Comparative Study Of Yoga & Physiotherapy Practices To Improve Stability And Balance In Stroke Patients: A Systematic Review
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Abstract
Introduction: Stroke is a cerebral vascular disease caused by the interruption of the blood supply to the brain, cutting off the supply of oxygen and nutrients. With impaired motor and sensory functions, stroke patients suffer from deficits in balance control which plays crucial role in ambulatory function and thus as an important clinical indicator. Balance is defined as the ability to maintain center of mass (COM) within the stability limits, the boundaries of the base of support (BOS). Balance control can be quantified by limit of stability (LOS) test, expressed by movement velocity, displacement excursion, and directional control
Aim: To systematically review all the existing literature of yoga practices and physiotherapy to improve balance and stability in stroke patients.
Objective: There were some objectives to fulfill the set aim; to find out the intervention and its effectivity from two domains-yoga and physiotherapy in stroke patients; to the effect of core stability exercises physiotherapy on patient outcomes after stroke; to see the effectivity of yoga in stroke patients and to see the effectivity of physiotherapy practices in stroke patients.
Materials & Method The study design is a systemic review so there will be no need of participation of subject
However, the search strategy will be comprised of electronic databases Medline (PubMed) Google Scholar, Cochrane, Scopus and Springer. All study was identified and searched as per inclusion which were published in English. Articles were searched by the keywords: physiotherapy and yoga, stroke and balance, yoga practices and balance, yoga and strength, stroke, rehabilitation, hemiparesis and mobility.
Result There were published 203 articles related to physiotherapy and 30 articles of yoga in the current review. After scrutiny of the entire articles at different stages, 10 articles of physiotherapy and 4 articles of yoga were included at the last for review. As, there is scarcity of literature stating effects of yoga on balance in stroke patients. Results showed that asana and pranayama practices are proven to be effective to improve balance in stroke patients.
Conclusion: After reviewing all the existing literature, it has been concluded that yoga and physiotherapy are effective approach to treat number of neuromuscular conditions. Results showed that asanas and pranayama play effective role to improve balance in stroke patients. Core stability exercises of physiotherapy improves trunk control and dynamic balance after stroke who require improvements in trunk control and balance.
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