Effect of Pilates Training on Cognitive Functions in Patients With Stroke

NCT04157582 | Unknown

• 1 other identifier: 153008
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the present study is to investigate the effect of pilates training on cognitive functions in patient with stroke

Conditions

Stroke

Outcome Measures

Primary Outcomes (5)

• Measuring memory function

  Vienna test system

  45 days

• Measuring attention

  Vienna test system

  45 days

• Measuring orientation

  Vienna test system

  45 days

• Measuring perception

  Vienna test system

  45 days

• Measuring executive skills

  Vienna test system

  45 days

Study Arms (2)

Study group

EXPERIMENTAL

will consist of 20 hemiparetic patients and will receive Pilates training in addition to conventional physical therapy program consists of (manual stretching exercises, Strengthening Exercises and Wobble board training ) for 18 sessions every other day for one and half month , 3 sessions /week ,each session for 1.30 hours (40 minutes for pilates then 10 minutes rest then 40 minutes conventional physical therapy).

Other: Pilates training; Other: Conventional physical therapy

Control group

EXPERIMENTAL

will consist of 20 hemiparetic patients and will receive conventional physical therapy program only same as group I for 18 sessions every other day for one and half month, 3 sessions /week, each session for (40 minutes ).

Other: Conventional physical therapy

Interventions

Pilates training OTHER

1. Pilates warm-up training (5 minutes) consisted of Breathing, the Chest stretch, the Toy soldier, Upper extremity PNF patterns, and Roll down. 2. Pilates mat training performed in 5 different positions (30 minutes). 1. One leg stretch, Hundreds, the Double leg stretch, Scissors, the Shoulder bridge, Oblique preparation, and the Hip twist were performed in the supine position(Fig.7). 2. Clare, the Side kick, Arm openings, the Lower lift, Leg lifts, and the Side bend were performed in the side-lying position. 3. Swan dive, the One leg kick, Swimming, the Breast stroke preparations, the Breast stroke performed in the prone position(Fig.8). 4. Half roll back, Oblique roll up were performed in the sitting position. 5. Swimming was performed in the kneeling position. 3. The Pilates cool down training (5 minutes) were the Spine stretch, Saw, Chest stretch, Toy soldier. (Cruz et al .,2011)

Study group

Conventional physical therapy OTHER

1. Gentle manual stretching exercises for (elbow flexors, wrist flexors , hamstring and calf muscle). 2. Strengthening Exercises for ( elbow extensors, wrist extensors and dorsiflexors) 3. Balance training (Wobble board training) : * Patient will stand on squared then circled wobble board while it moves within parallel bars in front of mirror with hand support(with repetition 10times) * Patient will stand on squared then circled wobble board while it moves within parallel bars in front of mirror without hand support(with repetition 10times).

Control group; Study group

Eligibility Criteria

• Age: 50 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Forty patients with stroke (hemiparesis) with muscle power at least grade 3 according to manual muscle testing scale (Appendix VI) from both genders their ages will be ranged from 50-65years old.
• Patients with ischaemic stroke in the domain of the carotid system.
• All patients have mild cognitive deficits in domains ( memory, attention, orientation, perception and executive skills) with score \<25 according to Montreal Cognitive Assessment (Appendix IV).
• Duration of illness not less than six months and not more than 18 months.
• Spastcity grade (1) according to the Modified aschworth scale (MAS) ( Bohannon and Smith, 1987)(Appendix III).
• All patients in the study should be ambulant independently.
• Medically and psychologically stable patients.
• All patients will approve and sign a consent form (Appendix I).
• All patients are litrate.

You may not qualify if:

• Patients with hemiparesis with motor weakness or incoordination.
• Patients with cardiovascular problems (uncontrolled hypertension ,unstable angina ,significant coronary heart disease and or congestive heart failure).
• Patients with dementia with score \<3 according to Mini cog test(Appendix V). .
• Patients with Musculoskeletal problems (deformity or contracture).
• Medically unstable and uncooperative patients.
• Patients with Moderate and severe obesity (BMI≥ 35 kg/m2).
• Patients with depression with score \> 8 according to Hamilton depression rating scale (HAM-D) (Appendix VII).

Sponsors & Collaborators

• October 6 University: lead

Study Sites (1)

October 6 university

Giza, Egypt

RECRUITING

MeSH Terms

Conditions

Stroke

Interventions

Exercise Movement Techniques

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• October 6 University October 6 University

  October 6 University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Raghda Nasr Ibrahim

CONTACT

01282330479; Raghdanassar2020@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer in Neurological Physical Therapy

Study Record Dates

• First Submitted: October 26, 2019
• First Posted: November 8, 2019
• Study Start: October 8, 2019
• Primary Completion: October 10, 2021
• Study Completion: October 20, 2021
• Last Updated: November 8, 2019

Record last verified: 2019-11

Locations

EG (1)