در درمان اين اختلالات FBS اختلالات عملكرد حركتي در بيماران همي پارزي و تاثير پروتكل تمرينات

Motor Function Problems in Hemi Paretic Patients and the Effect of FBS Exercises Protocol in Treatment of these Impairments

Background and Purpose: Stroke is a major cause of death and disability in all societies and the disability resulting from stroke most commonly presents as hemiplegia or hemi paresis. The purpose of this study was to determine motor function problems in hemi paretic patients and the effects of functional, balance and strengthening exercises (FBS) protocol in treatment of these impairments. Methods and Marc vials: Thirty-four hemi paretic patientʹs secondary to stroke with a mean ± SD age of 52.41 ± 6.19 years participated in the study through simple non-probability sampling. All patients were screened to ensure that their time since onset of stroke was at least 12 months. Patients were assigned randomly to either an experimental group or a control group, and their motor function were assessed using functional, balance and strength scale (FBSS) before and after 12 sessions of intervention. This is an ordinal assessment scale of sitting and standing balance, functional mobility and gait patterns. In this scale, muscle tone was graded on the Modified Ashworth Scale, muscle strength and range of motion was measured using dynamometer and goniometry, respectively. Gait velocity, stride length and cadence were recorded. The experimental group received FBS exercises protocol that is a combination of sitting and standing balance, functional mobility, gait patterns, selective movements, aerobic and strengthening exercises. The control group received all FBS protocol except for strengthening exercises. Independent-samples t-test and paired t-test allowed for comparisons between the pretreatment and post treatment test results between groups and within groups, respectively. Finding: Both groups demonstrated significant improvement (p<0.0001) in measures of motor function index after intervention. Significant improvement (p<0.0001) after treatment was seen in the experimental group in measures of motor function index compared to control group. Independent-samples t-test also identifies a significant difference between the experimental group and the control group with respect to mean difference of motor function variable scores (p<0.0001). Conclusion: The results of this study support the effectiveness of muscle strength training to improve motor function in the chronic stages of rehabilitation following stroke.