Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Berg Balance Scale
Study Overview
Brief Summary
Following stroke, patients loses functions of the motor, sensory and higher brain cognitive faculties to various degrees which lead to diminished balance. It has been documented that hemiplegic or hemiparetic stroke patients presented with more posture sway, asymmetric weight distribution, impaired weight-shifting ability and decreased stability capability. There are many balance exercises and strategies; to improve balance in elderly age group population, to prevent fall prevention. But we have very few evidences of giving manual perturbation balance training in stroke patients to improve speed, balance and function. Therefore this study is taken up to examine whether the manual perturbation balance training is more effective in improving speed, balance and function in stroke patients.
Detailed Description
There are many more studies done for elderly populations, normal individuals for improving balance by giving perturbation based balance training.All perturbation exercises are given by either mechanical or by self reaching tasks in forward,backward,and in both sideways. There are very studies ;who attempted perturbation based balance training to improve balance in elderly population but not for stroke patients for their Speed, Balance and Function.The manual perturbation exercise can be an promising intervention in the future for various conditions
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 40 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •First ever stroke
- •Age ranges between 40-70
- •Both genders were included
- •Ambulatory patients with or without ambulatory aids
- •Occurrence of stroke at within 0-3 months i.e.-sub acute
- •Able to follow command
- •Mini mental scale examinations not less than 24
Exclusion Criteria
- •Patients who has severe limitations in passive range of motion at lower extremities
- •Patients with impaired sensory, proprioceptor, cognitive and perceptual ability
- •Patient who has contracture
- •Orthopedic or any other neurological disorder which impair balance
Arms & Interventions
Control group
Conventional Physiotherapy were given 6 days in a week, for 30 mins for 4 weeks, includes stretching, strengthening of contralateral limbs
Intervention: Conventional Physiotherapy Treatment (Other)
Experimental Group
manual perturbations were given in forward, Backward,right and left sideways, 10 perturbations were given,6 days in week,in fallowing positions- sitting,kneeling, standing positions
Intervention: Perturbation (Other)
Experimental Group
manual perturbations were given in forward, Backward,right and left sideways, 10 perturbations were given,6 days in week,in fallowing positions- sitting,kneeling, standing positions
Intervention: Conventional Physiotherapy Treatment (Other)
Control group
Conventional Physiotherapy were given 6 days in a week, for 30 mins for 4 weeks, includes stretching, strengthening of contralateral limbs
Intervention: Perturbation (Other)
Outcomes
Primary Outcomes
Berg Balance Scale
Time Frame: 4 weeks
patients ability of balance were assessed
Secondary Outcomes
- Functional Independence Scale(4 weeks)
Investigators
Nawaj Pathan
M.P.Th.PG student
Mahatma Gandhi Institute of Medical Sciences