Abstract
Introduction: The instability in movement is one of the most important disorders after stroke. Dynamic Neuromuscular Stability (DNS) exercises can rebuild movement patterns and create postural stability, gravity overcoming, and rising up in these patients by simulating and recalling the growth patterns of a healthy baby in people with neuromuscular issues. Methodology: The present research is semi-experimental with random sampling. Thirty patients with stroke were randomly divided into two experimental (n = 15) and control (n = 15) groups based on their inclusion criteria. The quality of life (SF-36) and performance (Berg Balance Scale (BBS) Test) of samples were measured. DNS exercises were performed in the experimental group for 8 weeks (three sessions per week). The control group did not do the exercises and continued their daily routine activities. The post-test was repeated after eight weeks, similar to the pre-test. Results: There was a significant improvement in performance of samples and some indicators of quality of life (role disorder due to physical health, energy and fatigue, emotional well-being and pain). There was no significant difference in other indicators of quality of life (physical function, role disorder due to emotional health, social function and general health). Discussion and conclusion: DNS exercises were caused an improvement in the performance and quality of life of patients with stroke by calling the motor developmental patterns of healthy infants from birth to one year of age
Highlights
The instability in movement is one of the most important disorders after stroke
Dynamic Neuromuscular Stability (DNS) exercises were caused an improvement in the performance and quality of life of patients with stroke by calling the motor developmental patterns of healthy infants from birth to one year of age
A therapeutic protocol including functional, balance and strengthening exercises based on neuromuscular stability for treatment of these disorders based on theoretical principles derived from the principles of control and learning of movement, status control and principles of muscle strength were developed and implemented in this study
Summary
The instability in movement is one of the most important disorders after stroke. Motor issues are one of the most important symptoms of brain damage in stroke patients. Postural instability and falling is one of the most common problems in patients suffer from stroke (Brown et al, 2002). The main cause of the fall in patients with stroke is disorder in postural stability. Illness, death, major economic losses, and social problems are the symptoms of these patients' falling down (Nelles, et al, 2001). Opara and Jaracz (2010) have shown that the quality of life of these patients greatly decreases with the loss of autonomy of stroke patients and their dependence on others, as well as the pain, health problems, disability in everyday life and social problems (Opara and Jaracz, 2010) Illness, death, major economic losses, and social problems are the symptoms of these patients' falling down (Nelles, et al, 2001). Opara and Jaracz (2010) have shown that the quality of life of these patients greatly decreases with the loss of autonomy of stroke patients and their dependence on others, as well as the pain, health problems, disability in everyday life and social problems (Opara and Jaracz, 2010)
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