Association of Vestibular and Postural Impairments With Functional Status in Stroke

NCT05139537 | Completed DMC

• 1 other identifier: RiphahIU Maryam Bashir
• Study Type: observational
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

: Stroke is leading cause of long-term disability in individuals. The location and extent of brain injury determines the severity of neurological deficits. The incidence of stroke dramatically increases in old age. Patients with stroke always come across with problems associated with balance, vertigo, dizziness and posture resulting in compromised activities of daily life. This study is aimed to collect data regarding the functional status of patients due to vestibular and postural impairments with stroke. The study will be descriptive comparative cross-sectional. It will be conducted at Idress Hospital Sialkot. This study will be completed within the time duration of six months. Convenient sampling techniques will be used to collect the data. Both genders with equal ratio will be included in this study after fulfillments of inclusion and exclusion criteria. Visual vertigo analogue scale, Dix-Hallpike Maneuver, DHI (Dizziness Handicap Inventory), Posture assessment scale for stroke (PASS) score, Time up and go test will be used as data collection tools. All data will be collected after informed consent from patient. All data will be collected under complete supervision of physiotherapist. All the data will be demonstrated as mean and percentage. The analysis of data will be done by using SPSS.26(Statistical Package For social science) and Excel. Statistical significance will be set as P = 0.05. Frequency tables, pie charts, bar charts will be used to show summary of group measurements measured over time. Our analysis will provide the association of vestibular and postural impairments with functional status in both males and females after stroke

Conditions

Stroke

Keywords

vestibular impairments, functional status.

Outcome Measures

Primary Outcomes (5)

• Visual Vertigo Analogue Scale

  This scale indicates the amount of dzziness patient experince by covering distance of 10cm in different environments scoring 0-10.(43) The VVAS shows high validity and responsiveness to any change detected clinically. The VVAS can also be used to verify the progression of the client's symptoms.

  Baseline (single reading)

• Dix Hallpike Maneuver

  When performing the Dix-Hallpike test, patients are lowered quickly to a supine position (lying horizontally with the face and torso facing up) with the neck extended 30 degrees below horizontal by the clinician performing the maneuver

  Baseline (single reading)

• Diszziness Handicap Inventory

  The DHI is a 25-item self-report questionnaire that quantifies the impact of dizziness on daily life by measuring self-perceived handicap. Item scores are summed. There is a maximum score of 100 (28 points for physical, 36 points for emotional and 36 points for functional) and a minimum score of 0

  Baseline (single reading)

• .Posture assessment scale for stroke (PASS) score:

  it consist of 12 items which are assessed on 4 levels (0-3 points) on rating scale. It assesses the eligibility to maintain or change lying, sitting and standing posture.(46) This scale is easy to use and has good interrater and intra-rater reliability as well as internal consistency

  Baseline (single reading)

• Time up and go test

  * 10 seconds = normal ≤20 second = good mobility can go out alone, mobile without gait aid * 30 seconds = problems, cannot go outside alone, requires gait aid A score of ≥ 14 seconds has been shown to indicate high risk of falls

  Baseline (single reading)

Eligibility Criteria

• Age: 35 Years - 70 Years
• Sex: female
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Stroke patients

You may qualify if:

• Age 35-70
• Male and female equal ratio
• Mine-mental state examination (MMSE) more than 25
• Confirmed ischemic stroke referred by neurologist using computerized tomography(CT)
• Patient after 6 months of 1st ischemic stroke
• Hypertensive patient

You may not qualify if:

• Unstable cardiovascular status
• Musculoskeletal conditions that influence posture e.g implants , orthodesis , fixation
• Unable to follow verbal commands
• Unable to keep any(sitting and standing) positions for 30 seconds.
• Diabetic neuropathy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Pakistan(Punjab_, 54000, Pakistan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Tehreem Mukhtar, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 8, 2021
• First Posted: December 1, 2021
• Study Start: January 15, 2021
• Primary Completion: July 20, 2021
• Study Completion: August 30, 2021
• Last Updated: December 1, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)