Stroke
Conditions
Keywords
Activity based therapy, Chronic stroke, Gait, strength training, exercises
Brief summary
Stroke is a leading cause of disability worldwide affecting both male and female especially in older people. Functional independence and locomotion are hampered in stroke, therefore, affecting their quality of life. Objective: To find the comparative effects of activity base therapy vs strength training on gait performance in chronic stroke patients.
Detailed description
It was a randomized controlled trial, conducted in physical therapy department of Sir Ganga Ram Hospital. 20 chronic stroke patients were equally divided into two groups. In group-A patients were treated with activity base therapy and in group-B patients were treated with strength training. Patients were treated for a total of 6 weeks (12 sessions), 1 hour in a day, 3 times per week. Patients were assessed using Timed Up and Go (TUG) test and Fugl Meyer Examination-Lower Extremity (FME-LE). SPSS 25 was used toanalyze the dat
Interventions
Standing and reaching (2) Sit-to-stand (3) Stepping forward and backward onto blocks (4) Stepping sideways onto blocks (5) Forward step up onto blocks (6) Raising and lowering of heel (7) Standing with the base of support constrained with feet in parallel and tandem conditions Phase 2 started after 3 weeks. Phase 2 included the phase 1 exercise along with below exercise. (10) Walking on a treadmill; (11) Walking over various surfaces and obstacles;
Strength training included for hip • flexor and extensors and abductors, knee extensors, and ankle dorsi flexors and plantar •flexors. Apart from using body weight, sandbag weights and Therabands of eight different resistances
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants were at least 6 months post stroke. * Ability to walk independent or with help of walking aids * Ischemic stroke patients included in study. * Mini mental state examination patients fully understand the commands
Exclusion criteria
* Presence of orthopaedic problems. * Neurological disorders. * Psychological problems. * Cognitive issues. * People with severe visual issues. * Participants with other medical complications foot ulcers, orthopaedic or other neurological impedance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time Up and Go Test (TUG) | 2 months | Simple screening test that is a sensitive and specific measure of probability for falls among older adultsThe Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees. |
| Fugl meyer for lower limb | 2 months | The fugal-meyer assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning in patient with post stroke hemiplegia. |
Countries
Pakistan