Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients

Not Applicable

Completed

• Conditions: Chronic Stroke
• Interventions: Other: Routine Physical Therapy+ PNF and Core Stregthening; Other: Routine Physical Therapy

• Registration Number: NCT06346652
• Lead Sponsor: University of Lahore

Brief Summary

Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Detailed Description

Background: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

Objective: To compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Methodology: 73 patients were enrolled in this study, 37 patients were assigned into control group while 36 participants were assigned into experimental group. Control group received routine physical therapy while experimental group received core strengthening and proprioceptive neuromuscular technique. Static component of berg balance scale and PoData Stabiliometeric plate was used for plantar pressure and measurement of balance respectively.

Study Timeline

• Study Start: 2024-03-10
• Study First Submitted: 2024-03-21
• Study First Submitted QC: 2024-03-28
• Study First Posted: 2024-04-04
• Primary Completion: 2024-04-22
• Study Completion: 2024-04-30
• Status Verified: 2024-07
• Last Update Submitted: 2024-07-20
• Last Update Posted: 2024-07-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 73

Inclusion Criteria

• Age (45-60 years)
• Score of 9 or Higher on static component of berg balance scale
• Having score of equal or less than 2 on Modified Ashworth scale
• Having score of greater than or equal to 24 on Mini Mental State Examination.
• First ever episode of stroke
• Duration of stroke greater than 6 months
• Both genders

Exclusion Criteria

• Concurrent orthopedic conditions that may hamper standing
• Relevant psychiatric disorders that may prevent from following instructions.
• Medical drugs that may influence intervention
• Conditions contraindicating physical activity
• Use of Cardiac pace maker.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interventional Group	Routine Physical Therapy+ PNF and Core Stregthening	Routine Physical Therapy + PNF + Core Strengthening
Control Group	Routine Physical Therapy	Routine Physical Therapy

Primary Outcome Measures

Name	Time	Method
Static Standing Balance	6 weeks	Measure using static component of berg balance scale. The items are scored from 0 to 4 with a score of 0 representing an inability to complete the task. Score of 4 representing independent item completion.

Secondary Outcome Measures

Name	Time	Method
Plantar Pressure	6 weeks	Foot plantar pressure is the pressure field that acts between the foot and support surface during static standing. PoData Stabiliometric plate was used to measure it. Normal value is 16.67% of the body weight on 5th metatarsal.

Trial Locations

Locations (1)

The University of Lahore Teaching Hospital; 🇵🇰 Lahore, Pakistan