Effects of Otago and Gaze Stabilization Exercises on Balance, Gait and QOL in Elderly Stroke Patients

NCT06845709 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/24/0237
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

To compare effects of otago exercises and Gaze stabilization exercises on Balance, gait and quality of Life in elderly stroke patients

Conditions

Balance; Distorted; Gait, Hemiplegic; Quality of Life

Keywords

Balance; Distorted; Gait, Hemiplegic; Quality of Life

Outcome Measures

Primary Outcomes (3)

• Berg Balance Scale

  Berg Balance Scale Most reliable balance measuring tools for people suffered from stroke known as Berg Balance Scale. There are 14 questions in it, which aims at testing balance while sitting, standing, or performing specific movements. The total score on the Berg Balance Scale ranges from 0 to 56. 41-56: Have good balance and are at a low risk of falling. 21-40: Individuals have an increased risk of falling and may benefit from interventions to improve balance. 0-20: Individuals in this range have a significant balance impairment and are at a high risk of falling, requiring more intensive intervention and possibly assistance with mobility. Most of researches supported the validity and reliability of the BBS especially with stroke patients with high interclass correlation coefficients (ICCs) 0. 90

  10 months

• Dynamic Gait Index

  Dynamic Gait Index A tool for assessing gait, balance and fall risk in stroke patients is known as Dynamic Gait Index. It involves eight generic movements that are representative of common gait problems like turning the head while walking, stepping over an object, or changing speed. Consist of total 0-24 score . Between 22-24: Normal and \< 19: Abnormal. Scores below 19 are indicative of gait dysfunction . Dynamic Gait Index validity is 0. 90. The overall reliability was high (overall intra-class correlation coefficient = .96

  10 months

• Stroke-Specific Quality of Life (SS-QOL)

  Stroke-Specific Quality of Life (SS-QOL) is a specially developed tool for estimating the quality of life of stroke survivors. SS-QOL scale consists of 49 items, comprises 12 domains include Energy, Family Roles, Language, Mobility, Mood, Personality, Self-care, Social Roles, Thinking, Upper Extremity Function, Vision, and Work/Productivity. Each item is scored on a 5-point Likert scale. where 1 indicates the most severe impairment and 5 indicates no impairment. The total score can range from 49 to 245, with higher scores representing better quality of life. In the SS-QOL domains, the Cronbach's alpha coefficients are generally provided with values of between 0. 73 and 0. 96. Concurrent validity was high with r = 0.94-0.95

  10 months

Study Arms (2)

gaze stabilization exercise

EXPERIMENTAL

Patients in group A will receive Gaze Stabilization Exercises with conventional baseline treatment

Other: gaze stabilization exercise

otago exercise

ACTIVE COMPARATOR

Patients in group B will receive Otago Exercises with conventional baseline treatment.

Other: otago exercise

Interventions

gaze stabilization exercise OTHER

Patients in group A will receive Gaze Stabilization Exercises with conventional baseline treatment

gaze stabilization exercise

otago exercise OTHER

group B patients will receive Otago Exercises with conventional baseline treatment

otago exercise

Eligibility Criteria

• Age: 50 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Had ischemic or haemorrhagic stroke ≤6 months
• Berg Balance Scale (BBS) score between 35 and 45
• Dynamic Gait Index score between 11 and 19
• Mini-mental status exam scores \> 24

You may not qualify if:

• Participants with severe vision or hearing impairment
• Neurological disorders including epilepsy, Alzheimer's disease, vertigo, Parkinson disease, and stroke, muscular disorders which limit functional activity (OA, RA, etc)
• Medications that affect balance, severe cardiovascular conditions, recent lower limb injury or surgery
• Peripheral vestibular disorder

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Fedral, 44000, Pakistan

RECRUITING

Related Publications (3)

• Di Vincenzo O, Luisi MLE, Alicante P, Ballarin G, Biffi B, Gheri CF, Scalfi L. The Assessment of the Risk of Malnutrition (Undernutrition) in Stroke Patients. Nutrients. 2023 Jan 29;15(3):683. doi: 10.3390/nu15030683.

  PMID: 36771390 BACKGROUND

• Mead GE, Sposato LA, Sampaio Silva G, Yperzeele L, Wu S, Kutlubaev M, Cheyne J, Wahab K, Urrutia VC, Sharma VK, Sylaja PN, Hill K, Steiner T, Liebeskind DS, Rabinstein AA. A systematic review and synthesis of global stroke guidelines on behalf of the World Stroke Organization. Int J Stroke. 2023 Jun;18(5):499-531. doi: 10.1177/17474930231156753. Epub 2023 Mar 1.

  PMID: 36725717 BACKGROUND

• Sim J, Shin C. Two stroke education programs designed for older adults. Geriatr Nurs. 2024 Jan-Feb;55:105-111. doi: 10.1016/j.gerinurse.2023.10.014. Epub 2023 Nov 17.

  PMID: 37979469 BACKGROUND

MeSH Terms

Conditions

Gait Disorders, Neurologic

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Dr.Zeest Hashmi, MSNMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Zeest Hashmi, MS NMPT

CONTACT

03224655851; zeesthashmi1@gmail.com

Imran Amjad, PhD

CONTACT

03324390125; Imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Patients will be divided in group A will receive Gaze Stabilization Exercises with conventional baseline treatment and group B patients will receive Otago Exercises with conventional baseline treatment. Patients will receive treatment of 40 minutes per session for 5 days a week for 8 weeks.

Study Record Dates

• First Submitted: February 20, 2025
• First Posted: February 25, 2025
• Study Start: September 1, 2024
• Primary Completion: March 1, 2025
• Study Completion: April 15, 2025
• Last Updated: February 25, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)