stroke rehabilitation

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stroke rehabilitation

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stroke rehabilitation - May 29, 2007 8:18:00 PM

samki

Posts: 1
Joined: May 27, 2007
Status: offline

hi

i'm on project to evalute the efficacy of swiss ball therapy in improving postural control and balance.can someone guide on relevant exercise regime on swiss ball please?

Post #: 1

RE: stroke rehabilitation - March 9, 2008 11:55:59 AM

annpsu25

Posts: 67
Joined: March 8, 2008
From: PA
Status: offline

Is this project for a stroke patient in general? Or for a patient who had a stroke some time ago? How long ago did they have the stroke? What are their functional limitations?

If this patient has just had a CVA, putting them right on the swiss ball is probably not a good idea to start with. Start with bridging exercises, some core stabilization, then you can progess to guarded exercises on a swiss ball.

More information on this patient would be nice.

(in reply to samki)

Post #: 2

RE: stroke rehabilitation - March 12, 2008 8:40:45 AM

tucker

Posts: 181
Joined: May 24, 2003
From: Texas
Status: offline

Do a thorough lit search on Pubmed with 'swiss ball'. There appears to be evidence on these exercise improving trunk musculature activation, but I did not see any studies looking at efficacy with stroke patients. May be a good project for you and your colleagues to study. Pretty simple if you can find the subjects.

Decide on inclusion/exclusion criteria (higher level patients), some objective tests for pre-post exercise regimen (Timed up and go, Tinetti, 6 minute walk test), then break the subjects into 2 groups...one does typical LE exercises for 4 weeks and the other incorporates swiss ball exercises. Compare the trwo groups.

Here's one to get you started:
Marshall PW, Murphy BA. Core stability exercises on and off a Swiss ball. Arch Phys Med Rehabil. 2005 Feb;86(2):242-9.

(in reply to annpsu25)

Post #: 3