Alexander Technique, Routine Physical Therapy, Balance, Posture, Functional Mobility , Chronic, Hemorrhagic, Stroke

NCT ID: NCT05255809

Last Updated: 2022-03-31

Study Results

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-28

Study Completion Date

2022-10-10

Brief Summary

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MATERIALS AND METHODS Design: The randomized controlled trial. Setting: Nusrat Abdul Rauf Centre for Enablement, Faisalabad. Sample size:40 in each group. Experimental group: Recieve Alexander Technique with Routine Physical Therapy. Control Group: Recieve Routine Physical Therapy.

Detailed Description

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Control Group: Routine Physical Therapy duration: two days a week for 16 weeks.

Trunk stabilising exercises time duration will be 15 minutes,

Straight static standing.Time duration 15 minutes. Shoulders extend. Threestepsfeet placement.10cm away. Open eye target at 2m away. Arms by side.

Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Raise heel with straight foot \& straight head. 20 minutes. Foot raise with straight foot \& straight head. 20 minutes. Rest.5 minutes.

Experimental Group: Alexander Technique + Routine Physical Therapy duration for two days a week for 16 weeks. Lessons will be 32.

Verbal Instructions in Trunk stabilising exercises. Lift the lumber, Head in Centre, fix hands and feet. The time duration will be 15 minutes,

Verbal instructions in Stance Phase:

Relax-Lighten up-Relax-Pull-up. "Shoulder back", "head up", "tummy in" and "stand up straight".

Hip and feet width apart.

Straight static standing.Time duration 15 minutes. Shoulders extend. Threestepsfeet placement.10cm away. Open eye target at 2m away. Arms by side.

Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Raise heel with straight foot \& straight head. 20 minutes. Foot raise with straight foot \& straight head. 20 minutes. Rest.5 minutes.

Conditions

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Chronic Hemorrhagic Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Single

Study Groups

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Alexander Technique + Routine Physical Therapy

Routine Physical Therapy+Alexander Technique Verbal Instructions in Trunk stabilising exercises. The time duration will be 15 minutes. Verbal instructions in Stance Phase Time duration 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Lessons would be two days a week for 16 weeks.

Group Type EXPERIMENTAL

Alexander Technique + Routine Physical Therapy

Intervention Type OTHER

Verbal Instructions in Trunk stabilizing exercises. The time duration will be 15 minutes. Verbal instructions in Stance Phase Time duration 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Lessons would be two days a week for 16 weeks.

Routine Physical Therapy

Intervention Type OTHER

Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Two days a week for 16 weeks.

Control Group

Routine Physical Therapy duration: two days a week for 16 weeks. Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes.

Group Type PLACEBO_COMPARATOR

Routine Physical Therapy

Intervention Type OTHER

Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Two days a week for 16 weeks.

Interventions

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Alexander Technique + Routine Physical Therapy

Verbal Instructions in Trunk stabilizing exercises. The time duration will be 15 minutes. Verbal instructions in Stance Phase Time duration 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Lessons would be two days a week for 16 weeks.

Intervention Type OTHER

Routine Physical Therapy

Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Two days a week for 16 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Chronic Hemorrhagic Hemiplegic Stroke.
* Age40-60Yrs.
* Both genders.
* Intact cognition by MMSE.
* Muscle tone assessment by Ashworth scale.
* Right or left side.

Exclusion Criteria

* Dizziness.
* Vertigo.
* Cerebellum damage.
* Hearing impairment.
* Vision impairment
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Lahore

OTHER

Sponsor Role lead

Responsible Party

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Kaneez Fatima

Effects of Alexander Technique In Addition To Routine Physical Therapy On Balance, Posture And Functional Mobility In Chronic Hemorrhagic Stroke: A Randomized Controlled Trial

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kaneez Fatima, MS PTN*

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Locations

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NACE

Faisalābad, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Muhammad Haider Ullah Khan, MS PTN

Role: CONTACT

03314127210

Umair Ahmed, MS PTN

Role: CONTACT

03212700817

Facility Contacts

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Shahid Ahmed Heera, PhD

Role: primary

03218667920

References

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Cohen RG, Gurfinkel VS, Kwak E, Warden AC, Horak FB. Lighten Up: Specific Postural Instructions Affect Axial Rigidity and Step Initiation in Patients With Parkinson's Disease. Neurorehabil Neural Repair. 2015 Oct;29(9):878-88. doi: 10.1177/1545968315570323. Epub 2015 Feb 9.

Reference Type BACKGROUND
PMID: 25665828 (View on PubMed)

Kim S. Exploring the field application of combined cognitive-motor program with mild cognitive impairment elderly patients. J Exerc Rehabil. 2018 Oct 31;14(5):817-820. doi: 10.12965/jer.1836418.209. eCollection 2018 Oct.

Reference Type BACKGROUND
PMID: 30443528 (View on PubMed)

Kal E, van den Brink H, Houdijk H, van der Kamp J, Goossens PH, van Bennekom C, Scherder E. How physical therapists instruct patients with stroke: an observational study on attentional focus during gait rehabilitation after stroke. Disabil Rehabil. 2018 May;40(10):1154-1165. doi: 10.1080/09638288.2017.1290697. Epub 2017 Feb 24.

Reference Type BACKGROUND
PMID: 28637152 (View on PubMed)

Becker JJ, Copeland SL, Botterbusch EL, Cohen RG. Preliminary evidence for feasibility, efficacy, and mechanisms of Alexander technique group classes for chronic neck pain. Complement Ther Med. 2018 Aug;39:80-86. doi: 10.1016/j.ctim.2018.05.012. Epub 2018 May 23.

Reference Type BACKGROUND
PMID: 30012397 (View on PubMed)

Other Identifiers

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IRB-UOL-FAHS/1087/2021

Identifier Type: -

Identifier Source: org_study_id

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