NCT07754747

Brief Summary

This randomized controlled trial aims to compare the effectiveness of Vestibular-Oriented Balance Training and Motor Dual Task Training on balance, postural control, and fall risk among chronic stroke survivors. Forty-six participants diagnosed with chronic stroke will be randomly allocated into two intervention groups. Both groups will receive conventional physiotherapy along with their assigned intervention for six weeks. Outcome measures will include the Biodex Balance System (Overall Stability Index, Anterior-Posterior Stability Index, Medial-Lateral Stability Index and Fall Risk Index), Modified clinical test of sensory interaction on balance( m-CTISB). The findings will provide evidence regarding the most effective rehabilitation strategy for improving, Overall stability, and functional balance and reducing fall risk in chronic stroke survivors.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
4mo left

Started Jul 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress20%
Jul 2026Dec 2026

Study Start

First participant enrolled

July 10, 2026

Completed
26 days until next milestone

First Submitted

Initial submission to the registry

August 5, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 10, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 15, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 18, 2026

Last Updated

August 10, 2026

Status Verified

August 1, 2026

Enrollment Period

4 months

First QC Date

August 5, 2026

Last Update Submit

August 5, 2026

Conditions

Chronic Stroke Patients

Keywords

strokevestibular rehabilitationfallbalancebiodex

Outcome Measures

Primary Outcomes (3)

  • Biodex Over all stability Index

    Overall Stability Index (OSI) on the Biodex Balance System is a comprehensive score measuring how well a person controls their balance and keeps a moving platform level. Higher numbers mean more platform tilt and poorer balance control, while lower numbers show better stability and stronger neuromuscular coordination.

    assessment at baseline and after 6 weeks

  • Biodex Fall Risk index

    It measures a person's stability and risk of falling by tracking how much they sway on a moveable balance platform. Higher scores indicate poor stability and a higher likelihood of falls

    at baseline and after 6 weeks

  • Modified clinical test of sensory interaction on balance

    a clinical tool used to evaluate static postural control and identify which sensory systems (vision, vestibular, or somatosensory/proprioceptive) a patient relies on or struggles with to maintain balance.

    at baseline and after 6 weeks

Secondary Outcomes (2)

  • Biodex APSI

    at baseline and after 6 weeks

  • Biodex Medial/Lateral Stability Index

    at baseline and after 6 weeks

Study Arms (2)

Vestibular-Oriented Balance Training

EXPERIMENTAL

Participants will receive vestibular-oriented balance exercises together with conventional physiotherapy for five weeks

Other: Experimental

Motor Dual Task Training

ACTIVE COMPARATOR

Participants will receive motor dual-task balance training together with conventional physiotherapy for five weeks

Other: Control

Interventions

ExperimentalOTHER

Participants will receive vestibular-oriented balance exercises together with conventional physiotherapy for five weeks

Vestibular-Oriented Balance Training
ControlOTHER

Participants will receive motor dual-task balance training together with conventional physiotherapy for five weeks.

Motor Dual Task Training

Eligibility Criteria

Age40 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of ischemic stroke.
  • Stroke duration ≥6 months.
  • Rhomberg scale
  • MMSE ≥ 24
  • Able to walk with or without assistive device.
  • Able to understand commands
  • Willing to participate and provide consent aged between 40-70 years.

You may not qualify if:

  • Severe visual impairements which effect balance.
  • Participants with acute or sub acute stroke \<6 moths.
  • Uncontrolled hypertension
  • Uncontrolled diabetes
  • Other neurological disorders such as Parkinson's disease or multiple sclerosis and Alzheimer's
  • Participation in any other interventional trail.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Armed Forces Institute of Rehabilitation Medicine Rawalpindi, Pakistan

Rawalpindi, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Central Study Contacts

Hafsah Arshad, PhD*

CONTACT

03315165234hafsah.arshad@uipt.iiui.edu.pk

Ijaz Ahmed, MS-NMPT

CONTACT

+923437149637ejaza788@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
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

August 5, 2026

First Posted

August 10, 2026

Study Start

July 10, 2026

Primary Completion (Estimated)

November 15, 2026

Study Completion (Estimated)

December 18, 2026

Last Updated

August 10, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)