Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Riphah International University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- Tinetti Performance Oriented Mobility Assessment(POMA)
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
To determine the effects of proprioceptive neuromuscular facilitation exercises versus perturbation-based balance training on balance, coordination, and proprioception in subacute stroke patients, it will be a randomized clinical trial.
Detailed Description
Stroke is the major cause of disability and mortality worldwide. Stroke is defined as an abrupt neurological outburst caused by impaired perfusion through the blood vessels to the brain. Every year the number of strokes affected individuals are rising thereby putting an extra pressure on socioeconomic conditions in developing countries. Major complications of stroke include hemiplegia leading to upper limb dysfunction along with gait abnormalities. This study will be conducted to determine the effects of proprioceptive neuromuscular facilitation exercises versus perturbation-based balance training on balance, coordination, and proprioception in subacute stroke patients. The randomized clinical trial will be conducted, participants will be selected through Non probability convenience sampling technique and then randomly allocated into three treatment groups.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age:40-70 years.
- •Gender: Male and female
- •The Subacute stroke patients, at least 3 months post stroke.
- •Patients able to stand without support from upper limb.
- •Patients able to perform 10 meter walk test.
Exclusion Criteria
- •Neurological conditions other than stroke like Guillain barre syndrome, Chronic inflammatory demyelinating polyradiculoneuropathy, Parkinson's disease, Transverse Myelitis etc.
- •Patients with not intact higher mental function and cognition.
- •Patients with grade 3 arthritis and traumatic injuries like spinal cord injuries and TBIs
- •Other chronic disabling pathologies, orthopedic injuries that could impair locomotion
Outcomes
Primary Outcomes
Tinetti Performance Oriented Mobility Assessment(POMA)
Time Frame: 8th week
The Tinetti assessment tool is an easily administered task-oriented test that measures an older adult's gait and balance abilities. Equipment needed are Hard armless chair, Stopwatch or wristwatch and 15 ft walkway.it takes 10-15 minutes to administer. total score is 28 interpretation: 25-28 = low fall risk 19-24 = medium fall risk \< 19 = high fall risk
FMA lower extremity
Time Frame: 8th week
The Fugl-Meyer Assessment of Lower Extremity (FMA-LE) is a widely used and recommended scale for evaluation of post-stroke motor impairment. It is designed to assess motor functioning, balance, sensation and joint functioning in patients with post-stroke hemiplegia. The scale is comprised of five domains and there are 155 items in total