Effects of Frenkels Exercises and Electrical Muscle Stimulation on Stroke Patients

Официальное название

Combined Effects of Frenkels Exercises and Electrical Muscle Stimulation on Balance, Coordination and Proprioception in Stroke Patients

Обзор

To determine the combined effects of frenkel's exercises and electrical muscle stimulation on coordination, balance and proprioception in stroke patients.

Вмешательства

• Другое Frenkels exercise with EMS
  Group A will include 19 participants. Participant will receive EMS for 10 minutes and Frenkels exercise for 20 minutes for 3 days per week for 8 weeks In Week 1-2 Investigator will apply 50Hz EMS pulse duration of 150 μs, intermittent with 5s of EMS stimulation to perform the movement and 10s of rest stimulation for adaptation while focusing lower limb exercises in according to frenkles exercises for 20 min in lying position Week 3-4: 60 Hz EMS stimulation applied pulse duration of 200 μs, inter
• Другое Conservative treatment
  Group B will also include 19 participants. Each participant will receive routine therapy for 30 minutes. It could be hot pack, IR with routine exercises for 3 days per week for 8 weeks. Weeks 1-2: Initial Phase 1. Breathing exercises 2. Range of motion exercises 3. Seated exercises Weeks 3-4: Strengthening Phase Resistance band exercises: Upper and lower limb strengthening b) Weight-bearing exercises c) Gait training: Walking with support d) Balance exercises: Weeks 5-6 Functional Phase 1. F

Первичные конечные точки

• The Berg Balance Scale (BBS) [Срок оценки: Baseline and 8th week]
• The Nottingham Sensory Assessment (NSA) [Срок оценки: baseline and 8th week]
• The Lower Extremity Motor Coordination Test (LEMOCOT) [Срок оценки: Baseline and 8th Week]

Критерии участия

Критерии включения

• Typically 50-65 years old.(14)
• Both male and female are included
• Patients with subacute ischemic stroke (hemiplegia).(15)
• Ability to walk independently for at least 10minutes.(16)
• Diagnosis of a first-time stroke or without sequel of a previous stroke(15)
• MOCA score>26 to confirm adequate cognitive function.
• Brunnstrom exercise recovery stages of 3-4 or higher(17)
• Voluntarily provided informed consent prior to participating

Критерии исключения

• Patients with severe cognitive impairment or dementia.(16)
• Patients with unstable medical conditions, such as uncontrolled hypertension or cardiac disease.
• Patients with recent surgery or injury that may affect participation in the study.
• Patients with contraindications to electrical muscle stimulation (EMS), such as unstable cardiopulmonary medical conditions pacemakers or metal implants

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

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Публикации

• 1. Ko EJ, Chun MH, Kim D-Y, Kang Y, Lee SJ, Yi JH, et al. Frenkel's exercise on lower limb sensation and balance in subacute ischemic stroke patients with impaired proprioception. Neurology Asia. 2018;23(3).
• Shoeb M, Mishra A, Yadav KK, Kumar S, Yadav S. Effect of BAPS Board Versus Frenkel Exercise on Balance in Stroke Patient's-A Pilot Study.
• Yoo HJ, Park S, Oh S, Kang M, Seo Y, Kim BG, Lee SH. Effects of electrical muscle stimulation on core muscle activation and physical performance in non-athletic adults: A randomized controlled trial. Medicine (Baltimore). 2023 Jan 27;102(4):e32765. doi: 10.1097/MD.0000000000032765. PMID 36705372
• Haque S. Effectiveness of frankel exercise to improve balance and function after stroke: Bangladesh Health Professions Institute, Faculty of Medicine, the University …; 2023.
• Khan S, Shahid W, Khalid R, Pervez M, Hameed R, Khaliq S. Effects of Proprioceptive Neuromuscular Facilitation with and without Electrical Muscle Stimulation on spasticity, gait and lower limb function in chronic stroke patients. Journal of Health and Rehabilitation Research. 2024;4(3):1-6.
• Arif A, Arshad K, Tariq S, Sundas S, Tariq N, Kabir A, et al. COMPARATIVE EFFECTS OF VIRTUAL REALITY AND FRENKEL'S EXERCISES ON BALANCE, GAIT AND QUALITY OF LIFE IN PATIENTS WITH STROKE. Insights-Journal of Health and Rehabilitation. 2024;2(2 (Health & Rehab)):459-67.

Идентификаторы

NCT: NCT07578779 · REC/0218 Waneeza Malik

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗