Comparison of The Effects of Virtual Balance Training and Conservative Rehabilitation Therapy in Stroke Patients
NCT ID: NCT05552742
Last Updated: 2022-09-23
Study Results
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Basic Information
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COMPLETED
NA
30 participants
INTERVENTIONAL
2021-11-01
2022-05-01
Brief Summary
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Detailed Description
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It has been shown that the functional recovery of patients with stroke is adversely affected and length of hospital stay during the rehabilitation program, particularly in those with severe balance disorders.
Virtual reality technologies are currently employed to accelerate functional recovery in patients.
A total of 30 patients were included in the study. The patients were randomized into two groups with 15 patients in each group by simple randomization.
Group 1 received the conservative rehabilitation program, whereas Group 2 received a balance training program using the Thera-Trainer Balo (TTB) device along with the conservative rehabilitation program.
Patient information regarding the age, gender, hemiplegic side, stroke duration, and type of ischemia were recorded. The stage of motor recovery according to Brunnstrom, spasticity based on the modified Ashworth scale, ambulation ability based on the Functional Ambulation Scale (FAS), quality of life based on the Short Form-36 (SF-36) scale, and balance-coordination status based on the Berg Balance Scale (BBS) were assessed at the beginning of the treatment and at the endpoint of the 8 week treatment. Moreover, evaluations were made with static and dynamic postural stability tests.
The study aimed to assess the effects of a virtual balance training program using the Thera-Trainer Balo (TTB) device along with conservative rehabilitation program on the clinical findings; standing, stepping, walking and balance measures; and activities of daily living in patients with stroke.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Conservative Rehabilitation
Only conservative rehabilitation treatment was applied to the patients in group 1.
Conservative rehabilitation
The conservative rehabilitation program includes a patient-specific conservative exercise program comprising exercises that strengthen the paralyzed side, increase joint range of motion and strengthen muscles, stretch spastic muscles, and ensure balance rehabilitation that enhances balance performance and coordination. The patients in both groups received conservative rehabilitation program for 8 weeks, 4 days a week for 1 h.
Conservative Rehabilitation + Virtual Balance Training
Conservative rehabilitation treatment and virtual balance study were applied to the patients in group 2.
Conservative rehabilitation
The conservative rehabilitation program includes a patient-specific conservative exercise program comprising exercises that strengthen the paralyzed side, increase joint range of motion and strengthen muscles, stretch spastic muscles, and ensure balance rehabilitation that enhances balance performance and coordination. The patients in both groups received conservative rehabilitation program for 8 weeks, 4 days a week for 1 h.
Virtual Balance Training
Virtual balance training program using the Thera-Trainer Balo device was applied 4 times a week for a total of 8 weeks, and each session lasted for 20 min. The center of mass of each patient was determined using sensors and displayed on the screen. The patients were encouraged to move their mass by swiping in all directions via the apple picking game displayed on the screen
Interventions
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Conservative rehabilitation
The conservative rehabilitation program includes a patient-specific conservative exercise program comprising exercises that strengthen the paralyzed side, increase joint range of motion and strengthen muscles, stretch spastic muscles, and ensure balance rehabilitation that enhances balance performance and coordination. The patients in both groups received conservative rehabilitation program for 8 weeks, 4 days a week for 1 h.
Virtual Balance Training
Virtual balance training program using the Thera-Trainer Balo device was applied 4 times a week for a total of 8 weeks, and each session lasted for 20 min. The center of mass of each patient was determined using sensors and displayed on the screen. The patients were encouraged to move their mass by swiping in all directions via the apple picking game displayed on the screen
Eligibility Criteria
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Inclusion Criteria
* patients had the first unilateral hemiparesis attack, could stand with or without assistance,
* patients had no contraindications for walking.
Exclusion Criteria
* a mini-mental test score of \<24,
* severe spasticity at the lower extremity with grade 4 and unilateral neglect, and musculoskeletal diseases such as amputation and severe arthritis, which limits walking,
20 Years
65 Years
ALL
No
Sponsors
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Abant Izzet Baysal University
OTHER
Responsible Party
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Serdar Kilinc
Assistant Professor
Locations
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Abant Izzet Baysal University
Bolu, , Turkey (Türkiye)
Countries
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Other Identifiers
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AIBU-FTR-SK-04
Identifier Type: -
Identifier Source: org_study_id
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