The effects of physical therapy on exaggerated muscle tonicity, balance and quality of life on hemiparetic patients due to stroke

J Pak Med Assoc. 2013 Jun;63(6):735-8.

Abstract

Objective: To determine the effects of physical therapy on balance, exaggerated muscle tonicity and quality of life on patients with hemiparesis.

Methods: This quasi-experimental study was conducted in 2011 among male hemiparetic patients secondary to stroke, at a physiotherapy centre in Neyshabur, Iran. Twenty-four patients were randomly assigned to two equal groups representing the cases and the controls.The cases were assigned to do the practical protocol for 4 weeks.To collect the data, Berg Balance Scaling, Modified Ashworth Scale, Barthel Activities of Daily Living Index and demographic questionnaires were used. Paired and un-paired t-tests were used to analyse data. All analyses were done on SPSS 16.

Results: The two groups were similar before intervention. Post-test analysis showed that the average balance and quality of life significantly improved (p<0.001) among the cases, and the quadriceps muscle tonicity decreased (p<0.001). Among the controls, there was no significant change between pre-test and post-test readings.

Conclusions: Physical therapy can enhance balance and quality of life of hemiparetic patients and reduces their exaggerated muscle tonicity.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Activities of Daily Living
  • Adult
  • Follow-Up Studies
  • Humans
  • Incidence
  • Iran / epidemiology
  • Male
  • Middle Aged
  • Muscle Tonus / physiology*
  • Paresis / etiology
  • Paresis / physiopathology
  • Paresis / rehabilitation*
  • Physical Therapy Modalities*
  • Postural Balance / physiology*
  • Quality of Life*
  • Recovery of Function / physiology
  • Stroke / complications*
  • Stroke / epidemiology
  • Surveys and Questionnaires
  • Treatment Outcome