The influence of the deep muscle training on postural control and muscle tone among stroke patients. Preliminary observations

摘要

Introduction: An ischemic stroke is one of the most common causes of disability among adults. The results of a stroke incident are: abnormal muscle tension, free movement and postural control dysfunction, walking disturbances, body asymmetry. They contribute to the significant changes in the proper functioning in daily life. The aim of the project was to assess the influence of the exercises that activate deep body muscles on the postural control and muscle tension among people after ischemic stroke. Material and methods: The study included 18 patients (7 women and 11 men) after ischemic stroke with hemiparesis. Those patients was divided into two groups: research group (RG): 9 patients (average age 61,33), time from the stroke: 2 months to 4 years, control group (CG): 9 patients (average age 69,56), time from the stroke: 2 months to 4 years. RG was following the standard exercise program and additionally was performing exercises which activate deep body muscles. CG was following only the standard therapy program. PUM chair was used for deep muscles exercises. The posture control was assessed according to the Postural Assessment Scale for Stroke Patient and the muscle tension was assessed according to the Ashworth scale. Results: In the study group after deep muscle training reported a significant correlation between muscle spasticity of the lower and changes in body position. Conclusions: Obtained results indicate on the need to introduce deep muscles therapy in the reeducation of postural control among patients with hemiparesis and to continue research on more extensive group of patients.