Abstract

Introduction: Physiologically stroke is an acute, focal injury of the central nervous system of a vascular origin, contributing to a local or systemic neurological insult. Stroke one side of the upper and lower limbs are affected but trunk muscle are affected on both sides leading to insufficient trunk rotation and difficulty in maintain balance. Restoration of trunk control and balance is one of the important goals in rehabilitation of stroke patients. Neuro developmental therapy (NDT) is one of the preferred methods of stroke rehabilitation, also known as bobath concept. With the fine control and proper weight transfer, it is possible to secure and protect the body in upright posture and in the achievement distal functional movements. Purpose of Study: In comparison to limb muscles weakness, trunk muscle are also impaired in both ipsilateral and contralateral side of the body, thus weakness of the trunk muscle leads to loss of balance, stability and increase functional disability. This limits the patient’s activities, such as rolling in bed, transferring, putting on a shirt and bending to reach his feet to put on shoes and socks, etc. So my aim is to focus on the trunk function and balance in stroke patient in order to eliminate individual trunk impairment affecting various functions performed by the patients. Hence the purpose of the study to evaluate the effectiveness of the stroke patient. Methodology: Total 15 patients were included in the study by simple random sampling method. Group A (Experimental group) was received bobath approach and core stability training exercises. Conclusion: Bobath approach along with core stability training shows more improvement in trunk function and sitting balance after 4 week therapy.

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