A study comparing dual task training and task oriented circuit training along with conventional therapy for improving balance in ataxia patients

Not yet recruiting

Conditions: Ataxia, unspecified,

Registration Number: CTRI/2025/04/084868

Lead Sponsor: Pooja Kandwal

Brief Summary: This study aims to compare the effectiveness of Dual Task Training versus Task Oriented Circuit Training, both combined with conventional therapy, in improving balance in patients with ataxia. It is a comparative experimental study involving 58 participants aged 18 to 60 years with mild to moderate ataxia, randomly assigned to two groups: Group A that is DTT along with conventional therapy and Group B TOCT along with conventional therapy. The interventions will be administered over 12 weeks, with assessments at baseline, 6 weeks, and 12 weeks using the Berg Balance Scale, Severity of Ataxia Rating Scale, and EQ 5D 5L. The study hypothesizes that one intervention will be statistically superior to the other in improving balance, with the null hypothesis stating no significant difference. DTT involves simultaneous motor and cognitive tasks, while TOCT focuses on functional circuit based exercises. Conventional therapy includes stretching, strengthening, and postural control exercises. Participants will be recruited from Shri Mahant Indiresh Hospital’s Physiotherapy OPD or IPD, with strict inclusion like independent standing/walking, MMSE more than equal to 24, and exclusion like severe comorbidities, cognitive/sensory impairments criteria. The primary outcomes are balance improvement BBS and SARA, while the secondary outcome is quality of life EQ 5D 5L. The total duration is 6 months, with G Power analysis effect size 0.48, 90 percentage power justifying the sample size.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 58

Inclusion Criteria

Confirm diagnosis of ataxia (of any type) by clinician Mild to moderate ataxia (BBS scores of 31-50) Able to maintain independent static standing balance with eye open for 5 min without assisted device Able to walk independently with or without walking aids Mini -Mental State Examination (MMSE)minimum score 24 Those willing to participate in the study.

Exclusion Criteria

Bed ridden; wheel chair bounded patients, Symptom of unstable cardiac disease, atrial fibrillation Uncontrolled hypertension Recent pulmonary embolism Having orthopedic impairment like recent lower limb fracture, severe joint disorders(Advanced osteoarthritis, rheumatoid arthritis) etc.
Severe visual, hearing impairment preventing from exercise participation Severe cognitive impairment.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Berg Balance Scale	Baseline, 6th week, 12th week
SARA (Severity of ataxia scale)	Baseline, 6th week, 12th week
Quality of life scale (Euro Qol 5 dimension 5 level)	Baseline, 6th week, 12th week

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Shri Mahant Indresh Hospital
🇮🇳
Dehradun, UTTARANCHAL, India
Shri Mahant Indresh Hospital
🇮🇳Dehradun, UTTARANCHAL, India
Prof Dr Niraj Kumar
Principal investigator
7895795277
drnirajkumar25@gmail.com