Comparison of Tai Chi and Frenkel's Exercises in Patients With Stroke

NCT06509646 | Recruiting

• 1 other identifier: REC/RCR&AHS/23/0285 Faraha
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of this study is to compare the effectiveness of Tai Chi and Frenkel's exercises to improve balance, fall risk and activities of daily living in patients with stroke.

Conditions

Stroke

Keywords

Tai Chi Exercise; Frenkel's Exercise; Stroke; ADL; Fall Risk; Balance

Outcome Measures

Primary Outcomes (3)

• The Barthel Index

  The scoring is as follows: 0 = unable, 1 = needs assistance/help, 2 = independent. The for the ten items are summed and x 5 to get a total score out of 100. Proposed guidelines for interpreting Barthel scores are as follows: scores of 0-20 indicate "total" dependency.

  12th week

• The Berg Balance Scale (BBS)

  The Berg Balance Score (BBS) is the best-known balance measurement tool, originally designed to measure balance in older individuals. It consists of 14 items scored on an ordinal scale of 0 to 4 for a total of 56 points (a higher score indicates lower fall risk)

  12th week

• Fall Risk Assessment Tool (SRATIFY)

  The STRATIFY Scale is a tool used to identify risk factors for falls in hospitalized patients, using a 0-5 score to predict patients who will fall. It consists of five questions that assess the patient's history of falls, agitation, visual impairment, toileting needs, and mobility. The total score may be used to predict future falls, but it is more important to identify risk factors using the scale and then plan care to address those risk factors. The tool has good test-retest reliability and moderate inter-rater reliability

  12th week

Study Arms (2)

Goup A (Tia Chi Exercise)

EXPERIMENTAL

* Warm up 5 minutes * Routine Physical Therapy 20 minutes (which may include exercises such as stretching, strengthening, and range-of- motion exercises) * Rest Interval 5 minute * Yang style 24-posture short-form (16) for 30 minute Intensity: low Frequency: 1-2 times/week. Duration: ≤30 min (minutes)(18) * Cool down 5 mins.

Other: Tia Chi Exercise

Group B (Frenkel's Exercise )

ACTIVE COMPARATOR

* Warm up 5 minutes * Routine Physical Therapy 20 minutes (which may include exercises such as stretching, strengthening, and range-of- motion exercises) * Rest Interval 5 minute * Frenkel's exercises 30 minutes (Through these exercises, the patients would learn how to stay balanced and prevent falls by using their visual, somatosensory, and vestibular systems) 4. Rest interval 5 minutes 5. Intensity: low 6. Frequency: 1-2 times/week. 7. Duration: ≤30 min (minutes) 8. Cool down 5 mins

Other: Frenkel's Exercise

Interventions

Tia Chi Exercise OTHER

• Yang style 24-posture short-form (16) for 30 minute It consists of 24 unique movements that are performed in a sequence. The form is designed to be easy to learn and can be completed in about six minutes. Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks

Goup A (Tia Chi Exercise)

Frenkel's Exercise OTHER

Frenkel's exercises 30 minutes (Through these exercises, the patients would learn how to stay balanced and prevent falls by using their visual, somatosensory, and vestibular systems). Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks

Group B (Frenkel's Exercise )

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Community-dwelling survivors of stroke who were aged ≥50 years
• Both genders can participate in the study
• ≥3 months poststroke
• The vital signs were stable
• Survivors of both hemorrhagic and ischemic stroke
• Modified Rankin Scale 14 score of three or less
• Short Physical Performance Battery 15 score of 3 to 9
• Mini-Mental State Exam 16,17 score of 18 or greater.

You may not qualify if:

• The subject is unable to perform exercises.
• Subjects with diagnosed vestibular disease.
• The subjects included in the experiment were normal elderly without stroke diseases.
• The subjects had dyskinesias and could not complete Tai Chi exercises.
• Serious medical condition (e.g. active cancer treatment.
• Stroke survivors whom had no disability that would interfere with study participation.
• Subject taking medications that increases the incidence of fall.
• Subjects who undergoes strength and balance training in the past 3 months.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Alveena fatima

Lahore, Punjab Province, 54660, Pakistan

RECRUITING

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

Imran Amjad, Phd

CONTACT

03324390125; imranamjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The study would be single blinded as assessor of the study would be kept blind of the treatment groups to which patient will be allocated.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 15, 2024
• First Posted: July 19, 2024
• Study Start: February 1, 2024
• Primary Completion: July 12, 2024
• Study Completion: July 20, 2024
• Last Updated: July 19, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)