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ORIGINAL ARTICLE
Year : 2021  |  Volume : 5  |  Issue : 2  |  Page : 38-42

Immediate effects of toe spreader on balance in subacute and chronic stroke patients


1 Neurophysiotherapy Department, Sancheti College of Physiotherapy, Sancheti Healthcare Academy, Pune, Maharashtra, India
2 Sancheti Institute of Orthopaedic Rehabilitation, Pune, Maharashtra, India

Correspondence Address:
Dr. Dinesh Gulab Chavhan
Neurophysiotherapy Department, Sancheti College of Physiotherapy, Sancheti Healthcare Academy, 11/12, Thube Park, Shivajinagar, Pune 411005, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jsip.jsip_1_21

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Background: Stroke is one of the commonest neurological disorders causing functional disability. Toe spreader is proven to improve gait in these patients but a study of its effect on balance was yet to be performed. Objective: The purpose of the study was to find out effect of toe spreader on functional and dynamic balance in subacute and chronic stroke patients. Materials and Methods: Thirty subjects were recruited in the study. Balance assessment was performed using Berg Balance Scale for functional and timed up and go test for dynamic balance. Both being tested first without the toe spreader and then immediately after toe spreader application and documented, respectively. Results: This study found out that around 87% of the subjects showed a reduction in time in the timed up and go test scores post-usage of toe spreader, whereas all subjects showed an enhancement in the total berg balance scale score. Paired t test was used for parametric data analysis whereas Wilcoxon signed rank test was used for non-parametric data analysis (level of significance being *P ≤ 0.05). The obtained *P value for Berg Balance Scale was 0.000 and timed up and go test was 0.001. Conclusion: The conclusion drawn from the results of this study is that toe spreader has a significant effect on improving the balance in subacute and chronic stroke patients.


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