Tag: Rajarajeswari. A

Targeted hip adductor training in improving weight transfer and sit-to-stand performance in hemiplegic patients

Keerthana.R, Rajarajeswari.A

Keerthana.R, Rajarajeswari.A – Targeted hip adductor training in improving weight transfer and sit-to-stand performance in hemiplegic patients –  Fizjoterapia Polska 2025; 25(3); 381-386

DOI: https://doi.org/10.56984/8ZG7D19F5HY

Abstract
Background. Individuals with stroke bear only 25%–43% of their body weight on the affected side while standing. Reduced activity of hip muscles may impair weight-bearing capacity, movement efficiency, and functional mobility. While hip abductors are more commonly researched, hip adductors remain less studied.
Aim. To evaluate the effectiveness of targeted hip adductor training in improving weight transfer and sit-to-stand performance in hemiplegic patients.
Methods. Forty hemiplegic patients with asymmetrical weight transfer and impaired sit-to-stand performance (Motor Assessment Scale [MAS] sit-to-stand grade ≤ 2) were included and assigned to either a control or intervention group. Both groups received conventional physiotherapy, while the intervention group also performed additional hip adductor training. Weight transfer and sit-to-stand performance were assessed before and after 10 days of intervention using two weighing machines and MAS component 4.
Results. Both groups showed significant improvement in weight transfer and sit-to-stand performance. However, the intervention group demonstrated significantly greater improvement compared to the control group (p < 0.05).
Conclusion. Targeted hip adductor training is effective in improving weight transfer on the affected side and sit-to-stand performance, supporting motor re-education in hemiplegic patients.
Key words
hemiplegic patients, targeted hip adductor training, weight transfer, sit-to-stand performance
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Impact of targeted trunk training on bed mobility in stroke patients

Indhu. M, Rajarajeswari. A

Indhu. M, Rajarajeswari. A – Impact of targeted trunk training on bed mobility
in stroke patients –  Fizjoterapia Polska 2025; 25(3); 259-264

DOI: https://doi.org/10.56984/8ZG7D19I16E

Abstract
Background. Stroke usually results in unilateral motor deficits in the upper and lower extremities, but its impact on trunk muscles is bilateral due to their architecture. The muscles on one side rely on the stability of the other side. While most literature focuses on improving hemiplegic limb function, the trunk is often overlooked. Impaired trunk control affects bed mobility, which is one of the basic functions that must be achieved before progressing to other activities. Early rehabilitation plays a crucial role in maximizing neuroplasticity and spontaneous recovery, leading to better outcomes.
Aim. To evaluate the impact of targeted trunk training on bed mobility in stroke patients.
Methods. Forty acute hemiparetic stroke patients with impaired bed mobility (Motor Assessment Scale [MAS] supine to side-lying grade ≤ 3) were included in this study and assigned to either a control or interventional group. Both groups underwent conventional physiotherapy, but the interventional group received additional trunk training. Bed mobility was assessed before and after 10 days of intervention using MAS components 1 and 2 and STREAM (Stroke Rehabilitation Assessment of Movement) component 5.
Results. Both groups showed significant improvement in bed mobility. However, the interventional group demonstrated much better improvement than the control group (p < 0.05).
Conclusion. Targeted trunk training significantly improved bed mobility compared to conventional physiotherapy in acute stroke patients.
Keywords
bed mobility, targeted trunk training, stroke, rehabilitation
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