Combined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients

NCT06500611 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/23/0271
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to determine the combined effects of sensory integration and vestibular exercise on dizziness, fall risk and quality of life.

Conditions

Post Stroke

Keywords

sensory integration,; stroke; vestibular rehabilitation

Outcome Measures

Primary Outcomes (1)

• Combined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients

  DHI assesses Dizziness Consists 25 items three answers yes sometimes no. Highest disability 100 ,lowest one be 0.The SS-QOL, disease-specific consist 49 items 12 domains, social role (five questions), mobility (six questions), energy (three questions), language (five questions), self-care (five questions), mood (five questions), personality (three questions), thinking (three questions), upper extremity function (five questions), family role (three questions), vision (three questions),work/productivity (three questions). Each item ranked five-point level one means completely agreed while level five means completely disagree. Total score ranges from 49 to 245.Time up and go test Duration of ≥13.5 s associate increased fall risk with vestibular dysfunction. STRATIFY tool comprises five items risk factors past history falling, patient agitation, visual impairment, incontinence, transfer and mobility score range from 0 to 5 points and risk of falling is a score ≥ 2 points.

  6 weeks

Study Arms (2)

GROUP A (Sensory Integration and Vestibular Exercise with Routine Physical Therapy)

EXPERIMENTAL

Sensory Integration Exercise: Week 1-2 1. Eyes Open Standing for 5 minutes. 2. Sitting position for 5 minutes. Week 3-4 1. Eyes Closed Standing for 5 minutes. 2. Sit to stand for 5 minutes. Week 5-6 1. Tandem Walk for 4 minutes. 2. Walk Obstacle Course for 4 minutes. Vestibular Exercise Week 1-2 1. Head Movements for 5 minutes 2. Gaze Stabilization for 5 minutes. Week 3-4 1. Single Leg Stance for 5 minutes. 2. Rotation Exercises for 5 minutes. Week 5-6 1. Walking Patterns for 4 minutes. 2. Pendulum Exercise for 4 minutes. 3. Catch and Throw for 4 minutes. Routine Physical Therapy for 20 minutes.

Other: Sensory Integration and Vestibular Exercise with Routine Physical Therapy

GROUP B (Vestibular Exercise with Routine Physical Therapy)

EXPERIMENTAL

Vestibular Exercise Week 1-2 1. Head Movements for 10 minutes 2. Gaze Stabilization for 10 minutes. Week 3-4 1. Single Leg Stance for 10 minutes. 2. Rotation Exercises for 10 minutes. Week 5-6 1. Walking Patterns for 5 minutes. 2. Pendulum Exercise for 5 minutes. 3. Catch and Throw for 10 minutes. Routine Physical Therapy for 20 minutes.

Other: Vestibular Exercise with Routine Physical Therapy

Interventions

Sensory Integration and Vestibular Exercise with Routine Physical Therapy OTHER

1. Stand with feet hip-width apart 5 rep 2. Sit in chair without backrest 5 rep 1.Stand with feet hip -width apart 5 rep 2.Sit to stand sit on chair without backrest and perform sit to stand repeatedly 5 rep 1.Tandem Walk one foot directly in front of the other.2 sets 5 steps forward and backward 2.Patientwalk forward cross an obstacle, continue walk. Walk Lateral Walk Backward 2 sets 1. Stand and slowly move head side to side and up down 10 repetition 2. Fix gaze and move head side to side or up and down 10 repetitions 1\. Stand on one leg for 10 seconds hold on. Repeat 5 times on each leg. 2\. Stand and rotate body to right and left 10 rotations 1. Walk on straight line , zigzag pattern, walk while looking your shoulder 5 rep 2. Sit and swing your legs back and forth 5rep 3. Play catch in standing. 2 sets 5-8 catches. Static stretching 30 sec hold 5 times

GROUP A (Sensory Integration and Vestibular Exercise with Routine Physical Therapy)

Vestibular Exercise with Routine Physical Therapy OTHER

Vestibular exercise 1\. Stand with feet hip -width apart and slowly move head side to side and up down.10 repetitions for each direction. 2 .Fix your gaze on object while moving your head side to side or up and down. 10 repetitions for each movement. 1.Patient will stand on one leg for 10 second. Hold onto a stable support if needed. 5 times on each leg. 2\. Stand with feet hip-width apart and rotate body to the right and left. 10 rotations in each direction. 1. Walk on a straight line or in a zigzag pattern or walk while looking over your shoulder. (5 rep) 2. Sit on a stable chair and swing your legs back and forth, similar to a pendulum. (5rep) 3. Catch and Throw play catch with a partner while standing. 2 sets of 5-8 catches. Routine Physical Therapu Static stretching exercises for 30 sec hold with 30 sec rest. 5 times for each muscle group

GROUP B (Vestibular Exercise with Routine Physical Therapy)

Eligibility Criteria

• Age: 40 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both male and female
• Age between 40years-65years
• those who have been diagnosed with vestibular disorders
• An ability to stand for for 5 minutes without aid measured by 5 times sit to stand test.

You may not qualify if:

• Have bilateral or unstable vestibular loss
• Any neurological condition is present
• Active BPPV is present
• Any acute orthopaedic condition is present
• Peripheral neuropathy is present
• Visual impairment not corrected with glasses.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah Rehab Center

Lahore, Punjab Province, 54660, Pakistan

RECRUITING

Related Publications (28)

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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

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Saifa Zia

CONTACT

03454189876; saifazia@ymail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Randomized control trial
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 8, 2024
• First Posted: July 15, 2024
• Study Start: July 10, 2024
• Primary Completion: March 30, 2025
• Study Completion: March 30, 2025
• Last Updated: April 9, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)