Hemiplegia
Conditions
Keywords
Stroke, Music Therapy, Task-oriented training, Balance, Functional Independence
Brief summary
Previous studies discussed the effects of music therapy and task oriented training on motor functions of stroke separately but no study is found in which effects of both techniques are studied. In this study, we are going to find the effects of task oriented training with or without music therapy.
Detailed description
Stroke is a neurological condition, which can promote disability and increase the susceptibility to secondary complications along the patient's life. Stroke issue incorporates motor dysfunction, Cognition, daily activity and sensory weaknesses. Music Therapy appears to affect physiological phenomena such as blood pressure, heartbeat, respiration, and mydriasis as well as emotional aspects such as mood and feelings. Task-oriented training is aimed at improving the control strategy by solving difficulties through various measures. In general, a variety of techniques, including Bobath approach, Roods approach, Proprioceptive neuromuscular facilitation techniques, motor relearning program, functional approaches, stretching exercises, therapeutic massage, constrain induced movement therapy, range of motion exercises, myofascial release, and strengthening exercises have been in practice for recovery of the affected limb functional mobility in patients with stroke. This study will evaluate the effects of music therapy along with task oriented training on balance and functional independence in stroke patients.
Interventions
The routine physiotherapy treatment will include TENS and Hot pack. The task oriented training for lower extremity will include walking training on the ground, equal weight bearing sit-to-stand exercises, resistance exercises e.g. leg press, leg extension, and leg curl and reaching tasks for improving balance. There will be a rest period of 5 minutes between each set of training.
Relaxing Music will be provided through headphones having voice cancellation property for 15 minutes.
Sponsors
Study design
Masking description
It will be single blinded study in which the outcome assessor will be unaware of the treatment intervention.
Eligibility
Inclusion criteria
Age 40-60 years Both males and females Diagnosed stroke patients Chronic stage (after 6 months of onset) Individuals with Burg Balance Score ≥ 20 ≤ 40 Functional Independence Measure score up to 3 (moderate assistance) Able to understand command Mini mental status examination score of over 20
Exclusion criteria
Systematic Disorder e.g. Rheumatoid arthritis Unstable Angina Coexisting physical impairments e.g. limb amputation Any previous history of neurological disease other than stroke e.g. Parkinson's Any previous history of fractures Hearing or perception deficits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Balance | Change in Balance score will be measured at baseline, at 4th week, at 8th week | Dynamic and static balance will be measured by Berg Balance Scale |
| Functional Independence | Change in functional independence will be measured at baseline, at 4th week, at 8th week | Functional Independence will be measured by Functional Independence Measure |
Countries
Pakistan