Effects of Task-Oriented Training With and Without Rhythmic Auditory Stimulation in Post-Stroke Patients

Официальное название

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

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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
• Другое 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

Первичные конечные точки

• Lower Limb Motor Function [Срок оценки: Baseline and Week 8]
• Dynamic Balance [Срок оценки: Baseline and Week 8]
• Proprioception [Срок оценки: Baseline and post 8 weeks]
• motivation [Срок оценки: Baseline and post 8 weeks]
• adherence [Срок оценки: Baseline and post 8 weeks]

Критерии участия

Критерии включения

• • 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

Критерии исключения

• • 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

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

Пакистан · 1 центр

• Civil Hospital Daska, Pakistan — Daska Kalan

Идентификаторы

NCT: NCT07724730 · REC/RCR & AHS/25/0240

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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