Action Observation Therapy With and Without Acoustic Stimulation in Post Stroke Gait and Balance

NCT ID: NCT06059742

Last Updated: 2023-09-29

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 45 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2024-01-30

Brief Summary

Stroke causes the interruption of blood flow towards the brain cells which results in cell death and lead to variety of disorders including deficits in balance and gait. It is well known that it is causing death and disability .The incidence of stroke is increasing in low-income countries because of not using evidence-based practice in health-related conditions in these countries. Action observation training is one of the new developing rehabilitation technique that targets motor learning by the activation of mirror neurons and is the most important approach that targets the motor and functional recovery in stroke patients. A new treatment approach i .e action observation therapy, in which the movements are observed by the patient to provide visual stimulus, then patients are asked to perform those movements. A new approach acoustic stimulation is introduced for improving gait and balance in post stroke patients in which individual patient cadence is used to adjust the beats of sound so that auditory stimulation causes recovery.

Detailed Description

Stroke is a medical condition which causes the cessation of blood flow to the brain cells and results in cell death. It is a leading cause of death and disability. Geographical variations play a huge role in the burden for stroke. A stroke survivor experiences a range of symptoms that make it harder for them to carry out regular tasks and raise their risk of falling while walking .The effects of Action Observation Therapy with acoustic stimulation on balance in stroke patients have not been explicitly covered in recent studies. The study intends to evaluate the effectiveness of treatments with evidence for post-stroke balance and gait.

Conditions

Stroke

Study Design

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

Study Groups

Action Observation Therapy with Acoustic Stimulation

The patients in the action observation therapy with acoustic stimulation group will be required to observe the lower limb movements or functional actions with sound of beats in video clips. (i.e., the observation phase) and to execute what they had observed to the best of their ability with sound of beats given through headphones (i.e., the execution phase). Three common categories of movements will be elected in the protocol for each week based on the related literature

Group Type: EXPERIMENTAL

Action Observation Therapy with Rhythmic acoustic stimulation

Intervention Type: OTHER

Action observation therapy is observing some action and the performing Rhythmic acoustic stimulation is performing movement on the rhythm of beats

Action Observation Therapy Without Acoustic Stimulation

The patients in the action observation therapy without acoustic stimulation group will be required to observe the lower limb movements or functional actions without sound of beats in video clips. (i.e., the observation phase) and to execute what they had observed to the best of their ability without sound of beats (i.e., the execution phase). Three common categories of movements will be elected in the protocol for each week based on the related literature

Group Type: ACTIVE_COMPARATOR

Action Observation Therapy without Rhythmic acoustic stimulation

Intervention Type: OTHER

Action observation therapy is observing some action and the performing Rhythmic acoustic stimulation is performing movement on the rhythm of beats

Interventions

Action Observation Therapy with Rhythmic acoustic stimulation

Action observation therapy is observing some action and the performing Rhythmic acoustic stimulation is performing movement on the rhythm of beats

Intervention Type: OTHER

Action Observation Therapy without Rhythmic acoustic stimulation

Action observation therapy is observing some action and the performing Rhythmic acoustic stimulation is performing movement on the rhythm of beats

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age 40-60 years
• Both male and female
• Any type of stroke
• Walking few steps [5 or more] .
• Berg balance score above 21
• Ability to follow the study instructions-Mini mental state examination (MMSE ) score >24

Exclusion Criteria

• Patients diagnosed with other neurological diseases
• Tumors or neoplasms
• Cardiopulmonary diseases
• Patient with impaired cognition
• Visual and auditory impairments

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ayesha Afridi, PhD*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

HBS hospital Lehtrar Road Alipur

Islamabad, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Tania Saeed, MS NMPT*

Role: CONTACT

taniasaeed1995@gmail.com

0315 6996746

Ayesha Afridi, PhD*

Role: CONTACT

ayesha.afridi@riphah.edu.pk

0315 5268896

Other Identifiers

Riphah/RCRAHS-ISB/REC/01642

Identifier Type: -

Identifier Source: org_study_id