Effect of Tilt Table Training on Balance among Subjects with Basal Ganglia Bleed: A Pilot Study

Surendra Kumar Rajbanshi, D. Joshi
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Abstract

Background: Basal ganglia bleed is a major cause of disability with 40% subjects suffering frommoderate to severe disability. Among different treatments, mobilization on a tilt-table and functionaltraining, which consisted of strengthening and stretching exercises of the limbs, postural control trainingin sitting and standing positions, therapist-guided techniques for facilitating normal movement, andsimple forward stepping might have effect on balance in subjects with Basal ganglia bleed.Objective: To see the effect of tilt table mobilization and functional training on balance in subjects withbasal ganglia bleed.Methodology: 10 subjects within age group of 18-65 years diagnosed with Basal ganglia bleed wereincluded in the study based on inclusion and exclusion criteria. After measuring the baseline data,subjects were given mobilization on tilt table and functional training 30 minutes per session 5 days aweek for 6 weeks. Pre and post measures of balance were assessed using dynamic gait index (DGI).Results: Mobilization on tilt table and functional training on balance in subjects with basal gangliableed showed statistically significant improvement in balance (p<0.05) on paired t test.Conclusion: Tilt table training can be beneficial for improving balance in subjects with basal gangliableed.
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倾斜台训练对基底神经节出血受试者平衡的影响:一项初步研究
背景:基底神经节出血是导致残疾的主要原因,40%的患者患有中度至重度残疾。在不同的治疗方法中,倾斜桌上的活动和功能训练,包括肢体的加强和伸展练习,坐姿和站姿的姿势控制训练,治疗师指导的促进正常运动的技术,简单的向前踏步可能对基底神经节出血患者的平衡有影响。目的:观察倾斜台活动和功能训练对基底神经节出血患者平衡能力的影响。方法:根据纳入和排除标准,在18-65岁年龄组中诊断为基底神经节出血的10例受试者被纳入研究。测量基线数据后,受试者在倾斜台上进行活动和功能训练,每次30分钟,每周5天,持续6周。使用动态步态指数(DGI)评估前后平衡测量。结果:经配对t检验,基底神经节变异性受试者在倾斜台活动和平衡功能训练后平衡性改善有统计学意义(p<0.05)。结论:倾斜台训练有助于改善基底神经节变性患者的平衡能力。
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