The stabilometric evaluation of the impact of neurophysiological physical methods on balance improvement in patients after a stroke
Journal Title: Rehabilitacja Medyczna - Year 2012, Vol 16, Issue 2
Abstract
Introduction: Postural instability and difficulty in maintaining an upright position in patients after a stroke are connected with an impaired schema of the body. As a result, patients are not able to cope with daily activities. NDT-Bobath and PNF methods are commonly used in physiotherapy nowadays. The study aimed at an evaluation of the usefulness of a stabilometric platform in measuring stability and body balance in a standing position as well as the assessment of the impact of the above methods on the improvement of balance in patients after a stroke.Material and methods: Sixty-two patients after an ischemic stroke were included in the study. The patients were randomized to two therapy groups: NDT-Bobath and PNF. To assess the stability of posture and body balance in static conditions (measuring the field of support and COP path length) an ALFA stabilometric platform was used. Results: Before the therapy was conducted a longer COP path and a larger field of support in patients with left-sided paresis were observed, which confirms the increased instability of the body and impaired balance. After the therapy the researchers observed a shorter COP path in patients with right-sided paresis (in both the groups) while there was no such trend in relation to the field of support. After the therapy patients for whom the NDT-Bobath method had been used demonstrated a significantly greater reduction of the COP path and reduction in the area of support.Conclusion: Increased postural instability and impairment of body balance occurred in stroke patients with left-sided paresis. In the physiotherapy of post-stroke patients NDT-Bobath and PNF methods have important therapeutic properties. A significantly greater reduction of the COP path and a large reduction in the area of support were observed in patients treated with the NDT-Bobath method.
Authors and Affiliations
Jolanta Krukowska, Jan Czernicki
Keywords
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