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Combined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients

Not Applicable
Not yet recruiting
Conditions
Post Stroke
Interventions
Other: Vestibular Exercise with Routine Physical Therapy
Other: Sensory Integration and Vestibular Exercise with Routine Physical Therapy
Registration Number
NCT06500611
Lead Sponsor
Riphah International University
Brief Summary

The aim of this study is to determine the combined effects of sensory integration and vestibular exercise on dizziness, fall risk and quality of life.

Detailed Description

This randomized controlled trial will be conducted at Mansoorah Teaching Hospital in 7 months after the approval of the synopsis. 38 participants with stroke will be included as per the sample size calculation through the convenience sampling technique. Participants who meet inclusion criteria will be randomly allocated using an online randomization tool into two groups Group A will receive Combine Sensory integration exercise and vestibular exercise with routine physical therapy for 40 minutes and Group B will receive Vestibular exercise with routine physical therapy for 40 minutes. Each group will receive a treatment session of 3 times in week for 6 weeks. The data will be analyzed using SPSS version 24.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
46
Inclusion Criteria
  • Both male and female
  • Age between 40years-65years
  • those who have been diagnosed with vestibular disorders
  • An ability to stand for for 5 minutes without aid measured by 5 times sit to stand test.
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Exclusion Criteria
  • Have bilateral or unstable vestibular loss
  • Any neurological condition is present
  • Active BPPV is present
  • Any acute orthopaedic condition is present
  • Peripheral neuropathy is present
  • Visual impairment not corrected with glasses.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
GROUP B (Vestibular Exercise with Routine Physical Therapy)Vestibular Exercise with Routine Physical TherapyVestibular Exercise Week 1-2 1. Head Movements for 10 minutes 2. Gaze Stabilization for 10 minutes. Week 3-4 1. Single Leg Stance for 10 minutes. 2. Rotation Exercises for 10 minutes. Week 5-6 1. Walking Patterns for 5 minutes. 2. Pendulum Exercise for 5 minutes. 3. Catch and Throw for 10 minutes. Routine Physical Therapy for 20 minutes.
GROUP A (Sensory Integration and Vestibular Exercise with Routine Physical Therapy)Sensory Integration and Vestibular Exercise with Routine Physical TherapySensory Integration Exercise: Week 1-2 1. Eyes Open Standing for 5 minutes. 2. Sitting position for 5 minutes. Week 3-4 1. Eyes Closed Standing for 5 minutes. 2. Sit to stand for 5 minutes. Week 5-6 1. Tandem Walk for 4 minutes. 2. Walk Obstacle Course for 4 minutes. Vestibular Exercise Week 1-2 1. Head Movements for 5 minutes 2. Gaze Stabilization for 5 minutes. Week 3-4 1. Single Leg Stance for 5 minutes. 2. Rotation Exercises for 5 minutes. Week 5-6 1. Walking Patterns for 4 minutes. 2. Pendulum Exercise for 4 minutes. 3. Catch and Throw for 4 minutes. Routine Physical Therapy for 20 minutes.
Primary Outcome Measures
NameTimeMethod
Combined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients6 weeks

DHI assesses Dizziness Consists 25 items three answers yes sometimes no. Highest disability 100 ,lowest one be 0.The SS-QOL, disease-specific consist 49 items 12 domains, social role (five questions), mobility (six questions), energy (three questions), language (five questions), self-care (five questions), mood (five questions), personality (three questions), thinking (three questions), upper extremity function (five questions), family role (three questions), vision (three questions),work/productivity (three questions). Each item ranked five-point level one means completely agreed while level five means completely disagree. Total score ranges from 49 to 245.Time up and go test Duration of ≥13.5 s associate increased fall risk with vestibular dysfunction. STRATIFY tool comprises five items risk factors past history falling, patient agitation, visual impairment, incontinence, transfer and mobility score range from 0 to 5 points and risk of falling is a score ≥ 2 points.

Secondary Outcome Measures
NameTimeMethod
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