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

NCT06346652 | Completed

• 1 other identifier: REC-UOL-216-03-2024
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study. This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Conditions

Chronic Stroke

Keywords

core strengthening; plantar pressure

Outcome Measures

Primary Outcomes (1)

• Static Standing Balance

  Measure 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. Score of 4 representing independent item completion.

  6 weeks

Secondary Outcomes (1)

• Plantar Pressure

  6 weeks

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Routine Physical Therapy

Other: Routine Physical Therapy

Interventional Group

EXPERIMENTAL

Routine Physical Therapy + PNF + Core Strengthening

Other: Routine Physical Therapy+ PNF and Core Stregthening

Interventions

Routine Physical Therapy OTHER

Routine physical therapy involving muscle strengthening exercises, range of motion exercises and stretching exercises up to patient's tolerance. Other exercises were pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, wobble board exercises. Each session was of 60 minutes 5 times weekly for 6 weeks.

Control Group

Routine Physical Therapy+ PNF and Core Stregthening OTHER

Routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals were 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.

Interventional Group

Eligibility Criteria

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

You may qualify if:

• Age (45-60 years)
• Score of 9 or Higher on static component of berg balance scale
• Having score of equal or less than 2 on Modified Ashworth scale
• Having score of greater than or equal to 24 on Mini Mental State Examination.
• First ever episode of stroke
• Duration of stroke greater than 6 months
• Both genders

You may not qualify if:

• Concurrent orthopedic conditions that may hamper standing
• Relevant psychiatric disorders that may prevent from following instructions.
• Medical drugs that may influence intervention
• Conditions contraindicating physical activity
• Use of Cardiac pace maker.

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

The University of Lahore Teaching Hospital

Lahore, 54000, Pakistan

Location

Study Officials

• Safa Saleem, 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: Dr. Safa Saleem

Study Record Dates

• First Submitted: March 21, 2024
• First Posted: April 4, 2024
• Study Start: March 10, 2024
• Primary Completion: April 22, 2024
• Study Completion: April 30, 2024
• Last Updated: July 23, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)