Effect of Multidirectional Step Exercise on Balance and Gait in individuals with chronic stroke
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- Self
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- mini-BESTest for Balance
研究概览
简要总结
Stroke has the second place among diseases causing long term disability based on the WHO report. The majority of stroke patients have some degree of balance and gait impairments. These impairments include inefficient stepping strategies, impaired anticipatory adjustments, reduced walking speed and reduced walking endurance leading to increased risk of falls and restricted activities of daily living.Several therapeutic strategies to improve balance and gait in stroke are designed such as perturbation training, training on unstable surface, multidirectional step exercise (MSE) and weight shift training.However the evidences of effect of MSE on balance and gait in stroke population are limited. The aim of this study was to determine the effect of multidirectional step exercise on balance and gait in individuals with chronic stroke. The objective of this study was to compare the effect of MSE and conventional balance exercises on balance and gait in individuals with chronic stroke.
Methodology- 30 participants with chronic stroke were screened according to inclusion and exclusion criteria. 26 participants were included and written consent was obtained. Concealed allocation of the participants into two groups was done using sealed envelope method. Preparatory exercises were given to both the groups. The experimental group were incorporated MSE as a progressive training strategy, while conventional exercises were incorporated in control group. The total duration for the exercise intervention was for 1 hour.
Outcome Measures:Balance and gait parameters were evaluated using standardized tools including the Mini-BESTest, 6-Minute Walk Test (6MWT), and 10-Meter Walk Test (10MWT) respectively.
Results & Conclusion:The present study found that both multidimensional step exercise (MSE) and conventional physiotherapy produced improvements in balance, gait speed, and walking endurance in chronic stroke patients after four weeks of intervention. Although the MSE group demonstrated slightly greater improvements in
mini-BESTest scores, these changes did not reach statistical significance when compared with the control group. Similarly, gait speed and six-minute walk distance improved in both groups without significant between-group differences.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- None
入排标准
- 年龄范围
- 20.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Individuals with hemiplegia due to first time stroke(minimum duration of onset-6 months) fulfilling the following criteria-
- •Mini-Mental status examination score greater than 24
- •The ability to maintain an independent standing posture for 30 seconds
- •They can walk independently with or without the use of an assistive device for at least 3 m.
排除标准
- •Any individual with clinical impairments involving musculoskeletal/ cardiopulmonary/neurological other than stroke/recent injuries that could possibly affect stepping performance.
结局指标
主要结局
mini-BESTest for Balance
时间窗: Pre-Intervention and Post 4 weeks of Intervention
Gait speed-10 metre walk test
时间窗: Pre-Intervention and Post 4 weeks of Intervention
Gait endurance- 6 minute walk test
时间窗: Pre-Intervention and Post 4 weeks of Intervention
次要结局
- Not Applicable(Not Applicable)
研究者
Ayush Pitale
All India Institute of Physical Medicine and Rehabilitation Mumbai