functional muscle training: Details: Week 1-6: 3 days a week on alternate days. Hip Abductors: Side lying leg raises Single leg squatting Standing leg wall press Progressing to Adding resistance bands Hip adductors: Side lying adduction Standing Adduction Progress to adding resistance bands Hip Flexors: Standing leg lift Straight leg raises Progress to adding resistance bands Hip Extensors: Prone lying raises Standing single leg extension Progress to adding resistance bands Plantarflexors/ DorsiFlexors: Plantarflexors: Plantarflexion against resistance Toe raises Dorsiflexors: Dorsiflexion against resistance Heel raises Hip external rotators: Sitting-externally rotate hip 0-30° Add resistance bands Hip Internal rotators: Sitting-internally rotate the hip 0-30° Add resistance bands.
turning based specific training.
Procedure/SurgeryWeek 1: 90 Degrees turns on the spot Visual cues to follow Week 2-3: 90 degrees turns on the spot Figure of 8 walking Visual cues to follow Week 4-5: 90 Degrees turns on the spot Figure of 8 walking Step across body Braiding Week 6: 90 degree turns on the spot Figure of 8 walking Step across body Braiding Visual cues to follow Obstacle avoidance
Turning performance.
Standing turn test will be used for turning performance
turning ability
Figure of 8 test will be used for turning ability
Balance
Berg Balance Scale will be used to assess balance
Balance
Four square stand test will be used for this
Balance
Timed up and go test will be used for this
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