Effectiveness of dynamic neuromuscular stabilization and motor relearning programme on lumbo pelvic stability in subjects with hemiplegic stroke

Dynamic neuromuscular stabilization treatment approach is based on developmental kinesiology that includes development of human motor function in early childhood is genetically pre-determined and follows a predictable pattern. Motor relearning programme is based on task and involves the training of muscle activity, functional movement of the affected limbs, and prevention of compensatory activity by either the affected or the intact side.

The purpose of this study was to investigate the effect between dynamic neuromuscular stabilization and motor relearning programme on lumbo pelvic stability in subjects with hemiplegic stroke.

The study was conducted on chronic hemiplegic patients from the community and SGT Hospital and Research centre, Gurugram. It was a prospective comparative experimental design and convenient sampling was done. It was a 4 weeks study. A total number of 22 subjects were divided into two groups, Group A – DNS (n=10) Group -B MRP (n=12).

the trunk impairment scale (TIS), Mini-BESTest and Functional independent measure (FIM) was used for trunk dysfunction, balance, ambulation and functional independence respectively and data were taken at baseline (before beginning the treatment), and at the end of 2^nd and 4^th week treatment.

Repeated measure ANOVA revealed that both DNS and MRP training significantly improved the trunk stability, functional independence, balance and ambulation. t – test revealed that there was no significant difference.

The result suggests that DNS and MRP both are equally effective to improve lumbopelvic stability.