Year: 2026 | Month: October-December | Volume: 11 | Issue: 4 | Pages: 157-162
DOI: https://doi.org/10.52403/gijhsr.20260418
Effect of Early Mobilization on Recovery in Acute Stroke Patients Using the Stroke Impact Scale and Trunk Impairment Scale
Prachi Parkhi1, Shamla Wamanrao Pazare2
1MPT Neuroscience Physiotherapy, CMF’s College of Physiotherapy, Pune, Maharashtra, India.
2Professor, CMF’s College of Physiotherapy, Pune, Maharashtra, India.
Corresponding Author: Professor Shamla Wamanrao Pazare
ABSTRACT
Background: Stroke can cause weakness and impaired mobility, which limit activities of daily living and reduce participation. Early mobilization may lessen the consequences of immobility and support functional recovery. Objective: To compare the effects of a very early mobilization (VEM) program with those of conventional exercises on the Stroke Impact Scale (SIS) and Trunk Impairment Scale (TIS) in patients with acute middle cerebral artery (MCA) stroke.
Methods: Forty-four patients aged 45–55 years with MCA stroke were recruited by convenience sampling and divided into two groups of 22. Group A received VEM and Group B received conventional exercises, each for 30 minutes, four times a week for four weeks. SIS and TIS were assessed at baseline, two weeks, and four weeks.
Results: In Group A, physical problems, mood and emotion, activities of daily living, mobility at home and in the community, participation, and stroke recovery improved significantly, whereas memory and thinking and communication did not. In Group B, physical problems, activities of daily living, mobility, hand use, participation, and stroke recovery improved significantly. TIS scores improved significantly in both groups, with greater gains in Group A.
Conclusion: Both programs were associated with improvement, but VEM produced greater gains than conventional exercises in several functional SIS domains and in trunk control.
Keywords: acute stroke; early mobilization; middle cerebral artery stroke; Stroke Impact Scale; Trunk Impairment Scale; neurorehabilitation