Cerebrovascular accident. Cerebral infarction, unspecified
Conditions
Interventions
Intervention 1: Intervention group: The intervention for both groups consists of 15 sessions conducted over 5 consecutive weeks, with a frequency of three sessions per week.The intervention group rece
Sponsors
Mashhad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: Hemiplegia resulting from a single stroke Sub-acute and chronic phase Being able to walk 10m without or with single point stick Score greater than 24 in the mini-mental state examination
Exclusion criteria
Exclusion criteria: patients with speech disorders following stroke patients with hemianopia or visual eye field disorders patients with vestibular disorders patients with auditory defect patients with major cardiac problems or uncontrolled hypertension patients with any other neurological disorder patients with orthopedic issues and other factors that impact walking, like osteoarthritis or undergoing a complete hip joint replacement
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Balance score in Berg Balance Scale. Timepoint: Before intervention and immediately after 15 sessions of intervention. Method of measurement: To measure effect of the intervention on balance, the Berg Balance Scale is used: The Functional Balance Assessment, developed by Katherine Berg, is a performance-based test designed to evaluate balance. The assessment takes approximately 10 to 20 minutes to complete and consists of 14 tasks. Each task is scored on a scale from 0 to 4, with 0 indicating the lowest level of performance and 4 the highest. A total score of 20 or less suggests that the patient will require a wheelchair. Scores between 21 and 40 indicate that the patient will need assistance with walking. Patients scoring above 40 are considered capable of walking independently. | — |
Secondary
| Measure | Time frame |
|---|---|
| Dynamic balance score in Modified Four Square Step Test. Timepoint: Before intervention and immediately after 15 sessions of intervention. Method of measurement: The Modified Four Square Step Test is a performance-based assessment designed to evaluate dynamic balance. To conduct this test, a one-square-meter area is marked on the ground and divided into four equal squares using tape, numbered 1 to 4 in a clockwise direction. The test subject stands in square 1 facing square 2 and first completes a full clockwise rotation around square 1, returning to square 1. This is followed by a full counterclockwise rotation, again returning to square 1. The therapist records the time from the first foot contact in the initial step to the last foot contact in the final step.;Balance score in Activity-Specific Balance Confidence questionnaire. Timepoint: Before intervention and immediately after 15 sessions of intervention. Method of measurement: The Activity-Based Balance Confidence Questionnaire is a patient-centered instrument designed to measure an individual's confidence in their balance during daily activities, without experiencing unsteadiness or fear of falling. This questionnaire consists of 16 items. The participant is required to express their level of confidence in their balance for each of these 16 activities as a percentage, where 0% indicates no confidence and 100% indicates complete confidence.;Mobility score in Timed up and go test. Timepoint: Before intervention and immediately after 15 sessions of intervention. Method of measurement: The test aims to evaluate fall risk and monitor balance progression during various activities, including sitting, standing, and walking. The procedure requires the patient to wear their regular shoes and, if needed, use a walking aid. The patient starts in a seated position and, upon the therapist’s instruction, stands up. The patient then walks a distance of 3 meters, turns around, walks back to the chair, and sits down. The test | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHossein Negahban
Mashhad University of Medical Sciences
Outcome results
None listed