Stroke
Conditions
Keywords
Stroke, Perturbation based training, Fall, Berg balance scale, Performance oriented mobility assessment
Brief summary
Chronic stroke patients often have impaired balance on reactive balance control. Task specific exercises are important part of the fall intervention in daily activities of life should be incorporated during the rehabilitative services Objective: Effects of perturbation based balance training in reactive balance control in chronic stroke patients.
Detailed description
RCT (Randomized Control Trail) study was conducted. Stroke patients who have impaired balance and reactive control were determined on inclusion & exclusion criteria. Stroke patients with impaired balance control were arbitrarily allocated into two groups with one control and one interventional group ages ranged from 45 to 50 years. The sample size was 20 patients. Group 1 (control group) received tradional balance training and Group 2 (interventional group) received perturbation based training for balance control. The interval of treatment was 6 weeks. Data is collected from Azra Naheed Medical college (Ch Muhammad Akram teaching & research hospital) Lahore and Physiotherapy department of Social security hospital manga mandi Lahore. Tinetti performance oriented mobility assessment (POMA),Time up and go (TUG) and Activity specific balance confidence (ABC) was used to evaluate the pre and post values of balance control.
Interventions
external or internal postural perturbations. External perturbations occur by forces outside the patient' control (e.g., a push or pull from the physiotherapist). Internal perturbations caused when the patient is unable to control the centre of mass and the base of support relationship during voluntary movement; 'agility' tasks, such as kicking a soccer ball,
OTHERConventional' balance training
Starting from a situated position, expand your left leg until it's corresponding to the floor. Try not to bolt your knee. At that point, gradually bring your foot down to the floor. Rehash with your correct leg, exchanging to and fro between legs for a s
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Individuals who was not obese and BMI was \<28 * Individuals at chronic stroke level (\>6 months post stroke). * The patients who can walk with or without a gait aid (but without assistance of another
Exclusion criteria
* • Different neurological diseases and problems that can impaired balance control (e.g. Parkinson's disease); upper or the lower body parts amputation; cognitive, language, or social impairments which can affect the following of instructions. * Patients who were attending any perturbation based training * Patients who were visually impaired, having orthostatic hypotension or dizziness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tinetti performance oriented mobility assessment | 2 months | POMA for gait and balance for stroke patients |
| Time up and go (TUG) | 2 months | screening test that is a sensitive and specific measure of probability for falls among older adults\[ |
| Activity specific balance confidence (ABC) | 2 months | the Activities-specific Balance Confidence Scale (ABC Scale) is a structured questionnaire that measures an individual's confidence in performing activities without losing balance |
Countries
Pakistan
Outcome results
None listed