Effects of Multi-direction Stepping and Weight Shifting Exercises in Stroke Patients

NCT ID: NCT05285241

Last Updated: 2022-03-31

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-05-11
• Study Completion Date: 2017-05-22

Brief Summary

Stoke is a leading cause of disability that results not only in persistent neurological deficits but also profound physical de-conditioning that propagates stroke-related secondary disability. Several kinds of research have reported that there has been asymmetrical weight bearing on the affected side while sitting and standing resulting in impaired performance especially reaching in sitting, rising from the chair, walking, and climbing stairs. Despite the stroke patient being able to walk independently with or without the walking aids, the patient still lacks the normal movement pattern especially weight transfers on the affected side while performing such activities which subsequently decreases the patient to restrain the challenges while walking, decrease confidence in functional activities. Also, further, there hasn't been enough literature on this topic. Therefore, the objective of this study is to find out the effectiveness of multidirectional stepping and weight shifting exercises to improve dynamic balance and gait speed in stroke patients.

Detailed Description

The twenty-four subjects who fulfilled the inclusion criteria were selected for the study and were randomly assigned into two groups of 12 subjects each by simple random sampling based on inclusion criteria. First, all the subjects were assessed with a detailed neurological assessment form after the consent form was taken from the patients. The experimental group was given multidirectional stepping exercise with conventional therapy whereas are control group was given only conventional therapy.

Conditions

Stroke

Study Design

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

Study Groups

Multidirectional exercise group

Multidirectional stepping exercises along with conventional physiotherapy were provided to the patients. Conventional physiotherapy included one-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min).

Group Type: EXPERIMENTAL

Multidirectional stepping exercises

Intervention Type: OTHER

These exercises included stepping of the legs in different directions i.e. sideways, sideways and forefoot (forward), sideways and heel (backward).

Conventional Physiotherapy Group

One-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min) were provided to the patients.

Group Type: ACTIVE_COMPARATOR

Conventional physiotherapy group

Intervention Type: OTHER

Conventional physiotherapy included a one-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min)

Interventions

Multidirectional stepping exercises

These exercises included stepping of the legs in different directions i.e. sideways, sideways and forefoot (forward), sideways and heel (backward).

Intervention Type: OTHER

Conventional physiotherapy group

Conventional physiotherapy included a one-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min)

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Diagnosed with stroke via CT Scan or MRI
• Maintain the independent standing posture for 30 sec
• Ability to walk 3 meters independently without an assistive device
• Mini-Mental status examination score >21 points
• Could communicate and understand therapist's verbal command
• Voluntary agreed to participate in the study
• Age above 18 years old
• Medically stable (e.g. recent myocardial infarction, unstable angina, ventricular tachycardia)

Exclusion Criteria

• Visual disorders and visual deficits
• History of any neurological pathology like Parkinson's or Alzheimer's disease
• Conditions affecting balance like vertigo
• Medications affecting balance
• Dementia
• Impaired conscious level or concomitant medical illness
• Lower Motor Neuron lesions
• Anti-spasmodic medication (e.g. Baclofen, Dantrolene Sodium, etc.)
• Severe orthopedic diseases in lower extremities (e.g. Osteoarthritis, fracture, sprain, strain)

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

King Saud University

OTHER

Sponsor Role: lead

Responsible Party

Masood Khan

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Masood Khan, M.P.Th

Role: PRINCIPAL_INVESTIGATOR

King Saud University

Locations

King Saud University

Riyadh, , Saudi Arabia

Countries

Saudi Arabia

Other Identifiers

ACP/OP/2016/ OL 06

Identifier Type: -

Identifier Source: org_study_id