Comparison of Modified-Otago and Tai Chi Exercises in Patients With Stroke

NCT ID: NCT06308224

Last Updated: 2024-10-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 62 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-25
• Study Completion Date: 2024-09-30

Brief Summary

The study aims to determine the comparative effects of Modified-Otago and Tai Chi Exercises on Balance and Motor Function in Patients with Stroke.

Detailed Description

This randomized clinical trial will be conducted at the Physiotherapy and Chiropractor Centre, Lahore. Data will be collected within seven months after the approval of synopsis. A total of 64 patients will be recruited through convenience sampling technique after inclusion and exclusion criteria. After the baseline assessment, randomizations will be performed through the lottery method. Group A will receive Modified Otago exercises for 60 minutes, 3 times per week for 12 weeks, and Group B will receive Tai Chi Qigong exercises for 60 minutes, 3 times per week for 12 weeks. To assess the balance and motor function, the Berg Balance Scale (BBS) and Motor Assessment Scale will be used, respectively. The data will be analyzed by using the SPSS (Statistical Package for Social Sciences) 23 version.

Conditions

Stroke

Study Design

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

Study Groups

Group A (Modified-Otago Exercises)

Participants will engage in Modified-Otago exercises for 30 minutes of moderate-intensity exercise at least three times weekly for 12 weeks.

1. Walking for 15 minutes

2. Strengthening exercises for 10 minutes

3. Balance exercises 20 minutes

Group Type: EXPERIMENTAL

Modified-Otago Exercises

Intervention Type: OTHER

Walking for 15 minutes before or after the strengthening and balance exercises of Modified-Otago.

Strengthening exercises for 10 minutes: Knee extensor, Knee flexor, Hip adductor, Ankle plantar flexors (calf raises), and Ankle dorsiflexion (toe raises).

Balance exercises 20 minutes: Knee bends, Backwards walking, Walking and turning around, Sideways walking, Tandem stance (heel-toe stand), Tandem walk (heel-toe walk), One leg stand, Heel walking, Toe walk, Heel toe walking backward, sit to stand and Stair walking.

Group B (Tai Chi Exercises)

Participants of the Tai Chi qigong group will participate in a 30-minute exercise class three times a week for 12 weeks.

1. Warm-up exercises for 10 minutes

2. Tai Chi Exercises for 30 minutes

3. Cool-down exercises for 5 minutes

Group Type: EXPERIMENTAL

Tai-Chi Exercises

Intervention Type: OTHER

Warm-up exercises for 10 minutes.

Tai Chi Qigong Exercises for 30 minutes: Commencing form and regulating breathing, Expanding your chest, Painting a rainbow, Circling arms to separate the clouds, Fixed step invert brachial, Row a boat in the middle of the lake, Shoulder the ball, Turning the body to look at the moon, Twisting waist and pushing palms, Horse step and cloud hands, Drag the sea and watch the sky, Undulating waves, Dove spreading wings, Extend arms and punch, Wild goose flying, Flywheel turning, Bounce ball while stepping, Pressing palms in calmness.

Cool-down exercises for 5 minutes.

Interventions

Modified-Otago Exercises

Walking for 15 minutes before or after the strengthening and balance exercises of Modified-Otago.

Strengthening exercises for 10 minutes: Knee extensor, Knee flexor, Hip adductor, Ankle plantar flexors (calf raises), and Ankle dorsiflexion (toe raises).

Balance exercises 20 minutes: Knee bends, Backwards walking, Walking and turning around, Sideways walking, Tandem stance (heel-toe stand), Tandem walk (heel-toe walk), One leg stand, Heel walking, Toe walk, Heel toe walking backward, sit to stand and Stair walking.

Intervention Type: OTHER

Tai-Chi Exercises

Warm-up exercises for 10 minutes.

Tai Chi Qigong Exercises for 30 minutes: Commencing form and regulating breathing, Expanding your chest, Painting a rainbow, Circling arms to separate the clouds, Fixed step invert brachial, Row a boat in the middle of the lake, Shoulder the ball, Turning the body to look at the moon, Twisting waist and pushing palms, Horse step and cloud hands, Drag the sea and watch the sky, Undulating waves, Dove spreading wings, Extend arms and punch, Wild goose flying, Flywheel turning, Bounce ball while stepping, Pressing palms in calmness.

Cool-down exercises for 5 minutes.

Intervention Type: OTHER

Other Intervention Names

Rehabilitation; Rehabilitation

Eligibility Criteria

Inclusion Criteria

1. Clinically diagnosed stroke patients with ischemic type.

2. Post-stroke ≥ 3 months.

3. Survivors of both hemorrhagic and ischemic stroke.

4. Subjects should have stable conditions after the stroke incidence.

5. Community-dwelling survivors of stroke who were aged ≥40 years.

6. Both genders can participate in the study.

7. Mini-Mental State Exam score equal to or greater than 24.

8. Modified Rankin Scale score of three or less.

9. Berg Balance Scale score is between 41 and 52.

10. Muscle strength grade should be of grade 4 and above.

Exclusion Criteria

1. Subjects with diagnosed peripheral neuropathy.

2. The subject is unable to perform Tai Chi exercises.

3. No history of other neurological and musculoskeletal conditions.

4. Subjects with diagnosed vestibular disease.

5. Subjects have cardiac abnormalities.

6. Contracture, fracture, or pain in the musculoskeletal system.

7. Subjects who have undergone strength and balance training in the past 3 months.

8. Subject taking medications that increase the incidence of falls.

9. Subjects have been diagnosed with malignancy of any type.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Kashif, PhD-PT

Role: STUDY_CHAIR

Riphah International University

Locations

Riphah International University

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/RCR&AHS/23/0290

Identifier Type: -

Identifier Source: org_study_id