Effects of Core Strengthening and PNF Pattern on Balance and Plantar Pressure in Chronic Stroke

NCT05436782 | Unknown

• 1 other identifier: IRB-UOL-FAHS/1089/2021
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of core strengthening and PNF on standing balance and plantar pressure in chronic stroke patients

Conditions

Stroke; Paralysis

Keywords

Stroke, Static Balance, PNF, Plantar Pressure, PoData

Outcome Measures

Primary Outcomes (1)

• Static Standing balance

  It is measured using static component of berg balance scale. The items are scored from 0 to 4, with a score of 0 representing an inability to complete the task and a score of 4 representing independent item completion. Static component score is calculated out of 24 possible points. Scores of 0 to 9 represent static balance impairment, 10 to 15 represent acceptable static balance, and 15 to 24 represent good static balance

  6 months

Secondary Outcomes (1)

• Plantar pressure

  6 months

Study Arms (2)

Group A

ACTIVE COMPARATOR

• Group A (control group) will receive routine physical therapy involving muscle strengthening exercises, range of motion exercises, and stretching exercises up to the patient's tolerance. Other exercises will be pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, and wobble board exercises. Each session will be of 60 minutes 5 times weekly for 6 weeks

Other: Routine physical therapy

Group B

EXPERIMENTAL

Group B (experimental group) will receive routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals will be performed in lower extremity in D1 flexion pattern and D1 extension pattern up to patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks. The outcome measure will be measured at and 6th week interval

Other: core strengthening exercises

Interventions

core strengthening exercises OTHER

•Group B (experimental group) received routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals were performed in the lower extremity in D1 flexion pattern and D1 extension pattern up to the patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks. The outcome measure was measured at baseline and 6th-week interval

Group B

Routine physical therapy OTHER

•Group A (control group) will receive routine physical therapy involving muscle strengthening exercises, range of motion exercises, and stretching exercises up to the patient's tolerance. Other exercises were pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, and wobble board exercises. Each session was of 60 minutes 5 times weekly for 6 weeks

Group A

Eligibility Criteria

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

You may qualify if:

• Age 45-60
• Score of 9 or higher on the static component of Berg Balance Scale
• Both genders will be recruited.
• First ever episode of stroke
• Duration of stroke greater than 6 months.
• Having a score of equal to or less than 2 on the Modified Ashworth Scale
• Having a score of greater than or equal to 24 on the Mini-mental state examination in order to understand the commands.

You may not qualify if:

• Concurrent orthopedic (for e.g. amputation ) that may hamper standing
• Relevant psychiatric disorders that may prevent from following instructions.
• Other medical drugs that may influence our intervention
• Condition contraindicating physical activity
• Use of cardiac pacemakers.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

The University of Lahore Teaching Hospital

Lahore, Punjqb, 40050, Pakistan

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Officials

• Sameed Liaqat, DPT

  University of Lahore

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sameed Liaqat, DPT

CONTACT

0324 9004200; samiliaqat3@gmail.com

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: SPONSOR

Study Record Dates

• First Submitted: June 23, 2022
• First Posted: June 29, 2022
• Study Start: December 3, 2021
• Primary Completion: June 30, 2022
• Study Completion: August 14, 2022
• Last Updated: June 29, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)