Task-oriented Progressive Resistance Strength Training and Balance Exercises on Lower Limb in Individuals With Stroke

NCT04820660 | Completed DMC

• 1 other identifier: REC/Lhr/19/2033 Hira Javed
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is ranked as the number fifth cause of death and a main cause of disability in the United States. It affects the arteries which supply blood to and within the brain. If the blood supply to the brain is disrupted, it will not be able to receive oxygen and the nutrients which are transported by those arteries. This leads to the death of brain cells having a magnificent effect on the function of that part.

Conditions

Stroke

Keywords

Balance; progressive resistance strength training

Outcome Measures

Primary Outcomes (2)

• Berg Balance Scale (BBS)

  Zero indicates the lowest level of function and 4 the highest level of function. The total score ranges from 0 to 56.

  4months

• Fugl Meyer Assessment Lower Extremity

  Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform, 1=performs partially and 2=performs fully. The total possible scale score is 226.

  4 months

Study Arms (2)

Task oriented Strength training group

EXPERIMENTAL

Standing and reaching in different directions Sit-to-stand Stepping forward and backward Stepping sideways onto blocks

Other: Task orientated strengthening training

Balance Training

EXPERIMENTAL

Stepping forward, backward, and sideways on the exercise step; Stepping over blocks of various heights; Standing up from a chair, From a sitting position on a 65-cm Swiss ball, Arms; bending the trunk forward and side to side); Performing double-legged stance Performing tandem stance Rising from a chair without the use of the arms; Walking forward and backward with a tandem walking pattern Performing single- legged stance

Other: Balance training exercises

Interventions

Task orientated strengthening training OTHER

1. Standing and reaching in different directions for objects located beyond arm's length to promote loading of the lower limbs and activation of lower limb muscles; 2. Sit-to-stand from various chair heights to strengthen the lower limb extensor muscles; 3. Stepping forward and backward onto blocks of various heights to strengthen the lower limb muscles; 4. Stepping sideways onto blocks of various heights to strengthen the lower limb muscles; 5. forward step-up onto blocks of various heights to strengthen the lower limb muscles; 6. heel(s) raise and lower while maintaining in a standing posture to strengthen the plantar- flexor muscles. Each workstation was 5 min in duration for each exercise class. Each subject participated in a one-to-one therapy.

Task oriented Strength training group

Balance training exercises OTHER

1. Stepping forward, backward, and sideways on the exercise step; 2. Stepping over blocks of various heights; 3. Standing up from a chair, walking four steps forward, performing a bilateral stool touch and walking backwards to the chair; 4. Standing up from a chair, walking four steps forward, turning to the right, stepping over the exercise step, turning to the right again and walking forwards to the chair (repeat the exercise circuit in opposite direction); 5. From a sitting position on a 65-cm Swiss ball, performing a range of motion and balance exercises (forward and backward rolling of the 6. Arms; bending the trunk forward and side to side); 7. Performing double-legged stance for 10 s; 8. Performing tandem stance for 10 s; 9. Rising from a chair without the use of the arms; 10. Walking forward and backward with a tandem walking pattern (toes of one foot touching the heel of the foot in front); 11. Performing single- legged stance for 10 s.

Balance Training

Eligibility Criteria

• Age: 45 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Hemiparetic from a single stroke occurring at least a year earlier, not presently receiving any rehabilitation services,
• Participants should not be receiving any rehabilitation services
• Participants should be able to walk 10 m independently without an assistive device
• Participants should be medically stable enough to allow participation, and able to understand instructions and follow commands.

You may not qualify if:

• Participants with any medical condition that would prevent participation in the training program
• Participants with any uncontrolled health condition for which exercise is contraindicated.
• Participants with any tumor or neurological signs.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah IU

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011 May 14;377(9778):1693-702. doi: 10.1016/S0140-6736(11)60325-5.

  PMID: 21571152 BACKGROUND

• National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7. doi: 10.1056/NEJM199512143332401.

  PMID: 7477192 BACKGROUND

• van der Worp HB, van Gijn J. Clinical practice. Acute ischemic stroke. N Engl J Med. 2007 Aug 9;357(6):572-9. doi: 10.1056/NEJMcp072057. No abstract available.

  PMID: 17687132 BACKGROUND

• Andersen KK, Olsen TS, Dehlendorff C, Kammersgaard LP. Hemorrhagic and ischemic strokes compared: stroke severity, mortality, and risk factors. Stroke. 2009 Jun;40(6):2068-72. doi: 10.1161/STROKEAHA.108.540112. Epub 2009 Apr 9.

  PMID: 19359645 BACKGROUND

• Albers GW, Caplan LR, Easton JD, Fayad PB, Mohr JP, Saver JL, Sherman DG; TIA Working Group. Transient ischemic attack--proposal for a new definition. N Engl J Med. 2002 Nov 21;347(21):1713-6. doi: 10.1056/NEJMsb020987. No abstract available.

  PMID: 12444191 BACKGROUND

• Lovett JK, Dennis MS, Sandercock PA, Bamford J, Warlow CP, Rothwell PM. Very early risk of stroke after a first transient ischemic attack. Stroke. 2003 Aug;34(8):e138-40. doi: 10.1161/01.STR.0000080935.01264.91. Epub 2003 Jul 10.

  PMID: 12855835 BACKGROUND

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Rabiya Noor, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 26, 2021
• First Posted: March 29, 2021
• Study Start: March 1, 2019
• Primary Completion: October 30, 2019
• Study Completion: December 30, 2019
• Last Updated: March 30, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)