Comparative Effects of Dual Task and PNF on Balance ,Cognition and Motor Function in Chronic Stroke Patients .
- Conditions
- Stroke
- Interventions
- Other: Dual taskingOther: PNF(proprioceptive neuromuscular facilitation exercises)
- Registration Number
- NCT05931172
- Lead Sponsor
- Riphah International University
- Brief Summary
The aim of this study is to compare the effect of dual tasking and proprioceptive neuromuscular facilitation on balance, cognition and motor function in chronic stroke patients. It will be randomized clinical trial.
- Detailed Description
Stroke is the major cause of disability and mortality worldwide. A stroke is defined as an abrupt neurological outburst caused by impaired perfusion through the blood vessels to the brain. Every year the number of patients affected by stroke is rising thereby putting extra pressure on socioeconomic conditions in developing countries. Major complications of stroke include hemiplegia leading to upper limb dysfunction along with gait abnormalities. This study will be conducted to determine the effects of proprioceptive neuromuscular facilitation exercises versus dual-task training on balance, cognition, and motor function in chronic stroke patients. The randomized clinical trial will be conducted, participants will be selected through Non-probability convenience sampling technique and then randomly allocated into two treatment groups.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 32
item
- Both male and female
- Age 50-70 years.
- Person should be able to walk 10meter distance with or without assistance.
- Patient should be Cognitively able to perform required task.
- Chronic Stroke patients with strength >2 on manual muscle testing.
item
- Any Gait impairment .
- Patients with comorbidities like cardiac pathologies.
- Patients with dementia .
- History of fall in last 6 months.
- History of Severe Freezing episodes.
- History of Camptocormia (axial deformity.
- Central or peripheral paresis.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Dual tasking Dual tasking Dual tasking utilizes a task-specific approach to balance training, applying repeated exposure to unpredictable mechanical perturbations that mimic balance disturbances experienced in daily life. Proprioceptive neuromuscular facilitation PNF(proprioceptive neuromuscular facilitation exercises) Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach that uses cutaneous, proprioceptive and auditory input to produce functional improvement in motor output.
- Primary Outcome Measures
Name Time Method Montreal Cognitive Assessment (MoCA) Scale 8th week MoCA scale is used to meaured cognition .Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform,
1=performs partially and 2=performs fully. The total possible scale score is 226.Fugal meyer assessment scale 8th week The Fugl-Meyer Assessment of Lower Extremity (FMA-LE) is a widely used and recommended scale for evaluation of post-stroke motor impairment. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia.
The scale is comprised of five domains and there are 155 items in totalBerg balance scale 8th week Berg balance scale is used to find and access the balance issues. This scale consists of 14 task which related to everyday life. Each function rates from 0 (worst) to 4 (best) along a dependence and independence sequence. In this test, we gradually reduce the base of support from sitting and standing to single-leg stance, assess a subject's capacity to sustain positions or movements of increasing difficulty. One's ability to change position is also evaluated(
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
CIVIL Hospital
🇵🇰Bahāwalpur, Punjab, Pakistan