Effects of Manual Stretching and Joint Mobilization with Neurodevelopmental Treatment in Improving Functional Mobility Among Stroke Patients

Abstract

Background: Stroke is classically characterized as a neurological deficit attributed to an acute focal lesion of the central nervous system (CNS) due to a vascular cause, which includes cerebral infarction, intracerebral hemorrhage (HIC) and subarachnoid hemorrhage (SAH) and is an important cause of disability and death worldwide. Objective: The main objective of the study was to determine the effects of manual stretching and joint mobilization with the treatment of neurological development to improve functional mobility among stroke patients. Methodology: Twenty-four subjects from the Shalamar hospital aged between 35 and 65 were considered after 2 weeks of stroke. Manual stretching and joint mobilization techniques have been applied with neurodevelopment techniques to analyze functional improvement among stroke patients. The pre-evaluation was carried out using the Berg equilibrium scale, Ashworth scale and Time up and Go (TUG). Each patient underwent 30 treatment sessions, 5 days a week. Patients were re-evaluated on the same scales after treatment. Data was analyzed using SPSS. Results: The paired sample t-test was used to see the effects of manual stretching and joint mobilization with neurodevelopment treatment to improve functional mobility among stroke patients. 24 patients received treatment with 30 sessions, 5 days a week. There was a significant improvement in their functional mobility. Their spasticity was also reduced. There was also a significant improvement in their cognitive abilities. Conclusion: The study concluded that techniques of manual stretching and joint mobilization with neurological development treatment show a significant improvement in functional mobility among stroke patients. Keywords: Stroke, Manual stretching, joint mobilization, neurodevelopmental techniques, functional mobility