Comparison of Modified-Otago and Tai Chi Exercises on Balance and Motor Function in Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 62
- 试验地点
- 2
- 主要终点
- Berg Balance Scale (BBS)
研究概览
简要总结
The study aims to determine the comparative effects of Modified-Otago and Tai Chi Exercises on Balance and Motor Function in Patients with Stroke.
详细描述
This randomized clinical trial will be conducted at the Physiotherapy and Chiropractor Centre, Lahore. Data will be collected within seven months after the approval of synopsis. A total of 64 patients will be recruited through convenience sampling technique after inclusion and exclusion criteria. After the baseline assessment, randomizations will be performed through the lottery method. Group A will receive Modified Otago exercises for 60 minutes, 3 times per week for 12 weeks, and Group B will receive Tai Chi Qigong exercises for 60 minutes, 3 times per week for 12 weeks. To assess the balance and motor function, the Berg Balance Scale (BBS) and Motor Assessment Scale will be used, respectively. The data will be analyzed by using the SPSS (Statistical Package for Social Sciences) 23 version.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The study would be single-blinded as the assessor of the study would be kept blind of the treatment groups to which the patient would be allocated.
入排标准
- 年龄范围
- 40 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinically diagnosed stroke patients with ischemic type.
- •Post-stroke ≥ 3 months.
- •Survivors of both hemorrhagic and ischemic stroke.
- •Subjects should have stable conditions after the stroke incidence.
- •Community-dwelling survivors of stroke who were aged ≥40 years.
- •Both genders can participate in the study.
- •Mini-Mental State Exam score equal to or greater than
- •Modified Rankin Scale score of three or less.
- •Berg Balance Scale score is between 41 and
- •Muscle strength grade should be of grade 4 and above.
排除标准
- •Subjects with diagnosed peripheral neuropathy.
- •The subject is unable to perform Tai Chi exercises.
- •No history of other neurological and musculoskeletal conditions.
- •Subjects with diagnosed vestibular disease.
- •Subjects have cardiac abnormalities.
- •Contracture, fracture, or pain in the musculoskeletal system.
- •Subjects who have undergone strength and balance training in the past 3 months.
- •Subject taking medications that increase the incidence of falls.
- •Subjects have been diagnosed with malignancy of any type.
研究组 & 干预措施
Group B (Tai Chi Exercises)
Participants of the Tai Chi qigong group will participate in a 30-minute exercise class three times a week for 12 weeks.
- Warm-up exercises for 10 minutes
- Tai Chi Exercises for 30 minutes
- Cool-down exercises for 5 minutes
干预措施: Tai-Chi Exercises (Other)
Group A (Modified-Otago Exercises)
Participants will engage in Modified-Otago exercises for 30 minutes of moderate-intensity exercise at least three times weekly for 12 weeks.
- Walking for 15 minutes
- Strengthening exercises for 10 minutes
- Balance exercises 20 minutes
干预措施: Modified-Otago Exercises (Other)
结局指标
主要结局
Berg Balance Scale (BBS)
时间窗: 12 weeks
The BBS, a 14-item scale, quantitatively evaluates balance and fall risk in older community-dwelling adults by directly observing their performance. Scores range from 0 to 4, with 0 indicating inability and 4 representing independent completion. The total score, out of 56, categorizes balance as impaired (0-20), acceptable (21-40), or good (41-56).
Timed Up and Go (TUG)
时间窗: 12 weeks
The Timed Up and Go (TUG) is a comprehensive physical performance test designed to evaluate mobility, balance, and locomotor abilities in elderly individuals dealing with balance issues. The test involves a sequence of motor tasks related to walking and turning. Without specific items, the individual is required to stand up from a chair (not leaned against a wall), walk 3 meters, turn around, return to the chair, and sit down at a comfortable pace.
Motor Assessment Scale (MAS)
时间窗: 12 weeks
The Motor Assessment Scale (MAS) serves as a performance-based evaluation tool designed to assess everyday motor function in stroke patients. It encompasses 8 items representing different areas of motor function. A single item assesses the general tonus to estimate muscle tone on the affected side. Ratings, scored on a 7-point scale (0-6), indicate optimal motor behavior, with a sum of item scores (excluding general tonus) providing an overall score out of 48 points.
次要结局
未报告次要终点