Effects of Vojta Therapy on Posture and Trunk Control

NCT ID: NCT07244952

Last Updated: 2025-11-28

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-15

Study Completion Date

2026-08-30

Brief Summary

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Vojta therapy that is reflex locomotion therapy is a neurophysiological rehabilitation approach that stimulates specific "reflex zones" on the body to activate global, innate movement patterns. In stroke rehabilitation, it is used to improve postural control, trunk stability, and functional movement by engaging automatic motor responses. Vojta stimulation can activate motor cortical and subcortical areas as well as postural muscles. Pose estimation will be used to analyze human motion in stroke patients. The study will identify if there is significant difference in the comparative effects of Vojta therapy in addition to routine physical therapy on posture, trunk control and upper extremity motor function in sub-acute stroke patients

Detailed Description

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Vojta therapy can be used in the early stages of stroke patients' rehabilitation because acute stroke patients are characterized by a disruption in their capacity to react to changes in body posture, necessitating automatic postural adjustment. This study will determine the comparative effects of Vojta therapy in addition to routine physical therapy on posture, trunk control and upper extremity motor function in patients with sub-acute stroke. Body angles will be measured used Vojta therapy.

Conditions

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Stroke Stroke Ischemic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Experimental arm

Vojta therapy and routine physical therapy

Group Type EXPERIMENTAL

Routine physical therapy

Intervention Type OTHER

The control group will receive routine physical therapy treatment which will consist of positioning, passive movements of the limbs, sensorimotor exercises for the affected limb using task-oriented training and motor relearning program consisting of repetitive motor skills consisting of functional tasks and involves task breakdown, such as transfers, upper limb function will be performed. 5 sessions per week with a 60-minute session are part of protocol for routine physical therapy and core stability for 8 weeks.

Vojta therapy

Intervention Type OTHER

Vojta therapy will be implemented for reflex rolling and reflex creeping. A small pressure with dorsal, medial and cranial directional stimuli will be provided. After stimulation the reactions are extension of spine, flexion of hip joint, then knee joint and in the end at ankle joint. 5 sessions per week with a 60-minute session are part of protocol for routine physical therapy and vojta therapy for 8 weeks.

Conventional therapy arm

Routine physical therapy

Group Type ACTIVE_COMPARATOR

Routine physical therapy

Intervention Type OTHER

The control group will receive routine physical therapy treatment which will consist of positioning, passive movements of the limbs, sensorimotor exercises for the affected limb using task-oriented training and motor relearning program consisting of repetitive motor skills consisting of functional tasks and involves task breakdown, such as transfers, upper limb function will be performed. 5 sessions per week with a 60-minute session are part of protocol for routine physical therapy and core stability for 8 weeks.

Interventions

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Routine physical therapy

The control group will receive routine physical therapy treatment which will consist of positioning, passive movements of the limbs, sensorimotor exercises for the affected limb using task-oriented training and motor relearning program consisting of repetitive motor skills consisting of functional tasks and involves task breakdown, such as transfers, upper limb function will be performed. 5 sessions per week with a 60-minute session are part of protocol for routine physical therapy and core stability for 8 weeks.

Intervention Type OTHER

Vojta therapy

Vojta therapy will be implemented for reflex rolling and reflex creeping. A small pressure with dorsal, medial and cranial directional stimuli will be provided. After stimulation the reactions are extension of spine, flexion of hip joint, then knee joint and in the end at ankle joint. 5 sessions per week with a 60-minute session are part of protocol for routine physical therapy and vojta therapy for 8 weeks.

Intervention Type OTHER

Other Intervention Names

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Reflex locomotion therapy

Eligibility Criteria

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Inclusion Criteria

* Age 45-65 years
* Both males and females
* First time subacute stroke (7 days post stroke to 3 months)
* Brunnstrom stage 1,2
* A confirmed CT scan for subacute ischemic stroke
* A hemiplegia with score of ≤2 of medical research council scale for muscle strength of the arm (MRCS)
* Premorbid modified Rankin scale score ≤ 3
* Stroke patient who can achieve supported standing
* Patients having NIHSS score 16-20 will be included
* Patient who can achieve sitting for 30 seconds

Exclusion Criteria

* Severe cognitive impairments that can hinder rehabilitation
* Limitations in communication due to aphasia
* Altered consciousness or dementia (Epple et al., 2020b)
* Patients suffering from postural hypotension
Minimum Eligible Age

45 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Lahore

OTHER

Sponsor Role lead

Responsible Party

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Wajeeha Mahmood

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Dr Wajeeha Mahmood (PT)

Lahore, , Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Wajeeha Mahmood, BSPT,PPDPT,MSNMPT

Role: CONTACT

03349867317

Facility Contacts

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Wajeeha Mahmood, BSPT, PPDPT, MSNMPT

Role: primary

03349867317

Role: backup

Other Identifiers

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UOL/IREB/25/12/0031

Identifier Type: -

Identifier Source: org_study_id

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