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A comparative study on efficacy of gait parameters in chronic-stroke survivors using functional task-oriented intervention versus bobath intervention

Author: 
Jibin, K. V., Dr. Kamaraj, B., Dr. K. Syed Abudaheer and Rahul Krishnan Kutty
Subject Area: 
Health Sciences
Abstract: 

Background: The rising burden of stroke, especially in low-income and middle-income countries, leads us to propose a worldwide goal for stroke: a 2% reduction each year over and above that which may happen as a result of better case management and treatment. The experience of high-income countries indicates that sustained interventions can achieve at least the required 4% annual average decline in stroke mortality for people age 60–69 years. The aim and objective of the study is to determine whether functional task-oriented intervention is effective than Bobath intervention or vice-versa in enhancing walking balance and distance among post stroke survivors. Methodology: An experimental, randomized and single blinded comparative design and subjects were randomly divided into two groups by using simple random sampling method. A total of 40 subjects (n=40) were included with the following inclusion criteria; patients with clinical diagnosis of a first stroke, Patients above 40 years of age of either sex. Subjects with hemiparesis of _6 month’s duration after unilateral, supratentorial, ischemic, or hemorrhage stroke were recruited. Result: ‘t’ table value for (n1+n2-2) degrees of freedom at 5% level of significance was taken. ‘t’ calculated value > ‘t’ table value. These statistical test suggests that when the two intervention are applied to respective groups, they indicate positive and good results in term of walking distance, regain strength and control of the lower limbs. Whereas when both groups are compared there is very minimal significance changes. According to the generated result it can be suggested that these two interventions can be given for stroke patient for better and early recovery and can be included in the stroke rehabilitation treatment protocol. Conclusion: The studysuggest that it has been observed that both Bobath intervention and Functional task-oriented intervention are effective in chronic stroke rehabilitation. Whereas when both groups are compared there is very minimal significance changes seen. According to the generated result it can be suggested that these two interventions can be given for stroke patient for better and early recovery and can be included in the stroke rehabilitation treatment protocol. Moreover, Functional task-oriented intervention gives better response and is more effective than Bobath intervention in enhancing walking balance, distance and speed in post-stroke patients.

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