Task-oriented Progressive Resistance Strength Training and Balance Exercises on Lower Limb in Individuals With Stroke

NCT ID: NCT04820660

Last Updated: 2021-03-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 18 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-03-01
• Study Completion Date: 2019-12-30

Brief Summary

Stroke is ranked as the number fifth cause of death and a main cause of disability in the United States. It affects the arteries which supply blood to and within the brain. If the blood supply to the brain is disrupted, it will not be able to receive oxygen and the nutrients which are transported by those arteries. This leads to the death of brain cells having a magnificent effect on the function of that part.

Detailed Description

This study was quasi-experimental trial, to compare the effectiveness of Progressive Resistive Strength Exercises and Balance Exercises in subjects with Stroke. Subjects with Stroke meeting the predetermined inclusion & exclusion criteria were divided into two groups using lottery method. Pre assessment was done using Berg Balance Scale, Fugl Meyer Assessment - Lower Extremity and Step Test.

Subjects in one group were treated with Progressive Resistive Strength Training and other group was treated with Balance training. Each subject received 12 treatment sessions, with 03 treatment sessions per week. Results were recorded at the end of 3rd, 6th, 9th and 12th treatment sessions. Recorded values were analysed using SPSS.

Conditions

Stroke

Keywords

Balance; progressive resistance strength training

Study Design

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

Study Groups

Task oriented Strength training group

Standing and reaching in different directions Sit-to-stand Stepping forward and backward Stepping sideways onto blocks

Group Type: EXPERIMENTAL

Task orientated strengthening training

Intervention Type: OTHER

1. Standing and reaching in different directions for objects located beyond arm's length to promote loading of the lower limbs and activation of lower limb muscles;

2. Sit-to-stand from various chair heights to strengthen the lower limb extensor muscles;

3. Stepping forward and backward onto blocks of various heights to strengthen the lower limb muscles;

4. Stepping sideways onto blocks of various heights to strengthen the lower limb muscles;

5. forward step-up onto blocks of various heights to strengthen the lower limb muscles;

6. heel(s) raise and lower while maintaining in a standing posture to strengthen the plantar- flexor muscles.

Each workstation was 5 min in duration for each exercise class. Each subject participated in a one-to-one therapy.

Balance Training

Stepping forward, backward, and sideways on the exercise step; Stepping over blocks of various heights; Standing up from a chair, From a sitting position on a 65-cm Swiss ball, Arms; bending the trunk forward and side to side); Performing double-legged stance Performing tandem stance Rising from a chair without the use of the arms; Walking forward and backward with a tandem walking pattern Performing single- legged stance

Group Type: EXPERIMENTAL

Balance training exercises

Intervention Type: OTHER

1. Stepping forward, backward, and sideways on the exercise step;

2. Stepping over blocks of various heights;

3. Standing up from a chair, walking four steps forward, performing a bilateral stool touch and walking backwards to the chair;

4. Standing up from a chair, walking four steps forward, turning to the right, stepping over the exercise step, turning to the right again and walking forwards to the chair (repeat the exercise circuit in opposite direction);

5. From a sitting position on a 65-cm Swiss ball, performing a range of motion and balance exercises (forward and backward rolling of the

6. Arms; bending the trunk forward and side to side);

7. Performing double-legged stance for 10 s;

8. Performing tandem stance for 10 s;

9. Rising from a chair without the use of the arms;

10. Walking forward and backward with a tandem walking pattern (toes of one foot touching the heel of the foot in front);

11. Performing single- legged stance for 10 s.

Interventions

Task orientated strengthening training

1. Standing and reaching in different directions for objects located beyond arm's length to promote loading of the lower limbs and activation of lower limb muscles;

2. Sit-to-stand from various chair heights to strengthen the lower limb extensor muscles;

3. Stepping forward and backward onto blocks of various heights to strengthen the lower limb muscles;

4. Stepping sideways onto blocks of various heights to strengthen the lower limb muscles;

5. forward step-up onto blocks of various heights to strengthen the lower limb muscles;

6. heel(s) raise and lower while maintaining in a standing posture to strengthen the plantar- flexor muscles.

Each workstation was 5 min in duration for each exercise class. Each subject participated in a one-to-one therapy.

Intervention Type: OTHER

Balance training exercises

1. Stepping forward, backward, and sideways on the exercise step;

2. Stepping over blocks of various heights;

3. Standing up from a chair, walking four steps forward, performing a bilateral stool touch and walking backwards to the chair;

4. Standing up from a chair, walking four steps forward, turning to the right, stepping over the exercise step, turning to the right again and walking forwards to the chair (repeat the exercise circuit in opposite direction);

5. From a sitting position on a 65-cm Swiss ball, performing a range of motion and balance exercises (forward and backward rolling of the

6. Arms; bending the trunk forward and side to side);

7. Performing double-legged stance for 10 s;

8. Performing tandem stance for 10 s;

9. Rising from a chair without the use of the arms;

10. Walking forward and backward with a tandem walking pattern (toes of one foot touching the heel of the foot in front);

11. Performing single- legged stance for 10 s.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Hemiparetic from a single stroke occurring at least a year earlier, not presently receiving any rehabilitation services,
• Participants should not be receiving any rehabilitation services
• Participants should be able to walk 10 m independently without an assistive device
• Participants should be medically stable enough to allow participation, and able to understand instructions and follow commands.

Exclusion Criteria

• Participants with any medical condition that would prevent participation in the training program
• Participants with any uncontrolled health condition for which exercise is contraindicated.
• Participants with any tumor or neurological signs.

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rabiya Noor, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah IU

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet. 2011 May 14;377(9778):1693-702. doi: 10.1016/S0140-6736(11)60325-5.

Reference Type: BACKGROUND

PMID: 21571152 (View on PubMed)

National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995 Dec 14;333(24):1581-7. doi: 10.1056/NEJM199512143332401.

Reference Type: BACKGROUND

PMID: 7477192 (View on PubMed)

van der Worp HB, van Gijn J. Clinical practice. Acute ischemic stroke. N Engl J Med. 2007 Aug 9;357(6):572-9. doi: 10.1056/NEJMcp072057. No abstract available.

Reference Type: BACKGROUND

PMID: 17687132 (View on PubMed)

Andersen KK, Olsen TS, Dehlendorff C, Kammersgaard LP. Hemorrhagic and ischemic strokes compared: stroke severity, mortality, and risk factors. Stroke. 2009 Jun;40(6):2068-72. doi: 10.1161/STROKEAHA.108.540112. Epub 2009 Apr 9.

Reference Type: BACKGROUND

PMID: 19359645 (View on PubMed)

Albers GW, Caplan LR, Easton JD, Fayad PB, Mohr JP, Saver JL, Sherman DG; TIA Working Group. Transient ischemic attack--proposal for a new definition. N Engl J Med. 2002 Nov 21;347(21):1713-6. doi: 10.1056/NEJMsb020987. No abstract available.

Reference Type: BACKGROUND

PMID: 12444191 (View on PubMed)

Lovett JK, Dennis MS, Sandercock PA, Bamford J, Warlow CP, Rothwell PM. Very early risk of stroke after a first transient ischemic attack. Stroke. 2003 Aug;34(8):e138-40. doi: 10.1161/01.STR.0000080935.01264.91. Epub 2003 Jul 10.

Reference Type: BACKGROUND

PMID: 12855835 (View on PubMed)

Other Identifiers

REC/Lhr/19/2033 Hira Javed

Identifier Type: -

Identifier Source: org_study_id