Международный журнал физической медицины и реабилитации
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Effects of Joints Weight Bearing Exercises Combine with Range of Motion Exercises on Affected Limbs in Patents with Stroke

Sidra Manzoor, Farjad Afzal, Gulraiz, Qurratulain, Mubashra Khalid, Salik Nadeem and Asima Irshad

Background: Weight bearing exercises have great role in joint nutrition, bone density and proprioception thus helping in neuro muscular control.

Objective: Objective of study was to find the effects of weight bearing exercises on affected limbs on neuromuscular control in patients with recent stroke.

Methodology: We selected 05 patients, 03 males and 02 females, with recent stroke on volunteer basis with informed consent. Inclusion criteria was recent stroke 10 to 15 days back, age between 25-35, both male and female, no previous history of fracture , no significant history of osteoporosis, hemiplegic right or left, intact vision and intact cognition. Selection of subjects was made by visiting to medicine and ICU wards of different hospitals including government and private hospitals of city. Patients were informed about the treatments protocol free of costs. Setting of study was outdoor physical therapy clinic. Duration of study was 02 months, 05 days in a week, 1 h daily. Interventions were weight bearing on affected limb with range of motion exercises. Standing time, 06 minutes’ walk test, functional independent measure and disability rating scale were outcome measurement tools. Study design was pre to post trial. Pre-intervention measure was measured 03 to 05 days before starting the interventions on all outcome measurements tools. Post intervention measure was measured after 02 months. Pre to post measurements were compared by using Wilcoxon signed rank test.

Results: Pre interventional score on standing time test, 06 minutes’ walk test, functional independent measure and disability rating scale were 0, 0, 25 ± 05, 05 ± 01 respectively. Post interventional score on standing time test, 06 minutes’ walk test, functional independent measure and disability rating scale were 129 ± 09, 38 ± 05, 94 ± 09, 18 ± 02 respectively. Wilcoxon signed rank statistics (0.000) showed significant change.

Conclusion: Study conclude that weight bearing exercises have significant role to improve standing time, walking distance, balance, motor skills and functional skills in patients with recent stroke.