Comparison of Rocker Board and Stable Surface Training on Postural Stability, Balance and Gait

NCT05708378 | Completed DMC

• 1 other identifier: REC/01489 Zarafshann
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

There is limited literature for the evaluation of comparison between effectiveness of postural control and balance training program on stable surface and unstable surface. So this study will help to improve reactive postural control in stroke patients which ultimately improve their walking capability, mobility and level of independence. This study will also enable the individual to be more independent and minimize their falls.

Conditions

Stroke

Keywords

Rocker board training, postural stability, balance, gait

Outcome Measures

Primary Outcomes (6)

• Beg Balance Scale

  It is used to assess balance. , "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Trunk Impairment Scale

  It is used to measure motor impairment of the trunk after stroke. "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Postural Assessment Scale for Stroke Patients

  It is used for the assessments of postural control in stroke patients. "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Timed Up and Go Test

  It is for the assessment of lower extremity function, mobility and fall risk. "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Functional Gait Assessment

  It is for assessment of postural stability during walk. "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Timed Walking Test

  It is used for assessing functional status or fitness. "Change will be measured from Baseline to 6 weeks"

  6 weeks

Secondary Outcomes (1)

• Stroke Self-Efficacy Questionnaire

  6 weeks

Study Arms (2)

Rocker board training

EXPERIMENTAL

Stretching Exercises (Heel drop, heel raises, Hamstring stretch, quad stretch, half kneel, IT band stretch, half squats). Hold the stretch for 20 seconds and repeat 10 times. Isometric Strengthening Exercises of calves, hamstrings, quads, hip flexors, gluteus, dorsiflexors and plantarflexors. Hold for 20 seconds and repeat 10 times. Pelvic Bridging Exercises. Trunk control exercises on Rocker Board in standing position first in medio-lateral direction for 10 min and then in anterio-posterior direction for 10 min with breaks in between.

Other: Rocker board training

Stable surface training

OTHER

Stretching Exercises (Heel drop, heel raises, Hamstring stretch, quad stretch, half kneel, IT band stretch, half squats). Hold the stretch for 20 seconds and repeat 10 times. Strengthening Exercises calves, hamstrings, quads, hip flexors, gluteus, dorsiflexors and plantarflexors. Hold for 20 seconds and repeat 10 times. Pelvic Bridging Exercises. Trunk balance exercise (flexion, extension of lower and upper trunk, rotation of lower and upper trunk, forward and lateral reach) on plain surface.

Other: Stable surface training

Interventions

Rocker board training OTHER

Patients will perform 24 sessions (4 times per week over 6 weeks) and effects will be measured before treatment, at 3rd and after 6th week.

Also known as: Experimental group

Rocker board training

Stable surface training OTHER

Patients will perform 24 sessions (4 times per week over 6 weeks) and effects will be measured before treatment, at 3rd and after 6th week.

Also known as: Control group

Stable surface training

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both genders
• Age: between 40-60 years.
• Unilateral hemiplegia.
• ACA and MCA lesions only.
• Subacute and chronic stroke patients.
• First time affected.
• No visual and sensory deficits.
• Ambulatory stroke patients scoring 21 to 40 on Berg Balance Scale.
• Scoring \> 21 on MMSE.

You may not qualify if:

• ● Any other neurological deficits as multiple sclerosis, Parkinsons disease etc.
• Any musculoskeletal disorders like OA, ligament injury etc.
• Non-ambulatory patients

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Chinnar Hospital

Abbottabad, Khyber Pakhtunkhwa, 22020, Pakistan

Location

MeSH Terms

Conditions

Stroke

Interventions

Control Groups

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Aruba Saeed, PhD*

  Riphah International University Pakistan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: participants and outcome assessors will be kept blinded about the intervention which the patients will be going to receive
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 22, 2023
• First Posted: February 1, 2023
• Study Start: June 10, 2023
• Primary Completion: October 30, 2023
• Study Completion: November 30, 2023
• Last Updated: March 5, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)