Efficacy of Swiss Ball Exercises Versus Kinesthetic Training for Improving Balance and Functional Mobility in Chronic Stroke Patients
Stroke is one of the leading causes of long-term disability and commonly results in impaired balance, reduced trunk control, and difficulty in functional mobility. Chronic stroke patients often experience limitations in daily activities due to poor postural stability and decreased motor coordination. Various rehabilitation approaches are used to improve balance and mobility, among which Swiss ball exercises and kinesthetic training are considered beneficial interventions. The purpose of this randomized controlled trial is to compare the effectiveness of Swiss ball exercises versus kinesthetic training in improving balance and functional mobility in patients with chronic stroke. A total of 36 participants diagnosed with chronic stroke for more than six months will be recruited and randomly allocated into two groups. Group A will receive Swiss ball exercises focusing on trunk stability, coordination, and balance control, while Group B will receive kinesthetic training aimed at improving proprioception, sensory feedback, and motor control. The intervention program will continue for 8 weeks under the supervision of qualified physiotherapists in the Physiotherapy Department of Shalimar Health Centre. Balance and functional mobility will be assessed before and after the intervention using the Berg Balance Scale (BBS) and Timed Up and Go (TUG) test. This study aims to determine which intervention is more effective in enhancing balance and mobility in chronic stroke patients and may help improve rehabilitation strategies for stroke recovery.
• Patients diagnosed with stroke for past 6 or more then 6 months both sides (R, L).
• Age: 45-65 years . Absence of cognitive impairment ( Mini Mental State Examination Score \>23). Able to follow 3 step command. Medically stable. Both genders. Who can manage to come to the medical centre. Who score 21-50 on berg balance scale (BBS). Able to participate in the exercise program. Who don't have any cardiovascular or musculoskeletal problem.