Health Condition 1: I699- Sequelae of unspecified cerebrovascular diseases
Conditions
Interventions
Intervention1: Dual-task gait training programme: Participants will receive an intensive, progressive dual task gait training programme supervised by a physiotherapist. Sessions will be conducted thre
Sponsors
Srinivas University
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 40 years or older, at least 6 months after ischaemic or haemorrhagic stroke. 2. Living in the community (own home or with family) and attending outpatient or community rehabilitation services. 3. Able to walk a minimum distance of 10 metres independently or with a single walking aid such as a stick or quad cane, without hands-on physical assistance from another person. 4. Mini Mental State Examination score 24 or above, indicating sufficient cognition to follow instructions and participate in dual task training. 5. Medically stable and cleared for physiotherapy by the treating physician. 6. Willing to attend the training sessions and able to provide written informed consent.
Exclusion criteria
Exclusion criteria: Severe visual, auditory or musculoskeletal impairments that significantly affect gait or balance. 2. Other neurological disorders that affect gait or cognition, such as Parkinson disease or multiple sclerosis. 3. Unstable cardiovascular status, uncontrolled hypertension or any acute medical illness that makes exercise training unsafe. 4. Severe lower limb spasticity (Modified Ashworth Scale score greater than three) or fixed contractures that preclude safe walking. 5. Cognitive or behavioural problems that prevent following simple instructions. 6. Any condition judged by the treating physician or physiotherapist to make participation unsafe or interfere with completion of training.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate feasibility of implementing a 6-week culturally adapted dual-task gait training protocol based on recruitment rate, retention/attrition, session attendance, home-exercise adherence, participant acceptability, and safety (adverse events, near-falls).Timepoint: Baseline and post-intervention (after completion of the 6-week training program). | — |
Secondary
| Measure | Time frame |
|---|---|
| Balance Berg Balance Scale (BBS).Timepoint: Baseline and post-intervention.;Gait speed 10-Metre Walk Test (10MWT).Timepoint: Baseline and post-intervention.;Fall self-efficacy Falls Efficacy Scale International (FES-I).Timepoint: Baseline and post-intervention.;Feasibility and acceptability metrics: recruitment yield, attendance, adherence to home programme, satisfaction, perceived usefulness, difficulty, willingness to continue, and participant-reported barriers/facilitators.Timepoint: Monitored continuously during the 6-week study; summarised post-intervention. | — |
Countries
India
Contacts
Public Contactvijayakumar palaniswamy
Institute of Physiotherapy Srinivas University
Outcome results
None listed