理学療法と理学リハビリテーションのジャーナル

A Study on the Effect of Modified Hold Relax Technique on Stair Ambulation in Stroke Patients

Abstract

Sabita Suwal, Prem Kumar BN

Objective:

The aim of this study was to evaluate the effectiveness of Modified hold-relax on stair ambulation in stroke patients.

Methods:

In this study, 35 stroke patients were recruited based on the inclusion criteria. The the rapist performed Modified hold-relax for quadriceps i.e.4 repetitions in each session, 5 days a week for 4 weeks, total of 20 sessions. Quadriceps tightness wasassessed using Duncan-Ely’s test, the impact of stroke in individual’s health and life was analyzed using Stroke Impact Scale (SIS) and ability to ambulate the stairs efficiently was analyzed by Timed Up and Down Stairs test (TUDS) before and after the intervention.

Results:

In this study, there was mean difference of 69.63±15.50 in pre-test and 105.94±11.80 in the post-test score of Duncan-Ely’s test i.e.62.9% improvement. There was mean difference of 113. 80 ± 37.27 in pre-testand76.63±27.88 in post-test of TUDSi.e.31.4% improvement and mean difference of 38.69 ± 11.86 in pre-test and 54.94 ±10.35 in post-test of SIS i.e.48.7% improvement.

Conclusion:

Modified hold-relax technique for knee extensors had a positive effect in improving stair ambulation in stroke patients.