Effects of Bilateral Versus Unilateral Lower Limb Training on Balance and Gait Parameters in Stroke Patients

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

COMPLETED

Clinical Phase

NA

Total Enrollment

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-01

Study Completion Date

2023-09-15

Brief Summary

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To determine the effects of bilateral versus unilateral lower limb training on balance and gait parameters in stroke patients

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Detailed Description

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The aim of this study is to compare the effects of bilateral versus unilateral lower limb training on balance and gait parameters in stroke patients. The randomized controlled trial will recruit the stroke patients will be selected and randomly divided into two groups: Group A (unilateral training group (UTG)) and Group B (bilateral training group (BTG)).

Patients in Group A will undergo approach-oriented training using the motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the affected side, while those in Group B underwent strength training for the lower-limb muscles using Delorme's principle for the unaffected side and approach-oriented training using the MRP and PNF for the affected side for a period of six weeks, five days per week. A strengthening regimen will designed for the unaffected side, considering the frequency, intensity, time, and type (FITTs) principle provided by the American College of Sports Medicine (ACSM). The static and dynamic balance along with gait parameters will measure using the functional reach test (FRT), one-leg stance test (OLST), Berg balance scale (BBS) Dynamic Gait Index (DGI), gait parameters (stride length, gait velocity, and cadence), and Brunnstrom recovery stages (BRS) at the baseline and post rehabilitation.

Conditions

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Stroke, Ischemic Balance; Distorted Gait, Hemiplegic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

patients will be allocated to intervention groups by randomization Patients in group A will be given MRP and PNF techniques to involve side Patients In group B will be given exercises same as above but on unaffected side.The strengthening exercises also given to this group

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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experimental group

In this group stroke patients will be undergone task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the hemi-paretic side

Group Type EXPERIMENTAL

Unilateral training group (UTG)

Intervention Type OTHER

stroke patients will be undergone task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the hemi-paretic side

control group

In this group stroke patients will be undergone strength training using frequency, intensity, type, time (FITT) principle to non-hemi-paretic side and task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) to hemi-paretic side

Group Type ACTIVE_COMPARATOR

Bilateral training group (BTG).

Intervention Type OTHER

stroke patients will be undergone strength training using frequency, intensity, type, time (FITT) principle to non-hemi-paretic side and task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) to hemi-paretic side

Interventions

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Unilateral training group (UTG)

stroke patients will be undergone task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the hemi-paretic side

Intervention Type OTHER

Bilateral training group (BTG).

stroke patients will be undergone strength training using frequency, intensity, type, time (FITT) principle to non-hemi-paretic side and task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) to hemi-paretic side

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Medically stable patients (the diagnosis was made by neurologist).
* Cognitive level is greater than 25 on MMSE.
* Chronic stroke Patients (ischemic and hemorrhagic) (6 months to 2 years).

Exclusion Criteria

* Transient ischemic attack.
* Patients with other neurological condition, orthopedic problems, and uncontrolled metabolic disease.
* Severe hearing and visual loss.
* Uncontrolled arterial hypertension.
* Recurrent Stroke.
* Patient diagnosed with brainstem stroke and middle cerebral artery stroke.
* Patient with any cardiovascular unstable condition.

Minimum Eligible Age

40 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No