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Comparison of Effects of Activity Base Therapy vs Strength Training on Gait Performance in Chronic Stroke

Not Applicable
Completed
Conditions
Stroke
Interventions
Other: Strength Training
Other: activity based therapy
Registration Number
NCT04823546
Lead Sponsor
Riphah International University
Brief Summary

Stroke is a leading cause of disability worldwide affecting both male and female especially in older people. Functional independence and locomotion are hampered in stroke, therefore, affecting their quality of life. Objective: To find the comparative effects of activity base therapy vs strength training on gait performance in chronic stroke patients.

Detailed Description

It was a randomized controlled trial, conducted in physical therapy department of Sir Ganga Ram Hospital. 20 chronic stroke patients were equally divided into two groups. In group-A patients were treated with activity base therapy and in group-B patients were treated with strength training. Patients were treated for a total of 6 weeks (12 sessions), 1 hour in a day, 3 times per week. Patients were assessed using Timed Up and Go (TUG) test and Fugl Meyer Examination-Lower Extremity (FME-LE). SPSS 25 was used toanalyze the dat

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Participants were at least 6 months post stroke.
  • Ability to walk independent or with help of walking aids
  • Ischemic stroke patients included in study.
  • Mini mental state examination patients fully understand the commands
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Exclusion Criteria
  • Presence of orthopaedic problems.

    • Neurological disorders.
    • Psychological problems.
    • Cognitive issues.
    • People with severe visual issues.
    • Participants with other medical complications foot ulcers, orthopaedic or other neurological impedance
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
strength trainingStrength TrainingStrength training for hip • flexor and extensors and abductors, knee extensors, and ankle dorsi flexors and plantar •flexors. Apart from using body weight, sandbag weights and Therabands of eight different resistances
Activity based therapyactivity based therapyActivity based training was done in 2 phases. exercise involve 1. Standing and reaching 2. Sit-to-stand 3. Stepping forward and backward Phase 2 Phase 2 started after 3 weeks. Phase 2 included the phase 1 exercise along with below exercise. (10) Walking on a treadmill;
Primary Outcome Measures
NameTimeMethod
Fugl meyer for lower limb2 months

The fugal-meyer assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning in patient with post stroke hemiplegia.

Time Up and Go Test (TUG)2 months

Simple screening test that is a sensitive and specific measure of probability for falls among older adultsThe Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance.

It uses the time that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Binash afzal

🇵🇰

Lahore, Punjab, Pakistan

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