Balance, Mobility, Post Stroke
Conditions
Keywords
Stroke rehabilitation, Hemiplegia therapy, Motor activity, Gait physiology, Neuroplasticity, Movement disorders rehabilitation, Constraint-Induced Movement Therapy, Virtual reality therapy, Lower extremity pathophysiology
Brief summary
This study investigates the effectiveness of combining m-CIMT and VR to improve mobility in post-stroke patients. A non-blinded randomized controlled trial will be conducted with 32 participants divided equally into experimental and control groups using purposive sampling. The experimental group will receive m-CIMT with VR training, while the control group will receive m-CIMT with Task-Specific Functional Training. Sessions will be 30 minutes per day, 4 days a week, for 6 weeks. Outcomes will be measured using FMA-LE, BBS, DGI, TUG, and SS-QOL. The study will take place over one year at FFH and FUCP, with ethical approval from ERC FUMC.
Interventions
PROCEDUREm-CIMT with VR exer-games by Kinect Xbox 360
Virtual reality workout session will be for about 30 minutes Warm-up exercise will be for 5 minutes including relaxed breathing For week 1-3: Soccer and Space Bubble Pop games will be used For week 4-6: 20,000 Leaks and Rally Ball games will be used 5 minutes will be given for cool down.
PROCEDUREm-CIMT with Task-Specific Functional Training
Begin with low-intensity exercises and progress to moderate to high intensity; session will be for about 30 minutes Warm-up for 5 minutes;one minute of rest for every five minutes of exercise For week 1-3: Assisted standing and weight shifting, Heel raises, Toe taps, Supported stepping, Unassisted standing and balance tasks will be used For week 4-6: Progressive stepping exercises, Heel-to-toe standing,
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Sample Selection Criteria Inclusion Criteria * Sub-acute and chronic stroke patient \>3months * Males and females of 40-60 years. * Mini-Mental State Examination score ≥24 * FAC Scale = 3 * Limited spasticity (0,1,1⁺) according to modified Ashworth scale * Adequate balance and walking ability while wearing the constraint to be eligible to participate in CIMT intervention.
Exclusion criteria
* Patient with Severe Spasticity and pain * Patient of Epilepsy, Parkinson's disease and stage 4 arthritis * Patient with Global Aphasia * Individuals suffering from unstable angina, symptomatic heart failure, or uncontrolled hypertension * Patients with any traumatic musculoskeletal injury and surgery of lower limb
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Motor Control | 6 weeks | Fugl-Meyer Assessment for Lower Extremity (FMA-LE) is a standardized, stroke-specific tool designed to evaluate motor control. It demonstrates excellent reliability (ICC ≥ 0.98) and strong construct validity. |
| Mobility | 6 weeks | Time Up and Go test: This test will be used to measure mobility in older adults. |
Countries
Pakistan
Outcome results
None listed