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Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients (perturbation)

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ClinicalTrials.gov Identifier: NCT03234426
Recruitment Status : Completed
First Posted : July 31, 2017
Last Update Posted : July 31, 2017
Sponsor:
Information provided by (Responsible Party):
Nawaj Pathan, Mahatma Gandhi Institute of Medical Sciences

Brief Summary:
Following stroke, patients loses functions of the motor, sensory and higher brain cognitive faculties to various degrees which lead to diminished balance. It has been documented that hemiplegic or hemiparetic stroke patients presented with more posture sway, asymmetric weight distribution, impaired weight-shifting ability and decreased stability capability. There are many balance exercises and strategies; to improve balance in elderly age group population, to prevent fall prevention. But we have very few evidences of giving manual perturbation balance training in stroke patients to improve speed, balance and function. Therefore this study is taken up to examine whether the manual perturbation balance training is more effective in improving speed, balance and function in stroke patients.

Condition or disease Intervention/treatment Phase
Stroke Other: Perturbation Other: Conventional Physiotherapy Treatment Not Applicable

Detailed Description:
There are many more studies done for elderly populations, normal individuals for improving balance by giving perturbation based balance training.All perturbation exercises are given by either mechanical or by self reaching tasks in forward,backward,and in both sideways. There are very studies ;who attempted perturbation based balance training to improve balance in elderly population but not for stroke patients for their Speed, Balance and Function.The manual perturbation exercise can be an promising intervention in the future for various conditions

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients.
Study Start Date : January 2014
Actual Primary Completion Date : December 2014
Actual Study Completion Date : December 2014

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Experimental Group
manual perturbations were given in forward, Backward,right and left sideways, 10 perturbations were given,6 days in week,in fallowing positions- sitting,kneeling, standing positions
Other: Perturbation
Manual perturbations were given at waist region,over the Shoulders. in following positions- sitting, kneeling, standing positions,10 perturbations were given in forward,backward,both right and left side, 6 days in a week all precautionary measures taken for the patient's safety
Other Name: Manual Perturbation

Other: Conventional Physiotherapy Treatment
Conventional Physiotherapy treatment were given to participants included in this group for 30 mins daily for 4 weeks
Other Name: control Group

Placebo Comparator: Control group
Conventional Physiotherapy were given 6 days in a week, for 30 mins for 4 weeks, includes stretching, strengthening of contralateral limbs
Other: Perturbation
Manual perturbations were given at waist region,over the Shoulders. in following positions- sitting, kneeling, standing positions,10 perturbations were given in forward,backward,both right and left side, 6 days in a week all precautionary measures taken for the patient's safety
Other Name: Manual Perturbation

Other: Conventional Physiotherapy Treatment
Conventional Physiotherapy treatment were given to participants included in this group for 30 mins daily for 4 weeks
Other Name: control Group




Primary Outcome Measures :
  1. Berg Balance Scale [ Time Frame: 4 weeks ]
    patients ability of balance were assessed


Secondary Outcome Measures :
  1. Functional Independence Scale [ Time Frame: 4 weeks ]
    ability of Functional independent level for Activity Of Daily Living were assessed


Other Outcome Measures:
  1. Timed Up and Go Test [ Time Frame: 4 weeks ]
    patient's speed for performing Activity Of Daily Living were assessed by this test



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Ages Eligible for Study:   40 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. First ever stroke
  2. Age ranges between 40-70
  3. Both genders were included
  4. Ambulatory patients with or without ambulatory aids
  5. Occurrence of stroke at within 0-3 months i.e.-sub acute
  6. Able to follow command
  7. Mini mental scale examinations not less than 24

Exclusion Criteria:

  1. Patients who has severe limitations in passive range of motion at lower extremities
  2. Patients with impaired sensory, proprioceptor, cognitive and perceptual ability
  3. Patient who has contracture
  4. Orthopedic or any other neurological disorder which impair balance

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03234426


Locations
India
MGM school Of Physiotherapy
Aurangabad, Maharashtra, India, 431003
Sponsors and Collaborators
Mahatma Gandhi Institute of Medical Sciences
Investigators
Principal Investigator: Nawaj Pathan, PG student MGM School Of Physiotherapy,Aurangabad,Maharashtra, India

Responsible Party: Nawaj Pathan, M.P.Th.PG student, Mahatma Gandhi Institute of Medical Sciences
ClinicalTrials.gov Identifier: NCT03234426     History of Changes
Other Study ID Numbers: MGM ECRHS 2014/160
First Posted: July 31, 2017    Key Record Dates
Last Update Posted: July 31, 2017
Last Verified: July 2017

Additional relevant MeSH terms:
Stroke
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases