Popis: |
The purpose of this study was to determine the effects of core stability strength exercises on functional independence in activities of daily living and gait in post stroke patients. This randomized trial was conducted on 36 subacute stroke patients, 19 men (52.8%) and 17 women (47.2%), mean age 65,83±9,42, with more than 1 month and less than 6 months since onset. Trunk control test was used for core stability and for functional independence were used Functional Independence Test and Timed Up and Go Test. There was a statistical difference between the baseline and final score for independence in toileting (p < 0,004), feeding (p < 0,001), dressing upper and lower body (p < 0,001), Trunk control test (p < 0,001), and Timed Up and Go Test (p < 0,000). Also, there was a positive correlation between the increasing of trunk control and ADL independence and walking (p < 0,001), and no differences between men and women and between left and right hemiplegia in the evolution of trunk control and independence in ADLs and walking (p > 0,005). Strength exercises, Kabat diagonals and PNF are efficient in increasing trunk control in hemiplegic patients, leading to a better performance in ADL and walking. Patient gender and stroke location has no influence on the evolution of gait and ADL independence.  |