Additional Effects of Functional Muscle Training With Turning Based Specific Training During Turning in Post Stroke Patients
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Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Turning based specific training along with functional Muscle training, turning based specific training..
- Кому может быть актуально
- Состояния в реестре: Subacute Stroke, Chronic Stroke, Balance. Базовые параметры: 45 лет — 60 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Пакистан
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
Stroke is the leading cause of disability leading to Gait and balance dysfunction leading to decreased Quality of Life. Difficulty in turning is a major target in Gait Rehabilitation. Task specific exercises has proven to be effective in all stages of stroke rehabilitation, therefore Turning based specific training is to be used in order to improve turning and balance in post stroke patients moreover functional strength training of lower extremities prove to be more effective than traditional training.
Подробное описание
The objectives of this study are:
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.
Вмешательства
- Процедура 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 Stra - Процедура 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
Первичные конечные точки
- Turning performance. [Срок оценки: 6 weeks]
- turning ability [Срок оценки: 6 weeks]
- Balance [Срок оценки: 6 weeks]
- Balance [Срок оценки: 6 weeks]
Вторичные конечные точки (1)
- Balance [Срок оценки: 6 weeks]
Критерии участия
Критерии включения
- Age group: 45-60 years onwards
- Both males and females
- Subacute and chronic stroke (MCA >6months)
- MMSE score 25 or higher.
- FAC -3
Критерии исключения
- Hemorrhagic stroke.
- Patients with Epilepsy.
- Patients with other neurological conditions like Alzheimer, Parkinson and other Dementias.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Пакистан · 1 центр
- Foundation University College of Physical Therapy — Islamabad
Идентификаторы
NCT: NCT06749002 · FUI/CTR/2024/61