Effect of Action Observation Therapy in Comparison to Motor Relearning Program on Balance and Mobility Among Subacute Stroke Patients

NCT06947343 | Recruiting

• 1 other identifier: FUI/CTR/2024/66
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized controlled trial. The purpose of this study is to determine the effect of Action Observation Therapy in Comparison to a Motor Relearning Program on Balance and Mobility among subacute stroke patients.

Conditions

Subacute Stroke; Cerebral Stroke; Cerebrovascular Stroke; Posture; Functional Performance

Keywords

Action observation therapy; Motor relearning program

Outcome Measures

Primary Outcomes (3)

• Balance

  Berg Balance Scale will be used to assess balance

  8 weeks

• anticipatory balance

  Modified functional reach test will be used

  8 weeks

• Mobility

  The timed up and go test will be used

  8 weeks

Study Arms (2)

Action Observation Therapy GROUP

EXPERIMENTAL

functional AOT with visual feedback and physcial training after watching a video 30mins session, 3times/week total 8weeks 3mins for observation phase, 2min for action execution stage 1, sitting position (static and dynamic balance) exercies for trunk flexion, upper and lower trunk rotation multidirectional reaching to pickup any object from different directions,foward,lateral and diagnol reaching stage 2, sit to stand and stand to sit from sitting to standing, trunk flexed, hips and knees 90 degree flexed, feet behind knee, 15cm apart, then standing, trunk extension hips knees extend feet apart and viceversa 4phases of sit to stand, seat off, standing, seat on, sitting in sitting position dorsiflexion training, flexion extension training knee joint the right hand touches the left foot and viceversa

Procedure: ACTION OBSERVATION THERAPY

Motor Relearning Program Group

EXPERIMENTAL

Motor relearning program based on task oriented training 30mins, 3times/week total 8weeks stage 1, balanced sitting exercises for trunk flexion and rotation, feet and knees 15cm apart multidirectional reaching while seated forward, lateral and diagnol reaching to pick up any thing from different directions butt walking scooting on bed stage 2, standing up and sitting down transition from a seated position on a firm flat surface with no armrests to standing with an upright posture, upper body vertical and feet placed backward followed by sitting down by flexing hips,knees and ankle prerequisited of sit to stand, 4phases in sitting dorsiflexion training, flexion extension training of knee joint right hand touch to left foot and viceversa picking up objects from floor stage3, balanced standing weight shifting head and trunk movemnts while standing with feetapart standing unsupported with eyes closed multidirectional reaching, forward, bakcward, lateral and diagonal

Procedure: MOTOR RELEARNING PROGRAM

Interventions

ACTION OBSERVATION THERAPY PROCEDURE

functional AOT with visual feedback and physical training after watching a video 30mins session, 3times/week total 8weeks 3mins for observation phase, 2min for action execution Stage 1, sitting position (static and dynamic balance) exercises for trunk flexion, upper and lower trunk rotation multidirectional reaching to pick up any object from different directions, forward, lateral, and diagonal reaching Stage 2, sit to stand and stand to sit from sitting to standing, trunk flexed, hips and knees 90 degree flexed, feet behind knee, 15cm apart, then standing, trunk extension hips knees extend feet apart and vice vers 4phases of sit to stand, seat off, standing, seat on, sitting in sitting position dorsiflexion training, flexion extension training knee joint the right hand touches the left foot and viceversa pick up an object from floor stage3, standing balance weight shifting, front, back, sideways, left and right head and trunk movements in different directions while standing

Action Observation Therapy GROUP

MOTOR RELEARNING PROGRAM PROCEDURE

Motor relearning program, interventional group B, based on task-oriented training 30mins, 3times/week total 8weeks stage 1, balanced sitting exercises for trunk flexion and rotation, feet and knees 15cm apart multidirectional reaching while seated forward, lateral and diagonal reaching to pick up any thing from different directions butt walking scooting on bed stage 2, standing up and sitting down transition from a seated position on a firm flat surface with no armrests to standing with an upright posture, upper body vertical and feet placed backward followed by sitting down by flexing hips,knees and ankle prerequisited of sit to stand, 4phases in sitting dorsiflexion training, flexion extension training of knee joint right hand touch to left foot and viceversa picking up objects from floor stage3, balanced standing weight shifting head and trunk movemnts while standing with feetapart standing unsupported with eyes closed multidirectional reaching

Motor Relearning Program Group

Eligibility Criteria

• Age: 45 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Both genders, male and female
• Ischemic stroke patients
• Age 45 years and above
• MMSE\>24
• Able to stand independently for 1 minute
• Patient can maintain starting sitting static position for 10 seconds without arm rest

You may not qualify if:

• Any other neurological disorder
• Orthopedic conditions(fracture) affecting balance and mobility
• Visual or auditory impairments

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Nabiha Tahir, DPT

CONTACT

+92 3001522237; biya.tahir2920@gmail.com

Study Design

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

Study Record Dates

• First Submitted: April 20, 2025
• First Posted: April 27, 2025
• Study Start: July 22, 2024
• Primary Completion: May 20, 2025
• Study Completion: June 15, 2025
• Last Updated: April 27, 2025

Record last verified: 2025-04

Locations

PA (1)