Universal Exercise Unit Therapy With Sling Exercise Therapy on Lower Limb Kinematics in Chronic Stroke Patients
NCT ID: NCT05033873
Last Updated: 2022-12-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
90 participants
INTERVENTIONAL
2021-07-15
2023-12-30
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Group A: Universal Exercise Unit Therapy (UEU)
This experimental group will be given universal exercise unit therapy.
Universal Exercise Unit Therapy (UEU)
Standing, walk standing, half standing, kneel standing, half kneel standing, quadruped position, three point quadruped , alternative quadruped , transitions, walking all these will be done in Universal Exercise Unit with a standardized protocol regimen.
Group B: Sling Exercise Therapy (SET)
This experimental group will be given sling exercise therapy
Sling Exercise Therapt (SET)
1. The patient's bilateral knee joints/feet will be suspended by a rope belt, and then the patient's pelvis will be elevated and maintained in supine or lateral position, adding flexion and extension training to lower limb if permitted.
2. In supine or lateral position, with patient's head, trunk and pelvis fixed, the therapist will use appropriate elastic bands to assist patient's limbs to do passive-power assisted-power resistance training in all directions (bending, stretch, outreach, and adduction).
3. The patient's chest and abdomen will be suspended by a wide elastic band, positioned him-self in the prone position with the fulcrum of bilateral elbows and knees, and then the torso swayed in all directions, therapists could assist
4. Target elbow and wrist will be suspended, according to the patient's ability to do passive/active open and close chain movement
Group C: Control Group
Control group will be given routine physical therapy
Routine Physical Therapy / Control Group
Control group will receive routine physiotherapy with duration one hour including
* Active and passive joint movement
* Muscle strength training
* Bridging exercises
* Balance training in sitting and standing positions, according to the patients' functional state.
* Weight bearing exercises on affected Limbs
Interventions
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Universal Exercise Unit Therapy (UEU)
Standing, walk standing, half standing, kneel standing, half kneel standing, quadruped position, three point quadruped , alternative quadruped , transitions, walking all these will be done in Universal Exercise Unit with a standardized protocol regimen.
Sling Exercise Therapt (SET)
1. The patient's bilateral knee joints/feet will be suspended by a rope belt, and then the patient's pelvis will be elevated and maintained in supine or lateral position, adding flexion and extension training to lower limb if permitted.
2. In supine or lateral position, with patient's head, trunk and pelvis fixed, the therapist will use appropriate elastic bands to assist patient's limbs to do passive-power assisted-power resistance training in all directions (bending, stretch, outreach, and adduction).
3. The patient's chest and abdomen will be suspended by a wide elastic band, positioned him-self in the prone position with the fulcrum of bilateral elbows and knees, and then the torso swayed in all directions, therapists could assist
4. Target elbow and wrist will be suspended, according to the patient's ability to do passive/active open and close chain movement
Routine Physical Therapy / Control Group
Control group will receive routine physiotherapy with duration one hour including
* Active and passive joint movement
* Muscle strength training
* Bridging exercises
* Balance training in sitting and standing positions, according to the patients' functional state.
* Weight bearing exercises on affected Limbs
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Recently discharge from in-patients setting with in 06 month of onset
* Hemiplegia (either right or left)
* Both gender
* Age between 30 to 70
* Medically stable
* No balance disorders before this stroke.
* History of mental
* illness or severe cognitive impairment (MINI-MENTAL SCALE SCORE \> 25)
Exclusion Criteria
* Stroke patients with behavioral issue, significant cognitive deficit
* Patients with arthritis and fracture
* Chronic stroke with deformities
* Serious viscera dysfunction, such as cardiovascular system,
* Lung, liver and kidney
* History of mental
* Illness or severe cognitive impairment (MINI-MENTAL SCALE SCORE \> 25)
* Audio-visual understanding
* obstacle, unable to cooperate with instructions;
* Infection and ulcer skin
30 Years
70 Years
ALL
No
Sponsors
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Riphah International University
OTHER
Responsible Party
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Principal Investigators
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Rabiya Noor, PhD
Role: STUDY_CHAIR
Riphah International University
Locations
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Riphah Rehabilitation Center
Lahore, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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References
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Rajkumar S, Chandra SB. Recent advances in treatment of cerebral ischemic stroke. Medicine. 2021;10(1):1.
Busl KM, Greer DM. Hypoxic-ischemic brain injury: pathophysiology, neuropathology and mechanisms. NeuroRehabilitation. 2010;26(1):5-13. doi: 10.3233/NRE-2010-0531.
Sherin A, Ul-Haq Z, Fazid S, Shah BH, Khattak MI, Nabi F. Prevalence of stroke in Pakistan: Findings from Khyber Pakhtunkhwa integrated population health survey (KP-IPHS) 2016-17. Pak J Med Sci. 2020 Nov-Dec;36(7):1435-1440. doi: 10.12669/pjms.36.7.2824.
Yi X, Luo H, Zhou J, Yu M, Chen X, Tan L, Wei W, Li J. Prevalence of stroke and stroke related risk factors: a population based cross sectional survey in southwestern China. BMC Neurol. 2020 Jan 7;20(1):5. doi: 10.1186/s12883-019-1592-z.
Kamalakannan S, Gudlavalleti ASV, Gudlavalleti VSM, Goenka S, Kuper H. Incidence & prevalence of stroke in India: A systematic review. Indian J Med Res. 2017 Aug;146(2):175-185. doi: 10.4103/ijmr.IJMR_516_15.
Venketasubramanian N, Yoon BW, Pandian J, Navarro JC. Stroke Epidemiology in South, East, and South-East Asia: A Review. J Stroke. 2017 Sep;19(3):286-294. doi: 10.5853/jos.2017.00234. Epub 2017 Sep 29.
Hussein ZA. Strength training versus chest physical therapy on pulmonary functions in children with Down syndrome. Egyptian Journal of Medical Human Genetics. 2017;18(1):35-9.
Wooten A. Universal Exercise Unit for Treatment of a Child Following Hemispherectomy: A Case Report. 2017.
Salim ASM. Effect of universal exercise unit on standing in spastic diaplegia. 2013.
Olama KA, Elnahhas AM, Rajab SH. Effect of universal exercise unit on balance in children with spastic Diplegia.
Other Identifiers
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REC/RCR&AHS/21/1108
Identifier Type: -
Identifier Source: org_study_id
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