Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients

NCT ID: NCT06346652

Last Updated: 2024-07-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 73 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-03-10
• Study Completion Date: 2024-04-30

Brief Summary

Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Detailed Description

Background: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

Objective: To compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Methodology: 73 patients were enrolled in this study, 37 patients were assigned into control group while 36 participants were assigned into experimental group. Control group received routine physical therapy while experimental group received core strengthening and proprioceptive neuromuscular technique. Static component of berg balance scale and PoData Stabiliometeric plate was used for plantar pressure and measurement of balance respectively.

Conditions

Chronic Stroke

Study Design

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

Study Groups

Control Group

Routine Physical Therapy

Group Type: ACTIVE_COMPARATOR

Routine Physical Therapy

Intervention Type: OTHER

Routine physical therapy involving muscle strengthening exercises, range of motion exercises and stretching exercises up to patient's tolerance. Other exercises were pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, wobble board exercises. Each session was of 60 minutes 5 times weekly for 6 weeks.

Interventional Group

Routine Physical Therapy + PNF + Core Strengthening

Group Type: EXPERIMENTAL

Routine Physical Therapy+ PNF and Core Stregthening

Intervention Type: OTHER

Routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals were performed in lower extremity in D1 flexion pattern and D1 extension pattern up to patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks.

Interventions

Routine Physical Therapy

Routine physical therapy involving muscle strengthening exercises, range of motion exercises and stretching exercises up to patient's tolerance. Other exercises were pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, wobble board exercises. Each session was of 60 minutes 5 times weekly for 6 weeks.

Intervention Type: OTHER

Routine Physical Therapy+ PNF and Core Stregthening

Routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals were performed in lower extremity in D1 flexion pattern and D1 extension pattern up to patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Age (45-60 years)
• Score of 9 or Higher on static component of berg balance scale
• Having score of equal or less than 2 on Modified Ashworth scale
• Having score of greater than or equal to 24 on Mini Mental State Examination.
• First ever episode of stroke
• Duration of stroke greater than 6 months
• Both genders

Exclusion Criteria

• Concurrent orthopedic conditions that may hamper standing
• Relevant psychiatric disorders that may prevent from following instructions.
• Medical drugs that may influence intervention
• Conditions contraindicating physical activity
• Use of Cardiac pace maker.

• Minimum Eligible Age: 45 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Safa Saleem

Dr. Safa Saleem

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Safa Saleem, MSPTN

Role: PRINCIPAL_INVESTIGATOR

University of Lahore

Locations

The University of Lahore Teaching Hospital

Lahore, , Pakistan

Countries

Pakistan

Other Identifiers

REC-UOL-216-03-2024

Identifier Type: -

Identifier Source: org_study_id