Balance, Stroke Hemorrhagic, Stroke, Ischemic
Conditions
Keywords
fear of falling, balance, stroke
Brief summary
Several studies have reported that the physical functions associated with falls, including motor performance, postural balance, flexibility, and muscle strength, are also associated with FoF. Patients with stroke have trouble performing ADLs, including washing their face, eating, bathing, dressing, toileting, and walking, which also affect FoF. Anxiety and depression are common affective disorders in patients with stroke and significantly increase FoF .
Detailed description
People who are afraid of falling because they can't keep their balance can utilize This makes them less susceptible to fall and high tendency to prevent it.
Interventions
OTHERsystematic desensitization and balance
1. Systematic desensitization: 2 techniques 1. Jacobson's technique (progressive muscle relaxation): 2. Guided imagery training is a relaxation technique 2. Goal-directed paradigm (selected program)
Sponsors
AlRyada University for Science & Technology
Cairo University
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
45 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
an ischemic stroke and having had the disease for longer than three months have frequent falling, having sufficient cognition (as measured by a Montreal Cognitive Assessment score of over 26) and having upper and lower extremity spasticity ranging from (grade 1+: 2) on a modified Ashworth scale
Exclusion criteria
) Musculoskeletal issues, such as severe arthritis, total hip arthroplasty, knee surgery, lower extremity fractures within the previous six months, or contractures brought on by a fixed deformity and/or disparity in leg length, 2) Instable medical conditions (e.g., unstable angina, recent myocardial infarction, history of congestive heart failure, major heart valve problems, or unstable hypertension);
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Berg Balance Scale | 5 months | is a five-point scaling score, a range of Zero - 4. Zero was given at the least level of function, while grade 4 will be given at the highest level of function. The scores are classified as follows: 41-56 = low fall risk, 21-40 = medium fall risk, and 0 -20 = high fall risk |
| The 16-item Fall Efficacy Scale-International | 5 months | utilized to evaluate fear of falls.Varying from one (not concerned) to four (very concerned). For data analysis, the overall score, which was the sum of the 16 answers and ranged from 16 to 64 points, was utilized. A greater total score means the patients are more concerned about falling |
| Timed Up and Go Test (TUG) | 5 months | starts with the patient getting up from the chair, walk 3 meters once a signal is given, walk 3 meters back to the chair, and then sit down calculating time taken by the patient |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| fear of falling | 5 months | Biodex Balance Systems |
Countries
Egypt
Outcome results
None listed