Efficacy of Proprioceptive Neuromuscular Facilitation (PNF) and truncal exercises on trunk control and dynamic sitting balance in post stroke subjects : A Randomized Clinical Trial
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Trunk Impairment Scale (TIS) by Verheyden will be considered for the primary outcome measure to address trunk control.
研究概览
简要总结
On approval, subjects who are referred for stroke rehabilitation will be approached and detail of the study will be explained to the subjects . Informed consent form (Appendix II) will be obtained from the interested participant and screening will be done based on study criteria. Following that selected subjects will be randomly allocated in group A and group B, Group A will receive truncal exercise and group B participants will receive PNF exercise. Block size of 4 will be used in this trial to allocate subjects to two groups, i.e. 2 truncal exercise intervention and 2 PNF exercise intervention in each block. Allocation concealment will be done using sealed opaque envelops which will be sequentially arranged.
Participant of Group A will receive 30 minutes of truncal exercise on stable and unstable surface . The stable surface (plinth) exercises include bridging, unilateral bridging, and truncal rotation. Depending on subject’s performance, the exercises will be progressed towards unstable surface (Physio ball).
Participant of group B will receive 30 minutes of PNF exercises which will include PNF techniques such as rhythmic initiation, rhythmic stabilization and slow reversal to facilitate trunk control.
A total of 10 sessions for 2 weeks with each session lasting approximately for 30 minutes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 25.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •First onset of acute stroke patient’s diagnosis confirmed by neurologist or physician and further referred to department of physiotherapy for stroke rehabilitation.
- •Subjects with supratentorial lesion.
- •MMSE score ≥ 24(Appendix VI).
- •Trunk Control Test score equal to 100.
排除标准
- •Subject with cerebellar and brainstem stroke.
- •2.Subject having other neurological disorder eg.
- •Parkinson’s disease 3.Subjects having general musculoskeletal conditions which is limiting subjects performance in the outcome measure/ treatment protocol.
- •Subject with hemi neglect, pusher’s syndrome, severe visual field defects and somato-sensory deficit.
结局指标
主要结局
Trunk Impairment Scale (TIS) by Verheyden will be considered for the primary outcome measure to address trunk control.
时间窗: pre intervention and post intervention (10 sessions)
次要结局
- Function in sitting balance test to measure dynamic sitting balance.(Functional independence measure to measure the activity of daily living.)