Type of Article : Case Report
Year: 2015 | Volume 3 | Issue 6 | Page No. 1284-1287
Date of Publication: 11-12-2015
DOI: 10.16965/ijpr.2015.192
DUAL TASK COGNITIVE PERFORMANCE ALONG WITH CONVENTIONAL PHYSIOTHERAPY TREATMENT ON GAIT PARAMETERS IN PATIENTS WITH ISCHEMIC STROKE: A CASE REPORT
Pooja Kumari Digra *1, Manoj Kumar Deshmukh 2, Divya Midha 3, Yogita Verma 4, Senthil P Kumar 5.
*1 MPT Neurology student, MM Institute of Physiotherapy and Rehabilitation, MM University, Mullana, Ambala, Haryana, India.
2,3,4 Assistant Professor, MM Institute of Physiotherapy and Rehabilitation, MM University, Mullana, Ambala, Haryana, India.
3 Professor and Princial, MM Institute of Physiotherapy and Rehabilitation, MM University, Mullana, Ambala, Haryana, India.
E-Mail: drpoojadigra@gmail.com
Various motor and sensory deficits prevail in stroke patients which have significant effect on their walking ability, which further affects overall independence of the patient in daily activities. Cognitive task performance along with the conventional physiotherapy treatment may cause profound effect on various gait parameters in stroke. The main purpose of the study is to evaluate the effects of dual task training along with conventional physiotherapy on gait parameters in patients with ischemic stroke. Assessment and treatment was given at baseline and after 6 weeks. Before and after intervention spasticity was measured by Modified Ashworth Scale (MAS), Functional performance by Dynamic Gait Index (DGI) and Gait Parameters. The finding of the study showed that there was improvement in functional performance but not in spasticity.
KEY WORDS: Sub acute ischemic stroke, Dual task cognitive training, Gait parameters, Dynamic Gait Index (DGI).
References
- Sacco RL, Kasner SE, Broderick JP, Caplan LR, Connors JJ, Culebras A et al. An updated definition of stroke for the 21st century: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(7):2064-89.
- Wang Q. Stroke Rehabilitation in China Today. Int J Phys Med Rehabil 2014;S3’005.1-09.
- Prasad K, Singhal KK. Stroke in young: an Indian perspective. Neurol India. 2010;58(3):343-50.
- Vij, S and Multani, N.K. Efficacy of Neuro - Developmental Therapy Based Gait Training in Correction of Gait Pattern of Post Stroke Hemiparetic Patient. JESP. 2012;8(1):30-38.
- Yavuzer. G. Walking After Stroke. Jpmrs. 2007;10(1):001-008.
- Kaur J, Kumar A. Effect of Task-Specific Training on Gait Parameter in Hemiparetic Stroke Patients. IJPMR. 2009;20(1):23-26.
- Silsupadol P, Siu KC, Shumway-Cook A, Woollacott MH. Training of balance under single and dual task conditions in older adults with balance impairment. Phys Ther. 2006;86(2):269-81.
- Plummer-D'Amato P, Kyvelidou A, Sternad D, Najafi B, Villalobos RM, Zurakowsk D. Training dual-task walking in community-dwelling adults within 1 year of stroke: a protocol for a single-blind randomized controlled trial. BMC Neurol. 2012;12:129.
- Blackburn M, van Vliet P, Mockett SP. Reliability of measurements obtained with the modified Ashworth scale in the lower extremities of people with stroke. Phys Ther. 2002 Jan;82(1):25-34.
- Gregson JM, Leathley M, Moore AP, Sharma AK, Smith TL, Watkins CL. Reliability of the Tone Assessment Scale and the modified Ashworth scale as clinical toolsfor assessing poststroke spasticity. Arch Phys Med Rehabil 1999Sep;80(9):1013-6.
- Holden MK, Gill KM, Magliozzi MR, Nathan J, Piehl-Baker L. Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther. 1984;64(1):35-40.
- Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007;88(11):1410-5.
- Silsupadol P, Siu KC, Shumway-Cook A, Woollacott MH. Training of Balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther. 2006;86(2):269-81.
- Geiger RA, Allen JB, O'Keefe J, Hicks RR. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/ forceplate training. Phys Ther. 2001;81(4):995-1005.
- An HJ, Kim JI, Kim YR, Lee KB, Kim DJ, Yoo KT, Choi JH. The effect of various dual task training methods with gait on the balance and gait of patients with chronic stroke. J Phys Ther Sci. 2014;26(8):1287-91.
- Kim GY, Han MR, Lee HG. Effect of Dual-task Rehabilitative Training on Cognitive and Motor Function of Stroke Patients. J Phys Ther Sci. 2014;26(1):1-6.
Pooja Kumari Digra, Manoj Kumar Deshmukh, Divya Midha, Yogita Verma, Senthil P Kumar. DUAL TASK COGNITIVE PERFORMANCE ALONG WITH CONVENTIONAL PHYSIOTHERAPY TREATMENT ON GAIT PARAMETERS IN PATIENTS WITH ISCHEMIC STROKE: A CASE REPORT. Int J Physiother Res 2015;3(6):1284-1287. DOI: 10.16965/ijpr.2015.192