Abstract
Objective To determine the influence of adding maze control training to the selected conventional physical therapy on kinesthetic awareness in patients with chronic stroke. Methods Thirty adult patients of both genders with chronic cerebral stroke were assigned to control and experimental groups randomly: the control group (A) received the selected conventional physical therapy rehabilitation program, while the experimental group (B) received the same program as group A in addition to the maze control training. Measurements for sway index, risk of fall, and knee proprioception before and after 8 weeks of treatment (24 sessions; three times per week). Results There were significant decreases of both sway index and risk of fall in both groups (p ≤ 0.001 in all measures), significant improvements of the knee proprioception in 30° and 75° in the experimental group (p value = 0.016 and ≤0.001, respectively). The in-between groups' comparison showed significant differences corresponding to both the sway index and risk of fall (p ≤ 0.001), and a significant difference in 75° (p ≤ 0.001). Conclusion Adding maze control training to the selected conventional physical therapy improved the kinesthetic awareness in patients with chronic stroke.
Highlights
Most patients with chronic stroke have postural instability in both static and dynamic positions resulting in difficulty in walking activities and a high tendency of falling, which lead to difficulties in activities of daily living [1]
Mixed MANOVA was conducted to investigate the effect of treatment on sway index, risk of fall, and knee proprioception
There was a significant effect of treatment, the interaction effect of treatment and time, the interaction effect of treatment and groups, and the interaction effect of treatment, groups, and time (p ≤ 0:001, and partial eta squared = 0:991, 0.55, 0.394, and 0.394, respectively)
Summary
To determine the influence of adding maze control training to the selected conventional physical therapy on kinesthetic awareness in patients with chronic stroke. Thirty adult patients of both genders with chronic cerebral stroke were assigned to control and experimental groups randomly: the control group (A) received the selected conventional physical therapy rehabilitation program, while the experimental group (B) received the same program as group A in addition to the maze control training. Measurements for sway index, risk of fall, and knee proprioception before and after 8 weeks of treatment (24 sessions; three times per week). There were significant decreases of both sway index and risk of fall in both groups (p ≤ 0:001 in all measures), significant improvements of the knee proprioception in 30° and 75° in the experimental group (p value = 0.016 and ≤0.001, respectively). Adding maze control training to the selected conventional physical therapy improved the kinesthetic awareness in patients with chronic stroke
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