Year: 2025 | Month: March | Volume: 15 | Issue: 3 | Pages: 187-196
DOI: https://doi.org/10.52403/ijhsr.20250328
The Effects of Intensive Multiplanar Trunk Training Coupled with Dual Task Exercises on Mobility and Fall Risk in Patients with Subacute Stroke Survivors: A Randomized Control Trial
Yashashwini R S1, Dr. Rajendra Kachhwaha2
1Post Graduate Physiotherapy student,2Principal& Professor
NarayanaHrudayalaya Institute of Physiotherapy, Bommasandra, Bengaluru
Corresponding Author: Dr. Rajendra Kachhwaha
ABSTRACT
BACKGROUND: Stroke is the leading cause of long-term disability and the second leading cause of death worldwide. The first month after a stroke is a vital period since the brain goes through major plastic changes during this time. The trunk being the central key point of the body, proximal trunk control is a prerequisite for distal limb movement control, balance and functional activities. Dual task training aims to improve the ability to do two or more things simultaneously and thus reduce the risk of falling. Diagonal pattern training is one of the trunk rehabilitation training methods that improve the movement, trunk asymmetry, flexibility, and strength provided by various planes.
OBJECTIVE: To find the effectiveness of intensive multiplanar trunk training coupled with dual task exercises to improve mobility and reduce the fall risk in subacute stroke patients.
METHOD: 46 stroke survivors were apprehended and randomly assigned to experimental and control groups. 23 people were divided into each group, which underwent intensive multiplanar trunk training coupled with dual task exercises conjunction with conventional physiotherapy and conventional therapy and dual task exercises respectively. For three months, both groups had training for 70 minutes per day, five days per week. Utilizing the stroke impact scale -16 and fall efficacy scale international as outcome measures, treatment effects were documented.
RESULTS: The difference between the pre- and post-test results between the groups for mobility and fall risk are both deemed to be significant for Independent T-Test.
We observed significantly increased mean SIS-16 scores from baseline to 3 months post treatment In the experimental group, outcome measure showed significant and clinically meaningful results. Fall risk between groups was significantly reduced at 3months.
CONCLUSION: Intensive multiplanar trunk movements coupled with dual-task practice promoted functional recovery in patients with stroke, reduced fall risk, and improved independent mobility.
Key words: Subacute stroke, Intensive multiplanar trunk training, Dual task, Stroke impact scale -16, Fall efficacy scale international.