Additional Effects of Motor Imaginary Technique Along With Task Oriented Trunk Control Training

NCT06877819 | Completed

• 1 other identifier: REC/MS-PT/02027 Minahil Butt
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized controlled trial is determine additional effects of motor imagery technique along with task oriented training on trunk control, posture, balance and mobility.

Conditions

Stroke

Keywords

balance; mobility; motor imaginary; posture; trunk

Outcome Measures

Primary Outcomes (6)

• Postural Assesment Scale for Stroke

  it was developed in 1999 as an adaptation to fugyl-meyer scale. PASS scale is designed for stroke patient to assess and monitor postural control after stroke. Multiple studies support the predictive validity of the PASS. PASS demonstrated excellent predictive validity at 14, 30, 90 and 180 days post stroke (α=0.86-0.90), as measured using Spearman's p correlation coefficient. The PASS scale is composed of 2 sections of posture I.e: maintaining posture and changing a posture. it is a 4-point scale and consist a total of 12 items with total score of 36.

  8 weeks

• Trunk Impairment Scale

  TIS was developed by Verheydenet. al to evaluate trunk control in stroke patients. TIS assesses static and dynamic sitting balance and trunk coordination in a sitting position. The total score for TIS ranges between 0 for a minimal performance to 23 for a perfect performance. Test/retest and interobserver reliability for the TIS total score (ICC) - 0.96 and 0.99, respectively. The 95% limits of agreement for the test/retest and interexaminer measurement error - 2/2.90, 3.68 and 2/1.84, 1.84, respectively. Cronbach alpha coefficients for internal consistency range from 0.65 to 0.89.

  8 weeks

• Berg Balance Scale

  The Berg Balance Scale (BBS) is used to determine balance Impairment in elderly. population and in patients with strok . It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete. The Berg Balance Scale has a high relative reliability with inter-rater reliability estimated at 0.97 (95% CI 0.96 to 0.98) and intra-rater reliability estimated at 0.98 (95% CI 0.97 to 0.99).

  8 weeks

• Functional Reach Test

  In 1990 Pamela Duncan and colleagues developed Functional Reach test. It is single-task, dynamic test that is used to predict falls in older adults. This test measures the margin of stability along with the ability to measure balance during a functional task. Correlation values were 0.86 and 0.87 at two different times, with a correlation coefficient greater than 0.76 is a strong predictor of fall.

  8 weeks

• Time-Up and-Go Test

  The Timed Up and Go (TUG) is a commonly used outcome measure that can assess activity limitations in the ICF model by examining the patient's ability to ambulate and perform transfers. The Timed up and Go test has excellent inter-rater correlation (ICC) = 0.99, and high intra-rater reliability (ICC = 0.99).

  8 weeks

• 5 Times sit-t-To-Stand Test

  5 times sit to stand test (5XSST) measures functional lower limb muscle strength and may be useful in quantifying functional change of transitional movements. The 5XSST test has excellent intra-rater reliability (intraclass correlation coefficient (ICC) range: 0.914-0.933) and excellent test-retest reliability (ICC range: 0.988-0.995) in healthy older adults.

  8 weeks

Study Arms (2)

Motor Imaginary alongwith Task Oriented Training

EXPERIMENTAL

patient will first imagine task task-based based activities with closed eyes while listening to the audio using headphones, this will be followed by practical implication of same tasks and coventional physiotherapy.

Other: Motor Imaginary Technique alongwith task-oriented training

Task Oriented Training

ACTIVE COMPARATOR

patient will be asked to perform task based activities followed by conventional physiotherapy

Other: Task Oriented Training

Interventions

Motor Imaginary Technique alongwith task-oriented training OTHER

Motor imaginary technique followed by task oriented trunk control training alongwith conventional physiotherapy.Frequency: 10- 15 reps 4 times/week for 8 consecutive weeks. Time for each session will be 60 mins. First of all task based exercises will be assumed by patient. To make imaginations more strong an audio demonstration of each exercise will be recorded by therapist and will be administered to patients hearing via headphones. This will make it easy for patients to assume as they are performing theses exercises in their head. Motor imagination will be followed by practical performance of same tasks. The experimental group will receive motor imagery technique for 15 minutes followed by task-specific training for 45minutes along with conventional physiotherapy to improve postural control and balance in stroke patients. .

Motor Imaginary alongwith Task Oriented Training

Task Oriented Training OTHER

Control group will receive task oriented trunk control training exercises followed by conventional physiotherapy. .Frequency: 10- 15 reps 4 times/week for 8 consecutive weeks. Time for each session will be 60 mins.

Task Oriented Training

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with sub-acute stroke (\> 3 months stroke till 6 months after stroke)
• Both male and female are included.
• Patient with stage 2 of postural control on Chedoke McMaster Stroke Assessment Score.
• Patient who are able to sit without holding on to objects/people
• Patient who are able to stand for 30seconds
• Patient able to flex non-paretic shoulder upto 90 degree, without holding on to any object
• Patients with no cognitive deficits ( score \> 25 on Montreal Cognitive Assessment Tool)
• Patients with moderate spasticity of upper/lower extremity (Modified Ashworth Scale Grade = 1, +1)

You may not qualify if:

• Patients with visuo-spatial neglect.
• Patients with hearing impairment
• Hip pathologieOlder adults 60 years \& aboves or any condition other than stroke interfering with trunk movements will be excluded

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

National Institute of Rehab Medicine, Nijaat Ambulance & Old Age Home

Islamabad, Punjab Province, 44080, Pakistan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Arshad Nawaz Malik, PhD Rehab

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Minahil Butt, MS-NMPT*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 10, 2025
• First Posted: March 14, 2025
• Study Start: March 10, 2025
• Primary Completion: September 15, 2025
• Study Completion: September 15, 2025
• Last Updated: November 19, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)