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Imbalance is a common and concerning impairment observed in stroke patients as it increases the risk of falls in them. These falls cause pathological fractures, which further reduces their mobility. It is observed that stroke patients with complaints of imbalance take a longer time to recover and attain functional independence than their counterparts with no imbalance problems. Impairments of gait, reduced independence in performing activities of daily living (ADL), and balance issues have a direct influence on the emotional status and the quality of life (QoL) of these patients [1]. The World Health Organization defines “QoL” as a person’s view regarding their position in society, including physical, social, and psychological domains. It states that the QoL is determined according to the health, lifestyle, psychological state, independence, and social environment of the individual [2]. Pilates is a form of exercise that can be used in stroke rehabilitation to improve gait and balance impairments along with their strength, posture, and QoL. The Pilates Reformer is used to incorporate the Pilates exercise technique for a challenging and intense workout. It is a traditional piece of equipment that looks like a bed with springs, a sliding carriage, ropes, and pulleys. The springs provide choices of differing levels of resistance as the carriage is pulled or pushed along the frame. A wide variety of exercises are done on the Reformer to promote length, flexibility, coordination, and balance [3]. The emphasis on breath control with each movement in Pilates boosts physical efficiency, correct postural alignment, and overall balance [4]. The emphasis on the elongation of each movement therein helps to open up the trunk and the pelvic area, allowing an increased range of motion during dynamic activities. Hemiplegic patients tend to shift their weight completely on the non-affected side, which further causes weakness and poor motor control of the affected side [2]. Using Pilates on the Reformer on such patients helps facilitate proper breathing and alignment, improves balance, which further improves their QoL. Various studies are done on the effects of the mat-based Pilates training on chronic and sub-acute stroke patients and their effects on their balance. However, no study was done to evaluate the effects of Reformer based Pilates on the Quality of Life and functional balance in an acute stroke patient.

EFFECTS OF REFORMER TRAINING ON THE QUALITY OF LIFE AND FUNCTIONAL BALANCE IN AN ACUTE STROKE PATIENT: A CASE REPORT