Effectiveness Of Rhythmic Auditory Stimulation versus Vestibular Rehabilitation Therapy on Balance and Walking speed among patient having chronic stroke : A Comparative Study
试验速览
- 阶段
- 1/2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 64
- 试验地点
- 1
- 主要终点
- Foot Pressure Analysis using OHM - 3000
研究概览
简要总结
• About 50% of stroke survivors have impaired lower limb functions in subacute and chronic phase, which strongly has impact on ambulation and carrying out Activities of Daily living. RAS is a form of gait training that involves sensory cuing of motor system; hence it is more required to be part of gait training protocol. Although there are many studies on balance and gait training, RAS was barely given attention and what effects it may have on gait parameters are less focused.
The manner in which gait is adjusted to Acoustic stimuli has received limited attention though its understanding may lead to more effective application of auditory cues in rehabilitation protocol
• Vestibular Rehabilitation Therapy (VRT) improves one’s compensatory mechanism required for maintaining balance.
VRT is exercise based therapy that aims to promote gaze stability, improve postural stability and facilitate sensory integration.
Although, various studies are being done on proprioception and visual system, less attention is given to vestibular system.
The mechanism in which vestibular system may contribute to balance is given less attention, though it can be easily implemented in balance training protocols.
• Many studies have been done on balance training and gait among patients having Therefore, the need arises to perform a study to compare and evaluate which intervention (RAS or VRT) can be more effective and beneficial for patient with Chronic stroke for early recovery.
• To see the effect of Early recovery with RAS and vestibular rehabilitation among patients having stroke so we can imply clinically on the patients and early recovery can be done either choosing any one or combination of both of this protocol .
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 40.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •Patient with chronic stroke
- •Involving all the 3 cortical vascular territories.
- •Age group : 40 to 60 years
- •Voluntary control grades more than 3
- •Balance and gait affected
- •No visual perception disorders
- •No auditory perception disorders
- •No hearing impairment
- •Able to understand command 11.
排除标准
- •Internal ear infection
- •Any unhealed ulcers and painful wounds in lower limb which may affect balance and speed
- •Presence of any lower limb deformities like FFD (Fixed Flexion Deformity)
- •Any sensory impairment present.
- •Any recent lower limb fracture or surgery
- •Patient having delirium, confusion or other severe consciousness problem.
- •No disease other than stroke that influence Lower limb moments.
结局指标
主要结局
Foot Pressure Analysis using OHM - 3000
时间窗: plantar pressure
次要结局
- Cadence(No. of steps per minute)
- Dynamic gait analysis(dynamic balance examination)
研究者
Minal Soni
Parul Institute Of Physiotherapy