Additional Effects of Functional Muscle Training With Turning Based Specific Training During Turning in Post Stroke Patients
NCT ID: NCT06749002
Last Updated: 2024-12-27
Study Results
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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RECRUITING
NA
32 participants
INTERVENTIONAL
2024-06-20
2025-01-20
Brief Summary
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Detailed Description
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1. To determine the additional effects of functional muscle training with turning based specific training on turning in Gait among post stroke patients.
2. To the determine the additional effects of functional muscle training with turning based specific training on balance in post stroke patients.
3. To determine the additional effects of functional muscle training with turning based specific training on Quality of LIfe aming post stroke patients.
HYPOTHESIS:
Alternate hypothesis 1.1HA-There will be a statistically significant difference of muscle training in addition with turning based specific training in turning among post stroke patients (p\<0.05).
2\. 2HA- There will be statistically significant difference between muscle training in addition with turning based specific training on balance in post stroke patients (p\<0.05).
Null hypothesis:
1.1H0 -There will be statistically no significant difference of muscle training with turning based specific training on turning in Gait among post-stroke patients (p\>0.05) 2 .2HO-There will be statistically no significant difference of muscle training with turning specific training on balance in post stroke patients (p\>0.05)Research Design: Experimental study. Randomized Control Trial
Clinical setting: Rehabilitation department, Fauji Foundation Hospital.
Selection Criteria:
Inclusion Criteria
* Age group: 45-60 years onwards
* Both males and females
* Patients with subacute and chronic stroke (MCA \>6months)
* MMSE- 25 or higher, Functional ambulatory capacity-3
Exclusion Criteria
* Hemorrhagic stroke.
* Patients with epilepsy
* Patients with other neurological conditions loke Alzheimer, parkinsons and dementias.
Sampling technique: non-probability purposive sampling.
Outcome Measures:
TURNING: 1) Standing Turn Test, 2) Figure of 8 Test. BALANCE: 1) Berg Balance Scale, 2) Timed up and Go Test, 3) Modified 4 square step Test.
Outcome measures will be evaluated at baseline and then after 6 weeks of intervention.
Experimental Group (A) = This group will recieve Turning based specific training along with Functional muscle training for 6 weeks.
Control group (B) = This group will recieive Turning Based Specific Training only for 6 weeks
Data analysis techniques:
The data will be analyzed through SPSS 21 and Data would be analyzed based on the study design chosen that is random control experimental study.
Significance of the study:
Turning is a major component of ambulation. Difficulty in turning results in increased risk of fall. Stroke results in step asymmetry which increases difficulty in changing direction.
There is sufficient evidence available for normal gait training but limited protocols for targetting turning in Gait.
The current study aims to fill this gap by providing research data and developing a treatment protocol.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Experimental group
It includes participants receiving Functional muscle training along with Turning based specific training over a period of 6 weeks.
Turning based specific training along with functional Muscle training
Experimental group will receive Turning based specific training protocol for 6 weeks along with functional muscle training, training will be done on alternate days.
Functional muscle training:
Details: Week 1-6: 3 days a week on alternate days.
Hip Abductors:
Side lying leg raises Single leg squatting Standing leg wall press Progressing to Adding resistance bands
Hip adductors:
Side lying adduction Standing Adduction Progress to adding resistance bands
Hip Flexors:
Standing leg lift Straight leg raises Progress to adding resistance bands
Hip Extensors:
Prone lying raises Standing single leg extension Progress to adding resistance bands
Plantarflexors/ DorsiFlexors:
Plantarflexors:
Plantarflexion against resistance Toe raises
Dorsiflexors:
Dorsiflexion against resistance Heel raises
Hip external rotators:
Sitting-externally rotate hip 0-30° Add resistance bands
Hip Internal rotators:
Sitting-internally rotate the hip 0-30° Add resistance bands.
Control Group
It includes participants recieving Turning based specific training only for 6 weeks.
turning based specific training.
Week 1:
90 Degrees turns on the spot
Visual cues to follow
Week 2-3:
90 degrees turns on the spot
Figure of 8 walking
Visual cues to follow
Week 4-5:
90 Degrees turns on the spot
Figure of 8 walking
Step across body
Braiding
Week 6:
90 degree turns on the spot
Figure of 8 walking
Step across body
Braiding
Visual cues to follow
Obstacle avoidance
Interventions
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Turning based specific training along with functional Muscle training
Experimental group will receive Turning based specific training protocol for 6 weeks along with functional muscle training, training will be done on alternate days.
Functional muscle training:
Details: Week 1-6: 3 days a week on alternate days.
Hip Abductors:
Side lying leg raises Single leg squatting Standing leg wall press Progressing to Adding resistance bands
Hip adductors:
Side lying adduction Standing Adduction Progress to adding resistance bands
Hip Flexors:
Standing leg lift Straight leg raises Progress to adding resistance bands
Hip Extensors:
Prone lying raises Standing single leg extension Progress to adding resistance bands
Plantarflexors/ DorsiFlexors:
Plantarflexors:
Plantarflexion against resistance Toe raises
Dorsiflexors:
Dorsiflexion against resistance Heel raises
Hip external rotators:
Sitting-externally rotate hip 0-30° Add resistance bands
Hip Internal rotators:
Sitting-internally rotate the hip 0-30° Add resistance bands.
turning based specific training.
Week 1:
90 Degrees turns on the spot
Visual cues to follow
Week 2-3:
90 degrees turns on the spot
Figure of 8 walking
Visual cues to follow
Week 4-5:
90 Degrees turns on the spot
Figure of 8 walking
Step across body
Braiding
Week 6:
90 degree turns on the spot
Figure of 8 walking
Step across body
Braiding
Visual cues to follow
Obstacle avoidance
Eligibility Criteria
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Inclusion Criteria
* Both males and females
* Subacute and chronic stroke (MCA \>6months)
* MMSE score 25 or higher.
* FAC -3
Exclusion Criteria
* Patients with Epilepsy.
* Patients with other neurological conditions like Alzheimer, Parkinson and other Dementias.
45 Years
60 Years
ALL
No
Sponsors
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Foundation University Islamabad
OTHER
Responsible Party
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Locations
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Foundation University College of Physical Therapy
Islamabad, Punjab Province, Pakistan
Countries
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Central Contacts
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Facility Contacts
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Sana Khalid, MS-NMPT
Role: primary
Other Identifiers
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FUI/CTR/2024/61
Identifier Type: -
Identifier Source: org_study_id