Effects of Task-Oriented Training With and Without Rhythmic Auditory Stimulation in Post-Stroke Patients
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: Task-Oriented Training + Rhythmic Auditory Stimulation, Task-Oriented Training Only.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 40 years — 60 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 Task-Oriented Training With and Without Rhythmic Auditory Stimulation on Lower Limb Motor Function, Dynamic Balance, Proprioception, Motivation, and Adherence in Post-Stroke Patients
Overview
Stroke is one of the leading causes of long-term disability worldwide. Among survivors, limitations in lower limb motor function, balance, and proprioception significantly affect their independence and quality of life. There is a growing need for targeted rehabilitation strategies for stroke survivors, who often experience lower limb impairments that limit independence during a highly active stage of life. Task-oriented training (TOT) helps patients practice real-life movements, while rhythmic auditory stimulation (RAS), such as metronome beats, can guide and improve their timing and coordination.
Detailed description
It will be a single blinded randomized controlled trial. Non-probability convenience sampling technique will be used to recruit 38 participants aged 40 to 60 years, subacute stage post-stroke from hospitals of Daska and NLH Physio Clinic. Sealed opaque method will be used to randomly divide into two groups. Group A will receive TOT along with RAS, while Group B will receive only TOT. Both groups will participate in supervised 30-minute exercise sessions, including a 10-minute warm-up and cool-down period, five days a week for eight weeks, in addition to 30 minutes of baseline conventional physiotherapy program. The interventions will focus on lower limb function, balance, proprioceptive training, and motivational engagement. Tools used for outcome assessment include the Lower Extremity Functional Scale (LEFS) for motor function, Timed Up and Go (TUG) test for dynamic balance, Joint Position Sense (JPS) test for proprioception, Stroke Rehabilitation Motivation Scale (SRMS) for motivation, and the Rehabilitation Adherence Questionnaire (RAQ) for adherence. Data will be analyzed using SPSS version 25 to compare pre- and post-intervention effects. . After assessing the normality, if the p-value is greater than 0.05, a parametric test will be applied. If the p-value is less than 0.05 then a non-parametric test will be applied.
Interventions
- Other Task-Oriented Training + Rhythmic Auditory Stimulation
* 30-minute TOT session + RAS (60-110 BPM progression) * Functional gait tasks, obstacle walking, stair climbing, balance tasks * 5 days/week for 8 weeks * Plus 30-minute baseline physiotherapy - Other Task-Oriented Training Only
* Same TOT structure without rhythmic cues * Functional lower limb tasks, balance training, gait practice * 5 days/week for 8 weeks * Plus 30-minute baseline physiotherapy
Primary outcome measures
- Lower Limb Motor Function [Time frame: Baseline and Week 8]
- Dynamic Balance [Time frame: Baseline and Week 8]
- Proprioception [Time frame: Baseline and post 8 weeks]
- motivation [Time frame: Baseline and post 8 weeks]
- adherence [Time frame: Baseline and post 8 weeks]
Eligibility criteria
Inclusion criteria
- • Age 40-60 years
- First-time ischemic or hemorrhagic stroke
- Subacute stroke (<6 months)
- Brunnstrom stage ≥ 3 (lower limb)
- Able to walk 10 meters independently or with minimal support
- Able to follow simple commands
Exclusion criteria
- • Severe aphasia
- Other neurological disorders (Parkinson's, TBI)
- Uncontrolled cardiovascular issues (BP > 180 mmHg, arrhythmias)
- Severe visual, auditory, or orthopedic impairments
- Musculoskeletal injuries or medical conditions limiting participation
- Diabetes, hypertension, fractures, surgeries, OA, RA
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
- Civil Hospital Daska, Pakistan — Daska Kalan
Identifiers
NCT: NCT07724730 · REC/RCR & AHS/25/0240