Effectiveness of Electromyography (EMG) Biofeedback With and Without Optokinetic Stimulation on Balance and Gait in Stroke Patients
概览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Avani Nataraj K
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- IMPROVE BALANCE AND GAIT WITH THE TINETII PERFORMANCE ORIENTED MOBILITY ASSESSMENT SCALE
概览
简要总结
Title
EFFECTIVENESS OF ELECTROMYOGRAPHY (EMG) BIOFEEDBACK WITH AND WITHOUT OPTOKINETIC STIMULATION ON BALANCE AND GAIT IN STROKE PATIENTS- A COMPARATIVE STUDY
Introduction
Stroke is one of the leading causes of disability worldwide, affecting millions of people each year. Many stroke survivors struggle with balance and walking, making everyday activities challenging and increasing their risk of falls. Traditional rehabilitation methods focus on improving motor control, but newer approaches, like Electromyographic (EMG) Biofeedback and Optokinetic Stimulation (OKS), have shown to be effective in various literature. EMG Biofeedback provides real-time feedback on muscle activity, helping patients regain control, while OKS stimulates the brain using visual motion cues to stimulate and strengthen the vestibulo-ocular reflex to improve stability. This study explores whether combining these two therapies leads to better recovery compared to using EMG Biofeedback alone.
Aim and Objectives
Aim:
To compare the effectiveness of EMG Biofeedback with and without Optokinetic Stimulation in improving balance and gait in individuals with stroke.
Objectives:
To assess the effectiveness of Optokinetic Stimulation combined with EMG Biofeedback on balance improvement in stroke survivors.
To evaluate the impact of Optokinetic Stimulation with EMG Biofeedback on gait in stroke patients.
To determine the effectiveness of EMG Biofeedback alone in enhancing balance.
To analyze the effectiveness of EMG Biofeedback alone in improving gait.
Methodology and Procedure
A non-randomized comparative parallel-arm study will be conducted on 60 stroke patients divided into two groups:
Group A: EMG Biofeedback with Optokinetic Stimulation
Group B: EMG Biofeedback without Optokinetic Stimulation
Participants will undergo an 8-week intervention, with balance and gait assessed using the Tinetti Performance-Oriented Mobility Assessment (POMA) scale. Conventional therapy, including stretching, strengthening, and balance training, will be provided to both groups. The study will be conducted at R.V. College of Physiotherapy and affiliated centers.
Statistical Analysis
Descriptive statistics will summarize categorical variables as frequencies and percentages, and quantitative variables as means and standard deviations. The effectiveness of interventions will be analyzed using paired t-tests or Wilcoxon signed-rank tests for within-group comparisons, and unpaired t-tests or Mann-Whitney U tests for between-group comparisons. A p-value of less than 0.05 will be considered statistically significant.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 35.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Subjects who are willing to participate as volunteers and sign the informed written consent.
- •Subjects diagnosed with one time stroke.
- •Able to maintain upright standing posture Subjects who are medically stable Subjects with MoCA score more than 26 Subjects with FAC score more than than 3.
排除标准
- •Any other neurological or rheumatic disorders Recent spinal or lower limb surgery Any spinal or limb deformities Uncontrolled hypertension Skin rashes or allergy Lower extremity fractures Amputation of lower extremity Vestibular disorders Partial or Complete Blindness.
结局指标
主要结局
IMPROVE BALANCE AND GAIT WITH THE TINETII PERFORMANCE ORIENTED MOBILITY ASSESSMENT SCALE
时间窗: 2 | PRE-INTERVENTION | POST-INTERVENTION
次要结局
- IMPROVE FALL RISK(2)
研究者
Avani Nataraj K
R.V. College of Physiotherapy