Comparison Between LL Sesorimotor Training and WBB Therapy on PS, DB and FOF in Post Stroke Patients

NCT07642154 | Recruiting DMC

• 1 other identifier: REC/RCR & AHS/25/0220
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is a neurological disorder causing 70-80 percent deaths in the low income and developing countries. Patients commonly present with common impairments associated with balance, proprioception, poor gait, speech impairment and posture which affect the activities of daily living along with increased risk and fear of fall. This negatively impacts patients' mobility, confidence and role in the society. Lower limb sensorimotor training targets the integration of sensory and motor systems enhancing tactile stimulation, balance and proprioception; whereas whole body vibration stimulates muscle spindles and mechanoreceptors via mechanical oscillations that may promote reflexive muscle contractions, improve muscle tone, and enhance postural responses. The aim of this study is to find the comparative effects of lower limb sensorimotor training and whole-body vibration therapy on balance, posture and fear of fall in post stroke patients. This study will be a randomized clinical trial. Non probability convenience sampling will be used to recruit 42 patients of either gender, aged 50-65 years, and diagnosed with stroke. This study will be carried out in Saira Memorial Hospital, Lahore. The participants will be randomly allocated to Group A and Group B through computerized table generator method. Each group will be given conventional physical therapy treatment as a baseline which includes range of motion exercises, balance and gait training. Group A will receive lower limb sensorimotor training, whereas group B will receive whole body vibration therapy. Each group will perform their respective exercises 45 minutes, three times a week for 8 weeks. The participants will be evaluated at the start and end of the exercise program through Berg Balance scale for dynamic balance, falls efficacy scale for risk of fall and Nottingham sensory assessment scale for sensory assessment. Data will be analyzed by SPSS version 26.

Conditions

Stroke; Stroke Rehabilitation

Keywords

Stroke; Sensorimotor training; Whole body vibration therapy; Berg balance scale

Outcome Measures

Primary Outcomes (1)

• Postural Stability

  The Falls Efficacy Scale International is a measure of fear of falling or concerns about falling, developed as part of the Prevention of Falls Network Europe project between 2003 and 2006. It is a 16-item questionnaire, useful for researchers and clinicians interested in assessing fear of falling. The total score ranges from 16-64, with levels of concern classified as follows: Low Concern (16-19), indicating minimal concern about falling when engaging in daily activities; Moderate Concern (20-27), indicating a moderate level of concern and worry about falling during activities; and High Concern (28-64), reflecting a high level of fear and anxiety about falling during activities.(18)

  8 Weeks

Secondary Outcomes (1)

• Dynamic Balance

  8 weeks

Study Arms (2)

Lower Limb Sensorimotor Training Exercises Group

EXPERIMENTAL

Sensorimotor training Participants of this group will be given task-specific training (reaching and walking activities), sensory stimulation training (tactile and proprioceptive activities), balance and postural control training (single leg stance and balance board training), and bilateral training (active recovery such as slow walking and light movements, constraint-induced movement therapy including mirror therapy), as well as practice of functional activities of daily living (bathing, combing, and eating with utensils). (19)

Behavioral: Sensorimotor Training

Whole Body Vibration Training Group

EXPERIMENTAL

Participants in this group will be given whole body vibration therapy including standing while vibrating (feet shoulder width apart and knees slightly bent on whole body vibrator), mini squats performed while vibrating, seated or assisted vibration (participants will sit on a chair or cushion placed on the platform and receives vibration therapy), upper body training while vibrating (participants will perform task-oriented upper limb exercises along with vibration therapy). The frequency of vibration for lower limb will be 11-z.(20)

Behavioral: Whole Body Vibration Training

Interventions

Whole Body Vibration Training BEHAVIORAL

Component Frequency Intensity Time (minutes) Type Static Standing with vibration 3 times per week Low to moderate 5 minutes Participants stand with feet shoulder-width apart and knees slightly bent on whole body vibrator, receiving whole body vibration therapy. Mini Squats Performed while vibrating 3 times per week Low to moderate 5 minutes Participants perform min squats while receiving whole body vibration therapy Seated or Assisted Vibration 3 times per week Low to moderate 5 minutes Participants sit on a chair or cushion placed on the platform and receives vibration therapy. Upper Body Training while vibrating 3 times per week Low to moderate 5 minutes Participants will perform task-oriented upper limb exercises along with vibration therapy Vibration 3 times per Low to 5 minutes Participants will receive therapy along with functional tasks week moderate whole body vibration therapy while performing functional tasks like pegboard training

Whole Body Vibration Training Group

Sensorimotor Training BEHAVIORAL

Component Frequency Intensity Time (minutes) Type Task- specific training 3 times per week Low to moderate 5 minutes Participants will perform reaching and walking activities. Sensory stimulation) 3 times/week Low to moderate 5 minutes Tactile and proprioceptive activities will be performed on participants. Balance/pos ture control 3 times/week Low to moderate 5 minutes Single leg stance and balance board training will be given to the patients. Bilateral training 3 times per week Low to moderate 5 minutes Active recovery (slow walking/light movement) exercises will be guided to the participants. Constraint- Induced Movement Therapy (CIMT) 3 times/week Low to Moderate 5 minutes Participants will involve in Mirror therapy. Functional activities (ADLs) 3 times per week Low to moderate 5 minutes Participants will perform functional activities like combing hair, pouring water, Eating with utensils, folding towels or clothes.

Lower Limb Sensorimotor Training Exercises Group

Eligibility Criteria

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

You may qualify if:

• Both male and female ranging from 50-65 years.
• Definitive diagnosis of stroke .
• Having sensory issues due to stroke in lower extremities.
• Those who did not have a problem with walking due to other diseases other than stroke.
• Having score less than 45 on berg balance scale.
• Having no wounds, infections, and skin diseases in the feet, not taking medications such as nitroglycerin, dopamine, and dobutamine.
• Having no history of mental illness, no suffering from osteoporosis, and not having neurological diseases. (7)

You may not qualify if:

• Vestibular problems.
• Severe cognitive decline and aphasia
• Systemic diseases.
• Cerebellar-related diseases.
• Having acute and critical conditions during the intervention. (14)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Saira Memorial Hospital

Lahore, Punjab Province, 42000, 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

• Mohammad Hassan, Ms

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr. Mohammad Hassan, MS

CONTACT

+923214375335; drhassandpt@gmail.com

Study Design

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

Study Record Dates

• First Submitted: June 8, 2026
• First Posted: June 11, 2026
• Study Start: April 7, 2026
• Primary Completion: June 7, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: June 11, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)