Chronic Stroke Patients
Conditions
Keywords
Chronic Stroke, Gate Training, Multimodal, Rhythmic auditory stimulation
Brief summary
The primary goal of this randomized clinical trial is to investigate the efficacy of multimodal gait training, with and without rhythmic auditory stimulation, in improving gait, coordination and reducing fall risk in individuals with chronic stroke This clinical trial features two distinct groups 42 participants were randomly divided into two groups of 21. Group A will receive Multimodal gait training along with rhythmic auditory stimulation while Group B will receive only multimodal gait training Participants will: * Take 12 sessions of the MMGT program over six weeks * With each session lasting 45 minutes, including 10-minute rest breaks.
Interventions
OTHERMutimodal gait training includes unilateral step training, inclined treadmill training, over ground training with rhythmic auditory stimulation
Unilateral step training, inclined treadmill training, over ground training, repetitive isochronous pulses via metronome
OTHERMultimodal gait training
Unilateral step training, inclined treadmill training, over ground training,
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 70 Years
Healthy volunteers
No
Inclusion criteria
* Participants of age between 45 and 70 year * Participants of both genders were included. * Participants who were able to walk independently indoors without walking aid * Participants were included if they had lower limb motor impairment (Fugl-Meyer Assessment lower extremity (FMLE) score less than score less than 34 * Participants with stroke lasting longer than six months * Participants with Mini-Mental Status Examination score 24 or more than 24 * Participants with the capability to keep in sitting position for 30 minutes * Participants with the history of fall in the past year * Participants with no visual or auditory impairments that would interfere with the training
Exclusion criteria
* Participants with respiratory problems. * Participants with any orthopedic condition. * Participants with aphasia that impeded communication. * Participants with have severe cardiac disease. * Participants with resistant hypertension despite use of medication (average systolic blood pressure ≥ 140 mmHg or average diastolic blood pressure ≥ 90 mmHg measured over 7 days) * Participants with presence of non-healing ulcers in the lower limbs, and osteoporosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| LOWER EXTREMITY MOTOR COORDINATON TEST (LEMCOT) | 6 weeks | The Lower Extremity Motor Coordination test (LEMCOT) is a clinically useful performance-based test to assess coordination improvements of lower limb in post-stroke individuals |
| Dynamic gait index (DGI) | 6 weeks | The dynamic gait index is a comprehensive clinical assessment performance based tool used designed to evaluate gait-related task such as dynamic balance, gait and risk of fall in older adults with various neurological conditions |
| Fall Efficacy Scale-International (FES-I) | 6 weeks | Fall efficacy scale-international (FES- I) is a standardized, short and easy to administer tool evaluates fear of falling and measures concerns about falling |
Countries
Pakistan
Outcome results
None listed