Core Strengthening Versus Lower Limb Proprioceptive Neuromuscular Facilitation Techniques in Chronic Stroke Patients
NCT ID: NCT05707065
Last Updated: 2023-01-31
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
42 participants
INTERVENTIONAL
2023-01-01
2023-03-22
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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core strengthening exercises
Participants will be positioned in supine.
* first stage participants will be taught to activate abdominal wall musculature. They will be initially trained to perform abdominal bracing.
* Then positioned in quadruped position and asked to lift alternate arms, gradually progressing to alternate leg lifts and alternate arm/leg raises to activate multifidus.
* Then side bridges (side plank) exercise for activation of quadratus lumborum and obliques.
* Then asked to perform trunk curls in crook lying, asking them to lift their upper trunk slightly (15°) from the plinth, hold the position for 5 sec.
* Perform 30 repetitions of each exercise with 8-sec hold.
* Maintain normal diaphragmatic breathing throughout the intervention
core strengthening exercises
The core muscles training includes transverse abdominis, multifidus, paraspinals, quadratus lumborum, and obliques.
Proprioceptive Neuromuscular Facilitation
* Rhythmic initiation (RI) Patients progressively performed voluntary relaxation, passive movements, active assisted, active resisted movements and than active movements.
* Dynamic reversals (slow reversals) Isotonic contractions of first agonists and then antagonists performed against resistance was performed initially.
* Stabilizing reversals Isotonic contractions of first agonists, then antagonists against resistance was performed in an alternate way.
* Mixture of isotonic (agonist reversals, AR) resisted concentric, contraction of agonist muscles moving with the range was performed progressively following eccentric, lengthening contraction, moving slowing to the start position. .
Total 30 min for 3 days a week for a total duration of 4 weeks was set as a optimal time frame duration. Each technique was given for 10 min.
Proprioceptive Neuromuscular Facilitation
lower limb PNF technique along with conventional treatment i.e., Rhythmic initiation, slow reversal, stabilizing reversal, and combination of isotones.
Interventions
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core strengthening exercises
The core muscles training includes transverse abdominis, multifidus, paraspinals, quadratus lumborum, and obliques.
Proprioceptive Neuromuscular Facilitation
lower limb PNF technique along with conventional treatment i.e., Rhythmic initiation, slow reversal, stabilizing reversal, and combination of isotones.
Eligibility Criteria
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Inclusion Criteria
* Participants with first ever ischemic stroke of right or left half of the body.
* Participants should be able to walk without support for 10 m.
* MMSE score is ≥ 24.
Exclusion Criteria
* Patients with speech problem after stroke
* Patients with other neurological disorders including: Parkinson's disease, multiple sclerosis, epilepsy, etc.
50 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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Ali Raza, MS(OMPT)
Role: PRINCIPAL_INVESTIGATOR
Riphah International University
Locations
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Ittefaq Hospital
Lahore, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Ali Raza, MS(OMPT)
Role: primary
References
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Sharma V, Kaur J. Effect of core strengthening with pelvic proprioceptive neuromuscular facilitation on trunk, balance, gait, and function in chronic stroke. J Exerc Rehabil. 2017 Apr 30;13(2):200-205. doi: 10.12965/jer.1734892.446. eCollection 2017 Apr.
Park SE, Moon SH. Effects of trunk stability exercise using proprioceptive neuromuscular facilitation with changes in chair height on the gait of patients who had a stroke. J Phys Ther Sci. 2016 Jul;28(7):2014-8. doi: 10.1589/jpts.28.2014. Epub 2016 Jul 29.
Suh JH, Lee EC, Kim JS, Yoon SY. Association between trunk core muscle thickness and functional ability in subacute hemiplegic stroke patients: an exploratory cross-sectional study. Top Stroke Rehabil. 2022 Apr;29(3):163-172. doi: 10.1080/10749357.2021.1918840. Epub 2021 Apr 26.
Asghar M, Fatima A, Warner S, Khan MHU, Ahmad A, Siddique K. Effectiveness of proprioceptive neuromuscular facilitation on balance in chronic stroke patients. Rawal Medical Journal. 2021;46(1):212-5
Krukowska J, Bugajski M, Sienkiewicz M, Czernicki J. The influence of NDT-Bobath and PNF methods on the field support and total path length measure foot pressure (COP) in patients after stroke. Neurol Neurochir Pol. 2016 Nov-Dec;50(6):449-454. doi: 10.1016/j.pjnns.2016.08.004. Epub 2016 Aug 20.
Other Identifiers
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REC/RCR&AHS/22/0217
Identifier Type: -
Identifier Source: org_study_id