Effects of Sensorimotor Integration Exercises on Balance and Fall Efficacy in Sub-acute Stroke
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mahidol University
- Enrollment
- 46
- Locations
- 2
- Primary Endpoint
- Berg Balance Scale (BBS)
Study Overview
Brief Summary
To study the effect of sensorimotor integration exercises on balance and fall efficacy in sub-acute stroke by performing 18 balance training exercises with three progressive steps.
Detailed Description
Balance impairment after stroke is significantly correlated with fall risk. To improve balance and reduce fall efficacy, the participants in the study group will be trained by six weeks three progressive steps of sensorimotor integration exercises. Each exercise step will take 30 minutes of a practice session, three sessions per week. Conventional physiotherapy (passive and active exercises and lower extremities strengthening exercises) will be given to the control group. The changes in balance performance and fall efficacy will be measured and compared within and between groups.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
The outcome assessor will do all assessments (pre and post intervention) without group allocation.
Eligibility Criteria
- Ages
- 20 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •First episode of sub-acute stroke (from 1 to 26 weeks) referred from physicians
- •Both sexes
- •Age above 20
- •Good cognition (Mini Mental State Examination Scale ≥24)
- •Moderate and moderately severe disability (Modified Rankin Scale- 3 and 4)
- •Impaired balance (BBS <41)
Exclusion Criteria
- •Recurrent stroke
- •Associated with other neurological conditions (such as Parkinson's disease, Epilepsy, meningitis)
- •Deficits of somatic sensation involving the paretic limb (Fugl-Meyer Assessment - sesation< 1)
- •Lower extremity weight bearing pain (Fugl-Meyer Assessment- pain <1)
- •Low back pain (VAS ≥ 3)
- •Severe visual deficits which cannot be corrected by lens or glasses
- •Symptomatic vestibular disorders (Paroxysmal postural vertigo)
- •Associated serious cardiac disorder
Arms & Interventions
Sensory motor integration group
Sensory-motor integration exercises with 3 progressive steps, 30 minutes per sessions, 3 sessions per week for 6 weeks.
Intervention: sensory motor integration exercises (Behavioral)
Conventional group
Conventional exercises include simple passive and active exercises and lower extremities strengthening exercises for balance and ambulation. The exercise session will last 30 minutes for 3 sessions per week. The total intervention period is 6 weeks.
Intervention: conventional physiotherapy (Behavioral)
Outcomes
Primary Outcomes
Berg Balance Scale (BBS)
Time Frame: 6 weeks
14 items to measure static and dynamic balance
Secondary Outcomes
- Fall Efficacy Scale(6 weeks)
- Functional Reach Test(6 weeks)
Investigators
Thin Thin Moe
Ph D
Mahidol University