Effect of Rhythmic Auditory Stimulation(RAS) on Turning in Post-stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 2
- 主要终点
- Cadence
研究概览
简要总结
As, stroke is the second leading cause of death and disability globally, leads to postural changes, disturbance in balance, increase fall risks, & gait dysfunctions, affecting daily activities and walking ability.As, turning is the major component of ambulation. But this difficulty in post stroke results in increased fall risk.Stroke survivors encounter multiple gait abnormalities, which increases difficulty in changing direction.Multiple studies have reported that, RAS with beats of metronome is an effective intervention on balance & gait patterns i-e stride length, gait speed, & symmetry in post-stroke patients .With little evidence available targeting comparative effectiveness with & without RAS on turning in post-stroke patients. This study will fill this gap, to determine the effect on changing direction, with & without RAS and will be helpful in providing evidence to literature, will provide treatment protocol for turning in gait.
详细描述
CHAPTER III OBJECTIVES OF STUDY
- To determine the effect on turning in post-stroke patients with and without rhythmic auditory stimulation (RAS)
- To determine the effect on balance in post-stroke patients with and without rhythmic auditory stimulation (RAS)
- To determine the effect on cadence in post-stroke patients with and without rhythmic auditory stimulation (RAS)
- To determine the effect on gait speed in post-stroke patients with and without rhythmic auditory stimulation (RAS)
HYPOTHESIS OF STUDY
ALTERNATE HYPOTHESIS:
- HA: There is a statistically significant difference on turning in post-stroke patients with and without RAS i-e P<0.5
- HA: There is a statistically significant difference on balance in post-stroke patients with and without RAS i-e P<0.5
- HA: There is a statistically significant difference on cadence in post-stroke patients with and without RAS i-e P<0.5 4:HA: There is a statistically significant difference on gait speed in post-stroke patients with and without RAS i-e P<0.5
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
- None
入排标准
- 年龄范围
- 45 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 45-60 years
- •Male & Females both
- •Sub-acute & chronic ischemic stroke patient (MCA >6months)
- •Mini Mental State Examination score of 25 or higher
- •Functional Ambulation Category score 2-3
- •Berg Balance scale score of 40-50
排除标准
- •Hemorrhagic stroke
- •Case or history of epilepsy
- •Patients, having other neurological conditions, Alzheimer, Parkinson & Dementias
结局指标
主要结局
Cadence
时间窗: 6 weeks
10 meter walk test
Gait speed
时间窗: 6 weeks
10 meter walk test. Mark off 10 m on floor with tape, time in sec how long it takes for patient to walk in 10 meter, having them start few feet before the line and keep going a few feet after the line. calculate in Meters/minute
Turning assessment
时间窗: 6 weeks
180 degree turn test will be used. piece of colored tape placed on floor to mark starting point, participant will be asked to turn 180° on spot from standing start position \& within a designated marked area on floor. The starting point is marked with a piece of colorful tape on the floor, and the participant is then told to stand with their feet pointed in that direction. After that, they are then instructed to immediately turn 180 degrees from the starting position while standing in a certain, indicated area on the floor. The number of steps required to turn 180 degrees will be counted after the subject is instructed to turn "as fast as he/she can." There will be three rotations in each direction, with a one-minute of break in between. The chance of falling increases with more than five steps. About three seconds is the meantime
Balance
时间窗: 6 weeks
The Berg Balance Scale is 14 item scale, assesses the balance of patients with neurological disorders. Performance is assessed on different tasks and each task is graded with a 5- point ordinal scale ranging from 0 to 4, Maximum score à 56 points à adequate postural balance \& no risk of falls. Score equal to or less than 45 points indicates risk of fall. Between 56 \& 41 points, indicate a low risk of falling, between 40 \& 21 points a medium risk of falling, \& between 20 and 0 points a high risk of falling.
次要结局
未报告次要终点