Combined Effects of Motor Imagery and Core Stability Exercises in Stroke Patients

NCT06696911 | Enrolling By Invitation

• 1 other identifier: REC/RCR & AHS/24/0239
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

This research explores the combined effects of motor imagery and core stability exercises on trunk control, balance, and sleep quality in stroke recovery, addressing Pakistan's unique healthcare challenges. By enhancing neuroplasticity, core strength, and physical function, these interventions aim to improve mobility, independence, and overall quality of life for stroke survivors, while addressing common sleep disturbances.

Conditions

Stroke

Keywords

Stroke; Core Stability Exercises; Motor Imagery; Balance

Outcome Measures

Primary Outcomes (1)

• • Berg Balance Scale ( BBS)

  The Berg Balance Scale evaluates changes in static balance over time .Each item is a 5-point ordinal scale ranging from 0 to 4, with 0 indicating lowest level of function and 4 indicating highest level of function. It has 14 items and the maximum score is 56, higher the score, the better the balance function, while the lower the score, the worse the balance function.

  12th week

Study Arms (2)

Core Stability Exercises and Motor Imagery

EXPERIMENTAL

Core stability exercises are voluntary movements designed to maintain the balance, functional mobility, gait, fear of falling, and anticipatory postural adjustment among stroke survivors. Motor perception or motor imagery (MI) is a mental task that involves visualizing a physical movement without actually doing the action

Procedure: Core stability Exercises; Procedure: Motor Imagery

Core Stability Exercises

ACTIVE COMPARATOR

Core stability exercises are voluntary movements designed to maintain the balance, functional mobility, gait, fear of falling, and anticipatory postural adjustment among stroke survivors.

Procedure: Motor Imagery

Interventions

Core stability Exercises PROCEDURE

The exercises have been divided into three difficulty categories based on the level of difficulty. Level I: When the patients were unable to sit independently, level I core stability therapy was administered. First-level exercises were done in a supine position on a plinth. The workout program mostly included side bridging movements, leg crosses, one-leg curl-ups, and straight and diagonal reaching activities. Patients can move to level once they can sit on a plinth edge unsupported for one minute while flexing their knees and hips to 90 degrees. Level II: Exercises included straight-arm curl-ups, diagonal-arm curl-ups, and arm curl-ups with the arms crossed. The patient will go to stage three once they can sit on an unstable surface for thirty seconds. Level III: Using a physio ball, the exercises were done while seated. The exercises performed with the ball consisted push-ups, bird dog, side Bridge, abdominal curl-ups, and bridge movements

Core Stability Exercises and Motor Imagery

Motor Imagery PROCEDURE

The motor imagery program will be performed in three steps. STEP 1 Subjects will be instructed to watch the video provided and recorded by investigator. Two types of videos will be available to watch. One recording normal movements and the other film will contain recording the patient movements. Patient will be asked to watch the video and analyze the differences. STEP 2 In next step participants will be asked to close the eyes to focus and then to imagine how they are doing task they had previously observed 10 times. STEP 3 Participants will be than instructed to carry out the task in verbal commands given whenever necessary. During the recall process components of movement deviating from normal will be emphasized. The difficulty level of activities and the analysis of movement components will be increased gradually according to the patient's capacity.

Core Stability Exercises; Core Stability Exercises and Motor Imagery

Eligibility Criteria

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

You may qualify if:

• Diagnosed with stroke (ischemic or hemorrhagic) within the last 6 months to 2 years.
• Hemiplegic Patient
• Having MMSE score ≥ 24
• Experiencing balance impairments on BBS 21-40
• Having sleep disturbances on PSQI 15-21.
• Willing to provide informed consent.

You may not qualify if:

• Other neurological or musculoskeletal conditions affecting balance.
• Severe cardiovascular or respiratory conditions contraindicating exercise.
• Participation in another clinical trial within the past 3 months.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Well Versed Physio Clinic

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (21)

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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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 18, 2024
• First Posted: November 20, 2024
• Study Start: September 1, 2024
• Primary Completion: February 28, 2025
• Study Completion: May 30, 2025
• Last Updated: November 20, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)