Influence Of Ankle Proprioceptive Control Program on Postural Control In Subacute Stroke Patients.

Abstract

Purpose: To study the influence of ankle proprioceptive control program on postural control in subacute stroke patients.

Relevance: Stroke is a leading cause of disability. Hence making patient functionally independent is the goal. Primary function of the ankle joint is maintaining postural control against postural disturbance. Hence re-education of ankle joint movement is an important factor in remedying postural control. Not many studies have worked on improving ankle proprioception via exercises and its impact on postural control.

Participants: Total 60 participants were included as per the inclusion and exclusion criteria by random sampling technique.

Methods: In this experimental study, Group A (n=30) Conventional group, Group B (n=30) Experimental group received treatment for 5 days a week for 6 weeks. posttreatment was assessed with Postural Assessment Scale for Stroke (PASS) along with Joint position sense of ankle joints.

Analysis: Data was statistically analysed using student t test.

Result:  Pre and post mean scores of Postural Assessment Scale for stroke group A and Group B. Conventional Training in Group A shows a mean difference of 28.08±2.62 whereas after Ankle proprioceptive program in Group B shows a significant mean difference of 30.39±1.99.

Pre and post mean scores of Postural Assessment Scale for stroke group A and Group B. Conventional Training in Group A shows a mean difference of 5.56±1.23 whereas after Ankle proprioceptive program in Group B shows a significant mean difference of 4.47±1.23 leading to significant decrease in joint position sense errors.

Conclusion: The study concludes that ankle proprioceptive control program on postural control in subacute stroke patients is more effective.

Implications: Improving postural control and joint proprioception of ankle helps in gaining patient’s confidence as it avoids the risk of fall thus helping the patient gain independence. This study has worked on improving ankle proprioception via exercises as it will be cost effective as well as can be performed easily.