Stroke
Conditions
Keywords
Stroke, dual task training, task-specific training, lower extremity, balance, trunk control
Brief summary
One of the leading causes of disability among the elderly is stroke. After a stroke, it is highly usual for lower extremity function, balance and trunk control to be compromised. After a stroke, trunk control is a crucial early predictor of functional recovery. Following a stroke, proximal trunk control is necessary for distal limb movement control, balance, and functional capacity.
Detailed description
Forty-five chronic stroke patients, ages 45 to 55, were divided into three equal groups for this randomized controlled study: GA consisted of 15 patients, GB of 15 patients, and GC of 15 patients each. Group A (the study group) received dual motor task training in addition to the selected physiotherapy program, Group B (the study group) received task-oriented training in addition to the selected physiotherapy program, and Group C only received the selected physiotherapy program for 12 weeks. All groups received treatment three times a week for twelve weeks, with each session lasting sixty minutes. The Trunk Impairment Scale (TIS), Functional Reach Test (FRT), Biodex Balance System (BBS), and Fugl Meyer Lower Extremity (FM-LE) were used to evaluate each of the three groups pre and post treatments.
Interventions
Began with a highchair before switching to a low one. In addition to a 30-minute selected physiotherapy program.
OTHERDual task training
Dual motor task training for 30 minutes. The dual motor training was divided into two phases. The first part involved a single task condition in which the stroke patient was instructed to stand up from a seated position at a self-selected speed without the use of upper limb assistance. Cognitive and physical tasks, is the second part of training. In addition to a 30-minute selected physiotherapy program.
Consisting of trunk control, trunk stabilization, balance training and lower extremity strengthening exercises (primarily for the hip adductors and abductors) for 60 minutes.
Sponsors
Ahmed Alshimy
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
45 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* 45 chronic stroke patients between the ages of 45 and 55 who were of both sexes, had been ill with stroke for more than six months to a year, had received at least nine years of education, had a score on the Berg balance scale between 41 and less than 45, and had cognitive functions greater than 26 on the MOCA scale were included in this study
Exclusion criteria
* Patients who had any neurological condition that affected balance other than stroke (such as inner ear, vestibular, or cerebellar dysfunction), communication disorders, uncontrolled hypertension, diabetes, or unstable angina, hearing or vision issues, or respiratory disorders were not allowed to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk impairment scale | 4 weeks | It assesses trunk coordination skills as well as static and dynamic balance while seated |
| Functional Reach test | 4 weeks | This one-item exam is intended to serve as a rapid screening tool for balance issues |
| Biodex Balance System | 4 weeks | Used to evaluate balance |
| Fugl-Meyer lower extremity | 4 weeks | This test is designed to evaluate lower extremity motor and sensory impairment after a stroke |
Countries
Egypt
Outcome results
None listed