EFFECT OF COGNITIVE POSTURAL TRAINING ON POSTURAL STABILITY IN HEMISPATIAL NEGELCT PATIENTS POST STROKE
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Overall Stability Index (OSI) - Biodex Balance System
研究概览
简要总结
This randomized controlled trial investigates the effect of Cognitive Postural Training (CPT) on postural stability and cognitive function in patients with hemispatial neglect following stroke. Participants will be randomly assigned to receive either Cognitive Postural Training combined with conventional balance training or conventional balance training alone. Training will be provided three times per week for four weeks. The effects of the intervention on cognitive function, hemispatial neglect, postural stability, balance, and functional independence will be evaluated.
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 (Participant)
入排标准
- 年龄范围
- 45 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients from both genders with hemispatial neglect due to first ever right cerebral hemisphere stroke (ischemic or hemorrhagic).
- •Age of participants ranged from 45 to 65 years.
- •Mild to moderate degree of unilateral spatial neglect according to Catherine Bergego scale.(Appendix VI)
- •The duration of the stroke was at least six months.
- •Body mass index ranged from 18.5 - 30 Kg/m
- •Montreal cognitive assessment score more than 21 (Nasreddine, et al., 2005).
- •Mini mental state examination score between 20 and 24 (Li, et al., 2016).
- •Grade of spasticity less than two according to Modified Ashworth Scale (Harb and kishner 2022).
- •Berg balance scale score less than 45 (Miranda-Cantellops, et al., 2022).
- •Muscle power of lower limbs 3 or more
排除标准
- •21) Other brain injuries/illnesses, psychiatric, sever cognitive impairment, severe sensory or proprioceptive loss.
- •22) Other causes of cognitive dysfunction. 23) Severe apraxia, severe aphasia. 24) Drugs that affect balance or cognition 25) Ankle disorders (e.g.sprain), vestibular disorder 26) ophthalmic disorders, homonymous hemianopsia 27) Progressive neurological disease (e.g., dementia)
研究组 & 干预措施
Cognitive postural training group
干预措施: Cognitive postural training (Other)
Cognitive postural training group
干预措施: Conventional physical therapy program (Other)
Conventional physical therapy program group
干预措施: Conventional physical therapy program (Other)
结局指标
主要结局
Overall Stability Index (OSI) - Biodex Balance System
时间窗: Once at enrollment once at the end of treatment that will last 4 weeks
Psotural stability- Berg Balance Score
时间窗: Once at enrollment once at end of treatment that will last for 4 weeks
次要结局
- Cognitive Function - Montreal Cognitive Assessment (MoCA)(Once at enrollment once at end of treatment that will last for 4 weeks)
- Global Cognitive Function - Mini-Mental State Examination (MMSE)(Once at enrollment once at end of treatment that will last for 4 weeks)
- Hemispatial Neglect - Star Cancellation Test(Once at enrollment once at the end of treatment that will last 4 weeks)
- Hemispatial Neglect - Catherine Bergego Scale (CBS)(Once at enrollment once at the end of treatment that will last 4 weeks)
- Functional Independence - Barthel Index (BI)(Once at enrollment once at the end of treatment that will last 4 weeks)
研究者
Alaa Elbaroudy
Teaching assistant
Ahram Canadian University