Patients suffering from Stroke who feel difficulty in performing activities of daily living, especially walking and obstacle clearance capacity due to spasticity in muscle groups of lower extremities.. Hemiplegia, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Gender of participants should be male or female. Age of the participants should lie between 40 to 75 years. Participants should have their first ever stroke more than 6 months ago. Participants should be medically stable. Participants should have the ability to stand independently with or without aids for at least 20 minutes. Participants should be able to perform the experimental treatment independently.
Exclusion criteria
Exclusion criteria: Participants having acute thrombotic diseases, severe cardiovascular diseases or a pacemaker. Participants having an acute hernia or diabetes. Participants having brain tumors, Parkinson’s disease, multiple sclerosis, epilepsy, peripheral neuropathy or migraine. Participants having rheumatoid arthritis, arthrosis, osteoarthritis, diskopathy or spondylosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stair Negotiation time. Timepoint: Before Intervention and 2 weeks after intervention. Method of measurement: Stairs Negotiation Time will be measured using a stopwatch as it is time taken to climb up and down three standard stair steps.;Obstacle Clearance measurements [Obstacle height that patient can clear without tripping]. Timepoint: Before Intervention and 2 weeks after intervention. Method of measurement: Obstacle Clearance will be measured using 8 obstacles of different height and depth. | — |
Secondary
| Measure | Time frame |
|---|---|
| Berg Balance Scale. Timepoint: Before intervention and 2 weeks after intervention. Method of measurement: Berg Balance Scale constitutes 14 different activities. Each item is scored along a 5-point scale, ranging from 0 to 4, each grade with well-established criteria. Zero indicates the lowest level of function and 4 the highest level of function. The total score ranges from 0 to 56.;Modified Ashworth Scale. Timepoint: Before intervention and 2 weeks after intervention. Method of measurement: The Modified Ashworth scale measures resistance during passive soft-tissue stretching by scoring according to change in muscle tone ranging from 0 to 4. 0 for no increase in muscle tone, 1 for slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension, 1+ for slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the range of motion, 2 for more marked increase in muscle tone through most of the range of motion, but affected part(s) easily moved, 3 for considerable increase in muscle tone, passive movement difficult and 4 for affected part(s) rigid in flexion or extension.;Timed Up and Go Test. Timepoint: Before intervention and 2 weeks after intervention. Method of measurement: The patient starts in a seated position. The patient stands up upon therapist’s command, walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device.;10-Meter Walk Test. Timepoint: Before intervention and 2 weeks after intervention. Method of measurement: Individual walks 10 meters without assistance and the time is measured for the intermediate 6 meters to allow for acceleration and deceleration. Start timing when the toes of the leading foot crosses the 2-meter mark and stop timing when the toes of the le | — |
Countries
Pakistan
Contacts
University of Lahore