Efficacy of selective trunk activity in improving trunk control in hemiplegic patients

Background and objective: Trunk control is a crucial component to perform motor function and also to maintain good posture. Trunk gives background for moving upper limbs and lower limbs. The objective of this study was to find out the effectiveness of selective trunk activities in rehabilitation of hemiplegia. Methods: It is a pre and post experimental design. 30 patients have participated and were divided into two equal groups. i.e, experimental and control group, with 15 subjects in each group. Experimental group received routine neuro-rehabilitation along with selective trunk activities, whereas, control group received only routine neuro-rehabilitation program. Pre and post assessment of trunk balance and impairment was measured by using Trunk Impairment Scale (TIS) and Rivermead Motor Assessment Protocol (RMAP). Results: Before the treatment mean values of both control and experimental groups were approximately equivalent There was a significant increase in the mean value of the TIS and RMAP in the experimental group than that of the control group. Conclusion: Posture and stability are the key factors in maintaining proper balance of the trunk. Hence, selective trunk activity has a significant improvement in trunk balance and postural stability and could be considered as an important part in rehabilitation of hemiplegia.