Physiotherapy

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https://dspace.alquds.edu/handle/20.500.12213/7168

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Browsing Physiotherapy by Author "Amani Mohammed Shaker Abuassba"

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    Reactive and Proactive Balance Training effects on Balance and Functional Performance among chronic stroke Survivors
    (Al-Quds University, 2024-05-28) Amani Mohammed Shaker Abuassba; أماني محمد شاكر أبو عصبه
    Background: Falling is a serious problem after a stroke that leads to loss of function and independence. Balance training is one of the most important elements that we need to focus on with our treatment plan for chronic stroke Patients. Most physical therapy interventions utilize proactive balance training, which is an anticipatory and self-initiated approach of strength and balance exercises to improve balance for the prevention of falls. Reactive balance training, on the other hand, is the practice of responses to unexpected perturbations that cause losses of balance, such as a slip, trip, or nudge. This study will highlight the effects of proactive and reactive training among chronic stroke patients. Methods: This Randomized control trial (RCT) study consisted of 40 chronic stroke patients and was allocated randomly into 2 groups, the intervention group n=20 had reactive-balance training, and the control group n=20 had proactive balance training, the two groups were blinded. This study used the following outcome measures: Fall Efficacy Scale (FES), Time Up & Go (TUG), 10 Meters Walking Test (10MWT), Tinetti Balance Assessment, Mini-BEST, and 2 Minute Walking Test /(2MWT). The outcome measures were measured on all participants at pre- and post. Results: There was a statistically significant difference at baseline between groups in FES, 10MWT, Tinetti Balance Assessment, and 2MWT. which means that the proactive balance training group was more severe than the reactive balance training group. Both interventions statistically and significantly improved between pre and post-treatment in all of the outcome measures (p<0.05). and at post-treatment, there was a statistically significant difference between groups in favor of the reactive balance training group. The main predictors of FES were FES Pre, Type of intervention, Age, 10 MWT, and duration between D.O.S and D.O.A. The TUG predictors were TUG Pre, 10MWT Pre, and Age. The primary predictors for 10MWT were 10MWT Pre, Age, and Gender, while the Tinetti predictors were Tinetti pre, and Gender, and the primary predictors of Mini BEST were Mi-BEST Pre, Type of intervention, Tinetti pre, and Affected Side. While the 2MWT predictors were recurrent stroke. There was a positive correlation between FES and TUG, and Tinetti, and there was a positive correlation between TUG and 10MWT and Mini-BEST (p<0.05). Conclusion: Reactive balance and proactive balance training significantly improve balance and functional performance among stroke survivors. Reactive balance training was superior than proactive balance training in improving Balance and functional outcome.