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Effectiveness of WBV Versus RAS on Spasticity, Balance, and Lower Limb Motor Function on Hemiplegic Stroke Patients

Not Applicable
Active, not recruiting
Conditions
Stroke
Interventions
Combination Product: Rhythmic auditory stimulation therapy.
Procedure: Vibration Therapy
Registration Number
NCT06567223
Lead Sponsor
Superior University
Brief Summary

This study investigates the effectiveness of whole-body vibration (WBV) versus rhythmic auditory stimulation (RAS) on spasticity, balance, and lower limb motor function in hemiplegic stroke patients. The objective was to compare the two interventions to determine which provides greater benefits in stroke rehabilitation. Hemiplegic stroke patients were randomly assigned to either the WBV group, receiving whole-body vibration therapy, or the RAS group, undergoing rhythmic auditory stimulation sessions.

Detailed Description

The study measured spasticity using the Modified Ashworth Scale (MAS), balance with the Berg Balance Scale (BBS), and lower limb motor function through the Fugl-Meyer Assessment (FMA). Results indicated that both WBV and RAS significantly improved spasticity, balance, and lower limb motor function.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
104
Inclusion Criteria
  • Participant with Age from 40 to 60 years
  • Both males and females
  • Diagnosed CVA patients
  • Chronic stage (after 6 months of onset
  • Individuals with BBS score ≥ 20 ≤ 40
  • FMI score up to 3(moderate assistance)
  • Able to understand command
  • Mini-Mental State Examination (MMSE) score of over 20
Exclusion Criteria
  • Systematic Disorder e.g. Rheumatoid arthritis
  • Unstable Angina
  • Coexisting physical impairments e.g. limb amputation
  • Any previous history of neurological disease other than stroke e.g. Parkinson's
  • Any previous history of fractures
  • Hearing or perception deficits
  • Individuals unable to adhere to the study protocol or attend scheduled follow-up visits.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Rhythmic auditory stimulation therapy.Rhythmic auditory stimulation therapy.-
Vibration TherapyVibration Therapy-
Primary Outcome Measures
NameTimeMethod
Berg balance scale12 months

Balance was measured by using BBS which was created in 1989 to measure balance in the older people. The Berg balance scale 27 assesses practical balance performance on 14 things normal to everyday life. The scale comprises of 14 items, scored from 0 to 4, which are added to make an all-out score somewhere in the range of 0 and 56; a higher score shows better balance

Modified Ashworth Scale12 Months

Modified Ashworth Scale is a scale which is used to assess spasticity in a patient. It is range from 0 to 4 where 0 shows no muscle tone with no range to 4 which shows maximum muscle tone with full range..

Fugl-Meyer Assessment (FMA)12 months

Fugl-Meyer Assessment (FMA) for Lower Limb. In order to assess the lower extremity motor control fugal Meyer assessment test which is a strokes specific test was used to assess the motor function balance and sensation in stroke patients. Its scoring is through 3 point ordinal scale where 2 is performed fully and 1 is performed partially. It has a maximum score of 34

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Sehat Medical Complex, Hanjerwal

🇵🇰

Lahore, Punjab, Pakistan

Chaudary Muhammad Akram Teaching Hospital, Azra Naheed Medical College, Superior University

🇵🇰

Lahore, Punjab, Pakistan

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