Perturbation Based Training And Bobath-Based Trunk Exercises On Gait , Postural Control And Mobility

NCT06130839 | Completed DMC

• 1 other identifier: REC/0245Saba Sheikh
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

This study compares two approaches for rehabilitating stroke patients: Perturbation-Based Training and Bobath-Based Trunk Exercises. The perturbation based training focuses on challenging patients with unexpected movements to improve their balance and stability. While the Bobath method, concentrating on facilitating normal movement patterns. The study aims to determine which approach yields better outcomes in terms of trunk control, balance, and functional recovery for stroke patients. This study will also enable the individual to be more independent and minimize their falls.

Conditions

Stroke

Outcome Measures

Primary Outcomes (4)

• Trunk Impairment Scale

  It is used to measure motor impairment of the trunk after stroke. The total score for TIS ranges between 0 for a minimal performance to 23 for a perfect performance "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. scoring criteria \< 10 seconds = normal. \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid. \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid. "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Postural Assessment Scale for Stroke Patient

  It is used for the assessments of postural control in stroke patients. It measures the ability of an individual with stroke to maintain stable postures and equilibrium during positional changes. It consists of a 4-point scale where the items are scored from 0 to 3, and the total scoring ranges from 0 to 36. "Change will be measured from Baseline to 6 weeks"

  6 weeks

• Functional Gait Assessment

  It is for assessment of postural stability during walk. 3 Normal is able to ambulate for 10 steps heel to toe with no staggering. 2 Mild impairment, ambulates 7-9 steps. 1 Moderate impairment, ambulates 4-7 steps. 0 Severe impairment, ambulates less than 4 steps heel to toe or cannot perform without assistance. "Change will be measured from Baseline to 6 weeks"

  6 weeks

Secondary Outcomes (1)

• Stroke Self-Efficacy Questionnaire

  6 weeks

Study Arms (2)

perturbation based training

EXPERIMENTAL

1. Stretching of the erector spinae, 2. latissimus dorsi, gluteus Medius, gluteus minimums, and gluteus maximus (knee to chest) Pelvic Bridging Exercises 3. Strengthening Exercises of latissimus dorsi muscle 4. Pelvic Bridging Exercises include the gluteus maximus and quadriceps 5. Rocker board: 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

bobath based training

EXPERIMENTAL

1. Stretching of the latissimus dorsi muscle 2. Functional use and strengthening of the latissimus dorsi. 3. Functional strengthening of abdominal and oblique abdominal muscles 4. Placing exercises to facilitate trunk extension 5. Rotations and counter-rotations (right and left) of the hips with the trunk extended Training of lumbar spine stabilizers Functional reach of shoulder, anterior, right, and left sides.

Other: Stable surface training

Interventions

Rocker board training OTHER

Then intervention will be applied to the perturbation group as mention below at Rocker board (50 x 45 cm).the group will perform 36 sessions (4 times per week over 8 weeks) and effects of interventions will be measured before treatment, at 4th and after8th week (pre, mid and post intervention). 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.

Also known as: Experimental group

perturbation based training

Stable surface training OTHER

the group will perform 36 sessions (4 times per week over 8 weeks) and effects of interventions will be measured before treatment, at 4th and after 8th week (pre, mid and post intervention).

Also known as: Experimental group

bobath based training

Eligibility Criteria

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

You may qualify if:

• Able to walk with or without ambulatory aids
• Able to follow commands.
• Patients in the subacute and chronic stages associated with stroke hemiparesis (time since
• stroke onset 6 months- 1 year)
• Scoring \> 21 on MMSE

You may not qualify if:

• Patients who have severe limitations in passive range of motion at lower extremities
• Visual and sensory deficits
• Patient who has contracture
• Orthopedic or any other neurological disorder which impair balance.
• Patients undergoing any other balance training protocol.
• Patients with recurrent strokes
• Participants who are currently participating in another clinical trial or research study

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

LGH

Lahore, Punjab Province, 54400, 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

• 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 recieve.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Assignment

Study Record Dates

• First Submitted: November 9, 2023
• First Posted: November 14, 2023
• Study Start: November 10, 2023
• Primary Completion: April 10, 2024
• Study Completion: April 10, 2024
• Last Updated: April 9, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)