Effects of Multi-direction Stepping and Weight Shifting Exercises in Stroke Patients

NCT05285241 | Completed

• 1 other identifier: ACP/OP/2016/ OL 06
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Stoke is a leading cause of disability that results not only in persistent neurological deficits but also profound physical de-conditioning that propagates stroke-related secondary disability. Several kinds of research have reported that there has been asymmetrical weight bearing on the affected side while sitting and standing resulting in impaired performance especially reaching in sitting, rising from the chair, walking, and climbing stairs. Despite the stroke patient being able to walk independently with or without the walking aids, the patient still lacks the normal movement pattern especially weight transfers on the affected side while performing such activities which subsequently decreases the patient to restrain the challenges while walking, decrease confidence in functional activities. Also, further, there hasn't been enough literature on this topic. Therefore, the objective of this study is to find out the effectiveness of multidirectional stepping and weight shifting exercises to improve dynamic balance and gait speed in stroke patients.

Conditions

Stroke

Keywords

Stroke; Balance; Gait; Berg balance scale; Functional gait assessment

Outcome Measures

Primary Outcomes (2)

• Berg Balance Scale

  The Berg Balance Scale (BBS) is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function. Minimum possible value is 0 and maximum possible value is 56. Higher score represents better outcome.

  4 weeks.

• Functional gait assessment

  The Functional Gait Assessment (FGA) assesses postural stability during walking tasks in persons with gait impairments.

  4 weeks.

Study Arms (2)

Multidirectional exercise group

EXPERIMENTAL

Multidirectional stepping exercises along with conventional physiotherapy were provided to the patients. Conventional physiotherapy included one-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min).

Other: Multidirectional stepping exercises

Conventional Physiotherapy Group

ACTIVE COMPARATOR

One-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min) were provided to the patients.

Other: Conventional physiotherapy group

Interventions

Multidirectional stepping exercises OTHER

These exercises included stepping of the legs in different directions i.e. sideways, sideways and forefoot (forward), sideways and heel (backward).

Multidirectional exercise group

Conventional physiotherapy group OTHER

Conventional physiotherapy included a one-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min)

Conventional Physiotherapy Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosed with stroke via CT Scan or MRI
• Maintain the independent standing posture for 30 sec
• Ability to walk 3 meters independently without an assistive device
• Mini-Mental status examination score \>21 points
• Could communicate and understand therapist's verbal command
• Voluntary agreed to participate in the study
• Age above 18 years old
• Medically stable (e.g. recent myocardial infarction, unstable angina, ventricular tachycardia)

You may not qualify if:

• Visual disorders and visual deficits
• History of any neurological pathology like Parkinson's or Alzheimer's disease
• Conditions affecting balance like vertigo
• Medications affecting balance
• Dementia
• Impaired conscious level or concomitant medical illness
• Lower Motor Neuron lesions
• Anti-spasmodic medication (e.g. Baclofen, Dantrolene Sodium, etc.)
• Severe orthopedic diseases in lower extremities (e.g. Osteoarthritis, fracture, sprain, strain)

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

King Saud University

Riyadh, 11433, Saudi Arabia

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

• Masood Khan, M.P.Th

  King Saud University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Two arms parallel design

Study Record Dates

• First Submitted: March 8, 2022
• First Posted: March 17, 2022
• Study Start: May 11, 2016
• Primary Completion: March 14, 2017
• Study Completion: May 22, 2017
• Last Updated: March 31, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)