Perturbation Based Training And Bobath-Based Trunk Exercises On Gait , Postural Control And Mobility

NCT ID: NCT06130839

Last Updated: 2025-04-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 58 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-10
• Study Completion Date: 2024-04-10

Brief Summary

This study compares two approaches for rehabilitating stroke patients: Perturbation-Based Training and Bobath-Based Trunk Exercises. The perturbation based training focuses on challenging patients with unexpected movements to improve their balance and stability. While the Bobath method, concentrating on facilitating normal movement patterns. The study aims to determine which approach yields better outcomes in terms of trunk control, balance, and functional recovery for stroke patients. This study will also enable the individual to be more independent and minimize their falls.

Detailed Description

Cerebrovascular is a leading cause of physical impairment and long-term disability in the globe. The complication of stroke is mobility impairment like balance, gait, and posture disorders. This impairment leads to a higher risk of falls, reduced ability in daily activities, and difficulty restoring the overall health and quality of life. Cerebrovascular accident is the second cause of fatality. Hence, one of the primary objectives in stroke rehabilitation is to restore postural stability and functional balance, which is a combination of dynamic, static and reactive balance. For improving postural stability and balance one such technique is the utilization of a rocker board, where a platform positioned on an unstable surface is used to challenge balance. Whilst rocker boards have been used effectively for, postural stability, injury prevention, rehabilitation and balance enhancement. Improvements in rocker board performance may be attributable to one or more of the following: muscle strengthening, enhanced intersegmental coordination, increase in brain activity in the supplementary motor area and/or enhanced feed-forward and feed-backward postural control mechanisms.

Conditions

Stroke

Study Design

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

Study Groups

perturbation based training

1. Stretching of the erector spinae,

2. latissimus dorsi, gluteus Medius, gluteus minimums, and gluteus maximus (knee to chest) Pelvic Bridging Exercises

3. Strengthening Exercises of latissimus dorsi muscle

4. Pelvic Bridging Exercises include the gluteus maximus and quadriceps

5. Rocker board:

Trunk control exercises on Rocker Board in standing position first in medio-lateral direction for 10 min and then in anterio-posterior direction for 10 min with breaks in between.

Group Type: EXPERIMENTAL

Rocker board training

Intervention Type: OTHER

Then intervention will be applied to the perturbation group as mention below at Rocker board (50 x 45 cm).the group will perform 36 sessions (4 times per week over 8 weeks) and effects of interventions will be measured before treatment, at 4th and after8th week (pre, mid and post intervention). Trunk control exercises on Rocker Board in standing position first in medio-lateral direction for 10 min and then in anterio-posterior direction for 10 min with breaks in between.

bobath based training

1. Stretching of the latissimus dorsi muscle

2. Functional use and strengthening of the latissimus dorsi.

3. Functional strengthening of abdominal and oblique abdominal muscles

4. Placing exercises to facilitate trunk extension

5. Rotations and counter-rotations (right and left) of the hips with the trunk extended Training of lumbar spine stabilizers

Functional reach of shoulder, anterior, right, and left sides.

Group Type: EXPERIMENTAL

Stable surface training

Intervention Type: OTHER

the group will perform 36 sessions (4 times per week over 8 weeks) and effects of interventions will be measured before treatment, at 4th and after 8th week (pre, mid and post intervention).

Interventions

Rocker board training

Then intervention will be applied to the perturbation group as mention below at Rocker board (50 x 45 cm).the group will perform 36 sessions (4 times per week over 8 weeks) and effects of interventions will be measured before treatment, at 4th and after8th week (pre, mid and post intervention). Trunk control exercises on Rocker Board in standing position first in medio-lateral direction for 10 min and then in anterio-posterior direction for 10 min with breaks in between.

Intervention Type: OTHER

Stable surface training

the group will perform 36 sessions (4 times per week over 8 weeks) and effects of interventions will be measured before treatment, at 4th and after 8th week (pre, mid and post intervention).

Intervention Type: OTHER

Other Intervention Names

Experimental group; Experimental group

Eligibility Criteria

Inclusion Criteria

• Able to walk with or without ambulatory aids
• Able to follow commands.
• Patients in the subacute and chronic stages associated with stroke hemiparesis (time since
• stroke onset 6 months- 1 year)
• Scoring > 21 on MMSE

Exclusion Criteria

• Patients who have severe limitations in passive range of motion at lower extremities
• Visual and sensory deficits
• Patient who has contracture
• Orthopedic or any other neurological disorder which impair balance.
• Patients undergoing any other balance training protocol.
• Patients with recurrent strokes
• Participants who are currently participating in another clinical trial or research study

• 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

Aruba Saeed, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University Pakistan

Locations

LGH

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/0245Saba Sheikh

Identifier Type: -

Identifier Source: org_study_id