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Papers by Kiran Prakash Pappala

Research paper thumbnail of Effectiveness of Trunk Training Exercises Versus Swiss Ball Exercises for Improving Sitting Balance and Gait Parameters in Acute Stroke Subjects

International journal of physiotherapy, Dec 1, 2015

Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ba... more Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ball exercises in acute stroke subjects. Trunk is often neglected part in the stroke rehabilitation, trunk training exercises and Swiss ball exercises result in better recruitment of trunk muscles thus improving sitting balance and gait parameters in acute stroke subjects. However literature evidences for trunk training exercises and Swiss ball exercises in improving sitting balance and gait are scarce in acute stroke population. Methods: A total of 60 subjects who met the inclusion criteria were recruited from department of physiotherapy, G.S.L general hospital and were randomly allocated into 2 groups with 30 subjects in each group. Initially all of them were screened for balance and gait using trunk impairment scale and by assessing gait parameters, after that they were given a 30min of trunk training and Swiss ball exercises for 5 days a week for 4 weeks. Both the groups received conventional physiotherapy for 4 weeks. Results: Post intervention there was no significant difference between the two groups. There was improvement post treatment in trunk training group (P<0.04) and Swiss ball group (P<0.03). The level of significance between groups was (P >0.5). Conclusion: The results had shown that both groups noted significant difference. But when comparing between these two groups there is no statistical significance noted. So this study concluded that there is no significant difference between trunk training exercises and Swiss ball exercises on sitting balance and gait parameters in subjects with stroke.

Research paper thumbnail of Effectiveness of Trunk Training Exercises Versus Swiss Ball Exercises for Sitting Balance and Gait Parameters in Acute Stroke Subjects

International Journal of Physiotherapy, 2015

Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ba... more Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ball exercises in acute stroke subjects. Trunk is often neglected part in the stroke rehabilitation, trunk training exercises and Swiss ball exercises result in better recruitment of trunk muscles thus improving sitting balance and gait parameters in acute stroke subjects. However literature evidences for trunk training exercises and Swiss ball exercises in improving sitting balance and gait are scarce in acute stroke population. Methods: A total of 60 subjects who met the inclusion criteria were recruited from department of physiotherapy, G.S.L general hospital and were randomly allocated into 2 groups with 30 subjects in each group. Initially all of them were screened for balance and gait using trunk impairment scale and by assessing gait parameters, after that they were given a 30min of trunk training and Swiss ball exercises for 5 days a week for 4 weeks. Both the groups received conventional physiotherapy for 4 weeks. Results: Post intervention there was no significant difference between the two groups. There was improvement post treatment in trunk training group (P<0.04) and Swiss ball group (P<0.03). The level of significance between groups was (P >0.5). Conclusion: The results had shown that both groups noted significant difference. But when comparing between these two groups there is no statistical significance noted. So this study concluded that there is no significant difference between trunk training exercises and Swiss ball exercises on sitting balance and gait parameters in subjects with stroke.

Research paper thumbnail of Effect of Body Weight Support Treadmill Training on Gait and Standing Balance in Patients With Hemiplegia

Hanyang Physica1 Medicine & Rehabilitation Clinic Body weight support treadmill training is a new... more Hanyang Physica1 Medicine & Rehabilitation Clinic Body weight support treadmill training is a new and promising therapy in gait rehabilitation of patients with hemiplegia. The purpose of this study was to identify the effects of body weight support treadmill training on gait and standing balance in patients with hemiplegia. Eighteen patients with hemiplegia participated in the study. A 10 m-timed walk test, measurements of step length and standing balance score were administered. Intervention consisted of body weight support treadmill training five times a week for 2 weeks. The data were analyzed by paired t-test. Body weight support treadmill training scoring of standing balance, step length and 10 m-timed walk test showed a definite improvement. Body weight support treadmill training offers the advantages of task-oriented training with numerous repetitions of a supervised gait pattern. The outcomes suggest that patients with hemiplegia can improve their gait ability and standing balance through body weight support treadmill training.

Research paper thumbnail of Effects of 90/90 Bridge with Ball and Balloon Exercise on Lung Volumes and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2021

Background: Chronic obstructive pulmonary disease is the 4th leading cause of death in the world ... more Background: Chronic obstructive pulmonary disease is the 4th leading cause of death in the world and itis estimated to be the 3rd leading cause of death by 2020. Diaphragmatic dysfunction is one of the majorclinical finding in chronic obstructive pulmonary disease patients which alters the respiratory function andquality of life. Therefore, the objective is to investigate the impact of 90/90 bridge with ball and balloonexercise on lung volumes and quality of life in patients with chronic obstructive pulmonary disease.Method: A total 38 patients were taken, 30 of them met criteria and were divided into two groups usingrandomized sampling technique, 15 in experimental group i.e., 90/90 bridge with ball and balloon exerciseand 15 in control group i.e., diaphragmatic breathing. There was a single dropout in experimental group. Theintervention given for 6 weeks, 5 days in a week, one session for a day i.e., 30 minutes. Both outcomes i.e.,Forced expiratory volume in 1second and St. George...

Research paper thumbnail of Effect of Modified Constraint Induced Therapy on Upperlimb Functional Recovery in Young Stroke Subjects

International Journal of Physiotherapy, 2014

Background: The aim of this study is to evaluate the effect of modified constraint induced therap... more Background: The aim of this study is to evaluate the effect of modified constraint induced therapy on upper limb functional recovery in young stroke subjects. Most of the stroke rehabilitation units following conventional rehabilitation methods for treatment of the stroke patients where these methods have been proved to be less useful especially in the young stroke subjects. Hence the purpose of this study is to see the effect of modified constraint induced therapy which is a task specific training method for upperlimb in young stroke subjects. Methods: Total of 40 young stroke subjects who is having minimal motor criterion and met other inclusion criteria were recruited from department of physiotherapy, g.s.l.general hospital. Pre and post intervention measures were taken using Wolf motor function test and Jebsen Taylor hand function test. Results: In this study had shown significant improvements in the modified constraint induced therapy group when compared to the conventional rehabilitation alone. P value between groups was < 0.05. Conclusion: In this study concludes that addition of 15 minutes modified constraint induced movement therapy to conventional physiotherapy is a useful adjunct in functional recovery of upper limb among young stroke subjects.

Research paper thumbnail of Effectiveness of Trunk Training Exercises Versus Swiss Ball Exercises for Improving Sitting Balance and Gait Parameters in Acute Stroke Subjects

International journal of physiotherapy, Dec 1, 2015

Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ba... more Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ball exercises in acute stroke subjects. Trunk is often neglected part in the stroke rehabilitation, trunk training exercises and Swiss ball exercises result in better recruitment of trunk muscles thus improving sitting balance and gait parameters in acute stroke subjects. However literature evidences for trunk training exercises and Swiss ball exercises in improving sitting balance and gait are scarce in acute stroke population. Methods: A total of 60 subjects who met the inclusion criteria were recruited from department of physiotherapy, G.S.L general hospital and were randomly allocated into 2 groups with 30 subjects in each group. Initially all of them were screened for balance and gait using trunk impairment scale and by assessing gait parameters, after that they were given a 30min of trunk training and Swiss ball exercises for 5 days a week for 4 weeks. Both the groups received conventional physiotherapy for 4 weeks. Results: Post intervention there was no significant difference between the two groups. There was improvement post treatment in trunk training group (P<0.04) and Swiss ball group (P<0.03). The level of significance between groups was (P >0.5). Conclusion: The results had shown that both groups noted significant difference. But when comparing between these two groups there is no statistical significance noted. So this study concluded that there is no significant difference between trunk training exercises and Swiss ball exercises on sitting balance and gait parameters in subjects with stroke.

Research paper thumbnail of Effectiveness of Trunk Training Exercises Versus Swiss Ball Exercises for Sitting Balance and Gait Parameters in Acute Stroke Subjects

International Journal of Physiotherapy, 2015

Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ba... more Background: The aim of this study is to evaluate the effectiveness of trunk training and Swiss ball exercises in acute stroke subjects. Trunk is often neglected part in the stroke rehabilitation, trunk training exercises and Swiss ball exercises result in better recruitment of trunk muscles thus improving sitting balance and gait parameters in acute stroke subjects. However literature evidences for trunk training exercises and Swiss ball exercises in improving sitting balance and gait are scarce in acute stroke population. Methods: A total of 60 subjects who met the inclusion criteria were recruited from department of physiotherapy, G.S.L general hospital and were randomly allocated into 2 groups with 30 subjects in each group. Initially all of them were screened for balance and gait using trunk impairment scale and by assessing gait parameters, after that they were given a 30min of trunk training and Swiss ball exercises for 5 days a week for 4 weeks. Both the groups received conventional physiotherapy for 4 weeks. Results: Post intervention there was no significant difference between the two groups. There was improvement post treatment in trunk training group (P<0.04) and Swiss ball group (P<0.03). The level of significance between groups was (P >0.5). Conclusion: The results had shown that both groups noted significant difference. But when comparing between these two groups there is no statistical significance noted. So this study concluded that there is no significant difference between trunk training exercises and Swiss ball exercises on sitting balance and gait parameters in subjects with stroke.

Research paper thumbnail of Effect of Body Weight Support Treadmill Training on Gait and Standing Balance in Patients With Hemiplegia

Hanyang Physica1 Medicine & Rehabilitation Clinic Body weight support treadmill training is a new... more Hanyang Physica1 Medicine & Rehabilitation Clinic Body weight support treadmill training is a new and promising therapy in gait rehabilitation of patients with hemiplegia. The purpose of this study was to identify the effects of body weight support treadmill training on gait and standing balance in patients with hemiplegia. Eighteen patients with hemiplegia participated in the study. A 10 m-timed walk test, measurements of step length and standing balance score were administered. Intervention consisted of body weight support treadmill training five times a week for 2 weeks. The data were analyzed by paired t-test. Body weight support treadmill training scoring of standing balance, step length and 10 m-timed walk test showed a definite improvement. Body weight support treadmill training offers the advantages of task-oriented training with numerous repetitions of a supervised gait pattern. The outcomes suggest that patients with hemiplegia can improve their gait ability and standing balance through body weight support treadmill training.

Research paper thumbnail of Effects of 90/90 Bridge with Ball and Balloon Exercise on Lung Volumes and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease

Indian Journal of Physiotherapy and Occupational Therapy—An International Journal, 2021

Background: Chronic obstructive pulmonary disease is the 4th leading cause of death in the world ... more Background: Chronic obstructive pulmonary disease is the 4th leading cause of death in the world and itis estimated to be the 3rd leading cause of death by 2020. Diaphragmatic dysfunction is one of the majorclinical finding in chronic obstructive pulmonary disease patients which alters the respiratory function andquality of life. Therefore, the objective is to investigate the impact of 90/90 bridge with ball and balloonexercise on lung volumes and quality of life in patients with chronic obstructive pulmonary disease.Method: A total 38 patients were taken, 30 of them met criteria and were divided into two groups usingrandomized sampling technique, 15 in experimental group i.e., 90/90 bridge with ball and balloon exerciseand 15 in control group i.e., diaphragmatic breathing. There was a single dropout in experimental group. Theintervention given for 6 weeks, 5 days in a week, one session for a day i.e., 30 minutes. Both outcomes i.e.,Forced expiratory volume in 1second and St. George...

Research paper thumbnail of Effect of Modified Constraint Induced Therapy on Upperlimb Functional Recovery in Young Stroke Subjects

International Journal of Physiotherapy, 2014

Background: The aim of this study is to evaluate the effect of modified constraint induced therap... more Background: The aim of this study is to evaluate the effect of modified constraint induced therapy on upper limb functional recovery in young stroke subjects. Most of the stroke rehabilitation units following conventional rehabilitation methods for treatment of the stroke patients where these methods have been proved to be less useful especially in the young stroke subjects. Hence the purpose of this study is to see the effect of modified constraint induced therapy which is a task specific training method for upperlimb in young stroke subjects. Methods: Total of 40 young stroke subjects who is having minimal motor criterion and met other inclusion criteria were recruited from department of physiotherapy, g.s.l.general hospital. Pre and post intervention measures were taken using Wolf motor function test and Jebsen Taylor hand function test. Results: In this study had shown significant improvements in the modified constraint induced therapy group when compared to the conventional rehabilitation alone. P value between groups was < 0.05. Conclusion: In this study concludes that addition of 15 minutes modified constraint induced movement therapy to conventional physiotherapy is a useful adjunct in functional recovery of upper limb among young stroke subjects.