Effects of Vojta Therapy on Posture and Trunk Control
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Vojta therapy, Routine physical therapy.
- Who it may be relevant to
- Registry conditions: Stroke, Stroke Ischemic. Basic parameters: 45 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of Vojta Therapy on Posture and Trunk Control in Patients With Sub-acute Stroke
Overview
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
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.
Interventions
- 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. - Other 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 stab
Primary outcome measures
- Posture control [Time frame: 8 weeks]
- Trunk control [Time frame: 8 weeks]
- Motor Evaluation Scale for upper extremity [Time frame: 8 weeks]
- Pose estimation [Time frame: 8 weeks]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Dr Wajeeha Mahmood (PT) — Lahore
Identifiers
NCT: NCT07244952 · UOL/IREB/25/12/0031