Effects of Postural and Kinesthetic Awareness on Static Standing Balance in Stroke

NCT05915195 | Completed

• 1 other identifier: REC-UOL-70-02-2023
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this randomized controlled trial is to check the effects of postural and kinesthetic awareness on static standing balance in chronic stoke patients. Participants will be divided into two equal groups. One group will receive routine physical therapy while other group will receive postural and kinesthetic awareness in addition to routine physical therapy.

Conditions

Chronic Stroke

Keywords

stroke; static balance; plantar pressure; postural and kinestetic awareness; PoData Stabiliometeric plate

Outcome Measures

Primary Outcomes (2)

• Static Component of Berg Balance Scale

  Static component of Berg Balance Scale was used to measure static standing balance. Total score of berg balance scale is 56. A score of 56 indicates functional balance.A score of \< 45 indicates individuals may be at greater risk of falling.

  6 months

• PoData Stabiliometric Plate

  PoData stabiliometric plate was used for the static plantar pressure evaluation. It recorded statistics of plantar pressure.

  6 months

Study Arms (2)

Routine Physical Therapy

ACTIVE COMPARATOR

routine physical therapy including range of motion exercises (Active assisted), stretching exercises, strengthening and positioning. Daily session was of 1 hour, 5 times weekly for 6 weeks.

Other: Routine Physical Therapy

Routine Physical Therapy and Postural and Kinesthetic Awareness

EXPERIMENTAL

routine physical therapy and additionally postural and kinesthetic Awareness in front of mirror by emphasizing proper body positioning, movements \& balance in sitting and standing position by using interoceptive and exteroceptive reinforcement (verbal, tactile \& visual).

Other: Postural and Kinesthetic Awarness

Interventions

Postural and Kinesthetic Awarness OTHER

Firstly, patient performed therapeutic activities/exercise to achieve balance in sitting position using chair with arm rest and with planted feet then progressed to sitting on chair without arm rest with proper feet placement. Once the patient achieved balance in sitting on chair then shifted to sitting on the stool and later standing in parallel bar that leads to balance training in independent standing.

Also known as: Experimental Group

Routine Physical Therapy and Postural and Kinesthetic Awareness

Routine Physical Therapy OTHER

Range of motion exercises (Active assisted), stretching exercises, strengthening and positioning.

Also known as: Control Group

Routine Physical Therapy

Eligibility Criteria

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

You may qualify if:

• Chronic stroke patient
• Both genders
• Age: 45-60 years
• score or higher on static part of Berg Balance Scale
• Level 1 and 2 of Modified Ashworth Scale
• or more score on Mini mental state scale

You may not qualify if:

• Patients with
• Psychological diseases
• Dementia
• Orthopedic disorders
• Any insufficiency that can influence balance

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

The University of Lahore Teaching Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• Rauf W, Sarmad S, Liaqat S, Saleem S, Jawad M, Ahad M. Effects of postural and kinesthetic awareness on static standing balance and plantar pressure in chronic stroke: a randomized controlled trial. J Pak Med Assoc. 2024 Oct;74(10):1755-1760. doi: 10.47391/JPMA.10538.

  PMID: 39407366 DERIVED

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

• Sameed Liaquat, MSPTN

  University of Lahore

  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: Prinicipal Investigator

Study Record Dates

• First Submitted: April 14, 2023
• First Posted: June 22, 2023
• Study Start: December 20, 2022
• Primary Completion: September 30, 2023
• Study Completion: October 30, 2023
• Last Updated: December 5, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)