Chronic Stroke
Conditions
Keywords
compelled body shift technique, stroke, tinetti performance oriented mobility assessment
Brief summary
Stroke is one of the major cause of lifelong disability if not treated on time, the investigator's technique knows as Compelled Body Weight Shift Technique (CBWS) was utilized and administered to chronic stroke population and results were figured out using gait parameters and Tinetti POMA scale.
Detailed description
Total 28 sample size out of which 27 were divided into control and experimental group. Inclusion criteria was Unilateral chronic stroke with asymmetrical stance, Patients with score of 3,4 and 5 will be included according to FAS (Functional Ambulation Scale), Ability to understand and follow instructions, Both male and female, Any type of stroke, and Age 40-60. Written and informed consent was obtained from participants of study. Six weeks of exercise training was combined with compelled body weight shift technique via shoe lift of 0.6 cm thickness for experimental group and for control group training was performed without shoe lift.
Interventions
Routine Physical Therapy with 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients * Muscle re-education * Sit to stand exercise , 4 to 10 repetitions * Supported heel raise to 10 repetitions with 3 sets * Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets * Gait training * Forward walk in parallel bars with number of 10 rounds. * Task oriented training balance training * A. Stepping exercise on 15 cm height step and number of repetitions 10. * B. Tandem standing for 10 seconds. * C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.
Routine Physical Therapy without 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients * Muscle re-education * Sit to stand exercise , 4 to 10 repetitions * Supported heel raise to 10 repetitions with 3 sets * Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets * Gait training * Forward walk in parallel bars with number of 10 rounds. * Task oriented training balance training * A. Stepping exercise on 15 cm height step and number of repetitions 10. * B. Tandem standing for 10 seconds. * C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.
Sponsors
Study design
Intervention model description
Participants random allocation into control and experimental groups
Eligibility
Inclusion criteria
* Unilateral chronic stroke with asymmetrical stance * Patients with score of 3,4 and 5 were included according to functional ambulation scale(59) * Ability to understand and follow instruction * Both male and female. * Any type of stroke. * Age 40-60.
Exclusion criteria
* • Serious or unstable medical, condition of patient. * History of other neurological diseases (i.e. Parkinson's disease, multiple sclerosis), * Contractures or any deformity. * Leg Length Discrepancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tinetti Performance Oriented Mobility Assessment | upto 6 weeks | Tinetti Performance Oriented Mobility Assessment The Tinetti, evaluation instrument is, an effectively managed, task-arranged test that, quantifies gait and balance activities of patients. A three-point, ordinal scale, extending from 0-2. 0 demonstrates the most elevated level of debilitation and 2 the people's freedom. 1. Total Balance Score = 16 2. Total Gait Score = 12 3. Maximum total test Score = 28 \[Time Frame: upto 6 weeks\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| A 10meter walk test | upto 6 weeks | A 10meter walk test A ten meter distance employed, to determine functional mobility and gait speed, the ten meter walk test was performed by patient at self-selected walking pace and fast walking pace |
| Camry 160 Analog Weight Scale | upto 6 weeks | Camry 160 Analog Weight Scale to check the weight in kilograms |
Countries
Pakistan