Effects of clock turn strategy on improving turning ability, dynamic balance and fear of fall in stroke patients
Jerika Uttangi
, DR.R.M.Singaravelan
Clock Turn Strategy, Middle Cerebral Artery Stroke, Turning Ability, Dynamic Balance, Fear of Fall.
Background: Stroke is the sudden loss of neurological function caused by lack of blood flow to the brain and it is the second most common cause of death and disability worldwide. Falls related with turning is common in stroke survivors and fall injuries during turning tasks are 8 times more common than walking straight forward. It is of utmost importance to understand the strategies for turning among this physically challenged population in order to identify what rehabilitation strategies should be. The capability to change walking direction such as turning is compromised in chronic stroke survivors that may put them at risk of falls and limitations in ADL. The clock turn strategy aims to reduce gait disturbances, improve Turning Ability and Dynamic Balance when turning in a narrow space such as bathroom or corridor. Objective: The aim is to find out the effect of Clock Turn Strategy on turning ability, dynamic balance and fear of fall in stroke patients. Methodology: A convenient sampling of 26 middle cerebral artery stroke patients including male and female patients were taken from medicine department, Pravara Rural Hospital. The patients were assessed for Turning Ability, Dynamic Balance and Fear Of Fall using ‘Timed Up And Go Test’, ‘180° Turn Test’, ‘Berg Balance Scale’ and ‘Fall Efficacy Scale’. They were given the Clock Turn Strategy for 4 weeks thrice a week. After the therapy, post assessment was done. Results: Clock Turn Strategy showed highly significant increase in Turning Ability [number of steps t=5.82(right) ‘t’=3.73(left), time taken ‘t’=2.76(right), ‘t’=2.22(left)], Dynamic Balance(‘t’=2.94, )and (‘t’=2.82), and reduction in Fear Of Fall(‘t’=3.24) after giving the protocol for 4 weeks. The ‘p’ value for all the outcome measure was p=0.001. Discussion and conclusion: The present study concluded that there is a significant improvement in Turning Ability, Dynamic Balance and Fear of Fall when given the Clock Turn Strategy along with the conventional physiotherapy treatment in the patients with Middle Cerebral Artery stroke. Key words: Clock Turn Strategy, Middle Cerebral Artery Stroke, Turning Ability, Dynamic Balance, Fear of Fall.
"Effects of clock turn strategy on improving turning ability, dynamic balance and fear of fall in stroke patients", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.5, Issue 2, page no.393 - 400, February-2020, Available :https://ijsdr.org/papers/IJSDR2002068.pdf
Volume 5
Issue 2,
February-2020
Pages : 393 - 400
Paper Reg. ID: IJSDR_191396
Published Paper Id: IJSDR2002068
Downloads: 000347531
Research Area: Biological Science
Country: Ahmednagar, Maharashtra, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
