Comparing the Effect of Cawthorne-Cooksey Exercises and Frenkel Exercises on Balance and Coordination in Patients With Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Berg balance Scale
研究概览
简要总结
Stroke, often caused by cerebral circulation disruption can lead to transient or permanent brain function deficit it is a leading cause of disability and death globally, with a particularly high burden in low- and middle-income countries like Pakistan.
Balance and coordination impairments are common post-stroke, severely impacting patients' mobility and quality of life. While Cawthorne-Cooksey and Frenkel exercises are low-cost rehabilitation techniques known to aid balance and coordination, there is limited evidence comparing their effectiveness in stroke patients. This study aims to evaluate and compare the effects of Cawthorne-Cooksey and Frenkel exercises on improving balance and coordination in post-stroke patients.
Specific goals include determining which protocol leads to faster and more sustained improvements and providing evidence-based recommendations for stroke rehabilitation.
详细描述
Stroke, often caused by cerebral circulation disruption can lead to transient or permanent brain function deficit it is a leading cause of disability and death globally, with a particularly high burden in low- and middle-income countries like Pakistan.
Balance and coordination impairments are common post-stroke, severely impacting patients' mobility and quality of life. While Cawthorne-Cooksey and Frenkel exercises are low-cost rehabilitation techniques known to aid balance and coordination, there is limited evidence comparing their effectiveness in stroke patients. This study aims to evaluate and compare the effects of Cawthorne-Cooksey and Frenkel exercises on improving balance and coordination in post-stroke patients.
Specific goals include determining which protocol leads to faster and more sustained improvements and providing evidence-based recommendations for stroke rehabilitation. A randomized controlled trial (RCT) will be conducted with 22 stroke patients aged 40-75, 3-6 months post-stroke. Participants will be randomly divided into three groups: Cawthorne-Cooksey exercises (n=11), Frenkel exercises (n=11). Interventions will last 6 weeks, with sessions held four times weekly. outcome measures include the Berg Balance Scale and Lower Extremity Motor Coordination Test (LEMOCOT). Assessments will occur at baseline and post-intervention, and follow-up. Statistical analysis will use the Paired t-test and the independent t-test to evaluate changes across time and groups. This study addresse
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)
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 40-75 years
- •First-time ischemic or hemorrhagic stroke, diagnosed within the past 3-6 months (subacute phase)
- •Berg Balance Scale (BBS) score between 21-40 (indicating moderate balance impairment)
- •Ability to follow instructions (Mini-Mental State Exam score ≥ 24)
- •No previous participation in a rehabilitation program
排除标准
- •History of multiple strokes or recurrent strokes
- •Individuals with a history of neurological deficits other than stroke, such as Parkinson's disease or multiple sclerosis
- •Severe musculoskeletal disorders, visual or auditory impairments
- •Any contraindications to start rehabilitation (i.e. severe uncontrolled hypertension, uncontrolled diabetes or unstable angina)
- •Use of assistive devices
结局指标
主要结局
Berg balance Scale
时间窗: 6 weeks
The Berg Balance Scale (BBS) is designed to evaluate static and dynamic balance through 14 functional tasks, each scored from 0 to 4 points, with a total possible score of 56. A higher score indicates better balance performance, while a lower score reflects greater fall risk and impaired balance
Lower Extremity Motor Coordination Test
时间窗: 6 weeks
The Lower Extremity Motor Coordination Test (LEMOCOT) is a performance-based measure used to assess motor coordination deficits after stroke. The scoring system for LEMOCOT is based on the ability to move the big toe as fast and accurately as possible between targets marked on an electronic mat equipped with force sensors. The scoring involves calculating the contact surface area, endpoint location, center of pressure (COP), and distance between them. The absolute and variable errors of the endpoint are also calculated to assess the performance of the lower extremities.
次要结局
未报告次要终点