Stroke
Conditions
Keywords
Tai Chi Exercise, Frenkel's Exercise, Stroke, ADL, Fall Risk, Balance
Brief summary
The main objective of this study is to compare the effectiveness of Tai Chi and Frenkel's exercises to improve balance, fall risk and activities of daily living in patients with stroke.
Detailed description
A total of 44 patients will be recruited after inclusion and exclusion criteria. Patients will be recruited through nonprobability convenience sampling technique and will be randomized through Lottery method into either a Group A or a Group B, and for each group, the number of patients will be identical. Group A will receive Tai Chi exercises for 1-hour class, 3 times per week for 12 weeks along with routine physical therapy. Routine treatment includes range of motion (ROM) exercise, stretching & strengthening exercises, passive movements & gait training. Group A will receive the Tai Chi exercise with conventional treatment and Group B will receive Frenkel's exercise with conventional treatment. Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks. Patients will be assessed at baseline and after the treatment using a variety of measurement scales. After the completion of this time period, the assessment of balance, activities of daily living and fall risk will be performed again and will be compared to baseline assessment to check the comparison between 2 interventions. The risk fall will be measured by Stratify Risk Assessment Tool, Activities of daily will be measured by The Barthel Index (BI) , while balance will be assessed by using berg balance scale (BBC). Data will be analyzed by using SPSS (Statistical Package for Social Sciences) 23 version.
Interventions
OTHERTia Chi Exercise
• Yang style 24-posture short-form (16) for 30 minute It consists of 24 unique movements that are performed in a sequence. The form is designed to be easy to learn and can be completed in about six minutes. Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks
OTHERFrenkel's Exercise
Frenkel's exercises 30 minutes (Through these exercises, the patients would learn how to stay balanced and prevent falls by using their visual, somatosensory, and vestibular systems). Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The study would be single blinded as assessor of the study would be kept blind of the treatment groups to which patient will be allocated.
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Community-dwelling survivors of stroke who were aged ≥50 years * Both genders can participate in the study * ≥3 months poststroke * The vital signs were stable * Survivors of both hemorrhagic and ischemic stroke * Modified Rankin Scale 14 score of three or less * Short Physical Performance Battery 15 score of 3 to 9 * Mini-Mental State Exam 16,17 score of 18 or greater.
Exclusion criteria
* The subject is unable to perform exercises. * Subjects with diagnosed vestibular disease. * The subjects included in the experiment were normal elderly without stroke diseases. * The subjects had dyskinesias and could not complete Tai Chi exercises. * Serious medical condition (e.g. active cancer treatment. * Stroke survivors whom had no disability that would interfere with study participation. * Subject taking medications that increases the incidence of fall. * Subjects who undergoes strength and balance training in the past 3 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Barthel Index | 12th week | The scoring is as follows: 0 = unable, 1 = needs assistance/help, 2 = independent. The for the ten items are summed and x 5 to get a total score out of 100. Proposed guidelines for interpreting Barthel scores are as follows: scores of 0-20 indicate total dependency. |
| The Berg Balance Scale (BBS) | 12th week | The Berg Balance Score (BBS) is the best-known balance measurement tool, originally designed to measure balance in older individuals. It consists of 14 items scored on an ordinal scale of 0 to 4 for a total of 56 points (a higher score indicates lower fall risk) |
| Fall Risk Assessment Tool (SRATIFY) | 12th week | The STRATIFY Scale is a tool used to identify risk factors for falls in hospitalized patients, using a 0-5 score to predict patients who will fall. It consists of five questions that assess the patient's history of falls, agitation, visual impairment, toileting needs, and mobility. The total score may be used to predict future falls, but it is more important to identify risk factors using the scale and then plan care to address those risk factors. The tool has good test-retest reliability and moderate inter-rater reliability |
Countries
Pakistan
Contacts
Primary ContactImran Amjad, Phd
Outcome results
None listed