Effects of Compelled Body Weight Shift Technique for Rehabilitation of Individuals With Chronic Stroke

NCT ID: NCT04479774

Last Updated: 2020-09-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 27 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-07-12
• Study Completion Date: 2020-08-31

Brief Summary

Stroke is one of the major cause of lifelong disability if not treated on time, the investigator's technique knows as Compelled Body Weight Shift Technique (CBWS) was utilized and administered to chronic stroke population and results were figured out using gait parameters and Tinetti POMA scale.

Detailed Description

Total 28 sample size out of which 27 were divided into control and experimental group. Inclusion criteria was Unilateral chronic stroke with asymmetrical stance, Patients with score of 3,4 and 5 will be included according to FAS (Functional Ambulation Scale), Ability to understand and follow instructions, Both male and female, Any type of stroke, and Age 40-60. Written and informed consent was obtained from participants of study. Six weeks of exercise training was combined with compelled body weight shift technique via shoe lift of 0.6 cm thickness for experimental group and for control group training was performed without shoe lift.

Conditions

Chronic Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Experimental Group (Group A)

Subjects were randomly assigned and informed consent was obtained, the subjects were educated about treatment and on the basis of functional ambulation scale 3,4 and 5 subjects were included, along with this the subjects of age group between 40-60 having ability to understand and follow instructions were included in study.

Results were obtained by using gait parameters including walk speed, cadence, step rate, stride length The tinetti POMA scale was utilized to record changes post treatment in gait , the weight bearing was recorded using Camry ZT-160 analog weight scale At the end of every week results were obtained.

Group Type: EXPERIMENTAL

Compelled Body Weight Shift Technique

Intervention Type: OTHER

Routine Physical Therapy with 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients

• Muscle re-education
• Sit to stand exercise , 4 to 10 repetitions
• Supported heel raise to 10 repetitions with 3 sets
• Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets
• Gait training
• Forward walk in parallel bars with number of 10 rounds.
• Task oriented training balance training
• A. Stepping exercise on 15 cm height step and number of repetitions 10.
• B. Tandem standing for 10 seconds.
• C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.

Control group: (Group B)

Subjects were randomly assigned and informed consent was obtained, the subjects were educated about treatment and on the basis of functional ambulation scale 3,4 and 5 subjects were included, along with this the subjects of age group between 40-60 having ability to understand and follow instructions were included in study.

Results were obtained by using gait parameters including walk speed, cadence, step rate, stride length The tinetti POMA scale was utilized to record changes post treatment in gait , the weight bearing was recorded using Camry ZT-160 analog weight scale At the end of every week results were obtained.

Group Type: OTHER

Compelled Body Weight Shift Technique without insole

Intervention Type: OTHER

Routine Physical Therapy without 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients

• Muscle re-education
• Sit to stand exercise , 4 to 10 repetitions
• Supported heel raise to 10 repetitions with 3 sets
• Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets
• Gait training
• Forward walk in parallel bars with number of 10 rounds.
• Task oriented training balance training
• A. Stepping exercise on 15 cm height step and number of repetitions 10.
• B. Tandem standing for 10 seconds.
• C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.

Interventions

Compelled Body Weight Shift Technique

Routine Physical Therapy with 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients

• Muscle re-education
• Sit to stand exercise , 4 to 10 repetitions
• Supported heel raise to 10 repetitions with 3 sets
• Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets
• Gait training
• Forward walk in parallel bars with number of 10 rounds.
• Task oriented training balance training
• A. Stepping exercise on 15 cm height step and number of repetitions 10.
• B. Tandem standing for 10 seconds.
• C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.

Intervention Type: OTHER

Compelled Body Weight Shift Technique without insole

Routine Physical Therapy without 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients

• Muscle re-education
• Sit to stand exercise , 4 to 10 repetitions
• Supported heel raise to 10 repetitions with 3 sets
• Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets
• Gait training
• Forward walk in parallel bars with number of 10 rounds.
• Task oriented training balance training
• A. Stepping exercise on 15 cm height step and number of repetitions 10.
• B. Tandem standing for 10 seconds.
• C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Unilateral chronic stroke with asymmetrical stance
• Patients with score of 3,4 and 5 were included according to functional ambulation scale(59)
• Ability to understand and follow instruction
• Both male and female.
• Any type of stroke.
• Age 40-60.

Exclusion Criteria

• • Serious or unstable medical, condition of patient.

• History of other neurological diseases (i.e. Parkinson's disease, multiple sclerosis),
• Contractures or any deformity.
• Leg Length Discrepancy

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Northwest Institute of Health Sciences, Pakistan

OTHER

Sponsor Role: lead

Responsible Party

Usman Farooq

Dr.Usman Farooq PT

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Usman Farooq, Mspt

Peshawar, Khyber Pakhtunkhwa, Pakistan

Countries

Pakistan

Other Identifiers

NWIHS-0001/IRB/01

Identifier Type: -

Identifier Source: org_study_id