Stroke
Conditions
Keywords
Corrective Exercises, Rhythmic Auditory Stimulation (RAS), Balance, Motor performance, Gait, Quality of life (QoL), Stroke
Brief summary
The aim of this study is to determine the effects of corrective exercises with rhythmic auditory stimulation on balance, motor performance, gait and quality of life in patients with stroke.
Detailed description
The effect of corrective exercises with massage on balance, motion performance, gait, and quality of life among elderly individuals with hyper kyphosis. This experimental study involved 30 elderly participants who underwent an eight-week training program, with three sessions per week. The program combined corrective exercises and massage, which significantly improved thoracic kyphosis, dynamic balance (measured by the TUG test), and gait analysis (using Kinovia software). Compared to the control group, the experimental group showed reduced kyphosis angles, improved balance, gait performance, and quality of life. The study's key finding was that this combined intervention enhanced walking speed, functional ability, and overall quality of life in older adults. A study to investigate the effect of overground gait training (OGT) with rhythmic auditory stimulation (RAS) on lower limb motor coordination and activities of daily living in stroke survivors. Twenty-eight stroke survivors were randomly divided into two groups: Group A received occupational gait training (OGT) alone, while Group B received OGT combined with rhythmic auditory stimulation (RAS) twice weekly for six weeks. Assessments of lower limb motor coordination and daily living activities showed significant improvements in both groups. The study concluded that OGT, with or without RAS, effectively enhances lower limb motor coordination and daily living activities in stroke survivors. The effects of walking training according to rhythmic auditory stimulation speed control balance of stroke patients on whether motor learning was effective in improving balance ability. Twenty-eight individuals with chronic stroke were divided into three groups: IRAS (n=10), DRAS (n=9), and control (n=9). All groups received 30 minutes of neurodevelopmental therapy and 30 minutes of walking training five times a week for three weeks. Balance ability was assessed before and after training using Balancia software, the Timed Up and Go test (TUG), and the Berg Balance Scale (BBS). The IRAS group showed significant improvements in TUG, BBS, and weight distribution on the affected side compared to the DRAS and control groups. The study suggests that rhythmic auditory stimulation with error augmentation can be an effective intervention to improve balance in stroke patients, particularly when adjusting the affected side to increased stimulation speed. To investigate the effect of a correctional exercise course with myofascial release on pain, posture, disability index and quality of life in people with video display syndrome. The semi-experimental study involved 45 middle-aged men, divided into two experimental groups and a control group. After 6 weeks of training, the group receiving corrective exercises with myofascial release showed significant improvements in pain reduction, posture correction, disability index, and quality of life compared to the group without myofascial release. The findings suggest that incorporating myofascial release into corrective exercises can be beneficial for reducing musculoskeletal issues and enhancing productivity in individuals with video display syndrome. This study evaluates the effects of music-based rhythmic auditory stimulation on balance and motor function after stroke and whether there are differences depending on the affected hemisphere, lesion site and age. This longitudinal study involved 28 adult stroke survivors who received music-based rhythmic auditory stimulation (RAS) sessions, 90 minutes, 3 times a week, in addition to conventional physiotherapy. Balance and motor function were evaluated using standardised tests. Results showed significant improvements in balance and motor function from admission to discharge. However, the extent of improvement varied depending on the evaluation test and individual patient characteristics, such as lesion site and degree of motor impairment. Notably, patients with hemiparesis showed greater improvement than those with hemiplegia, while age, stroke type, and affected hemisphere did not directly impact outcomes. A study to investigate the effect of corrective exercises on knee position and static and dynamic balance of student athletes with braced knees. This quasi-experimental study involved 30 male high school students with mild to moderate knee bracing (up to 5 cm). Participants were randomly divided into experimental and control groups. Knee distance, static balance, and dynamic balance were measured using a calliper, the Stork test, and the Y balance test. The experimental group underwent 12 weeks of corrective exercises, 3 sessions per week, 60 minutes per session. Results showed significant improvements in knee alignment and static and dynamic balance in various directions. The study concludes that the corrective exercise protocol effectively improves knee alignment and balance in students with braced knees. A study to evaluate the effect of music-based rhythmic auditory stimulation (RAS) in combination with conventional physiotherapy on gait parameters and walking ability in subacute stroke. The single-blind, historical controlled trial involved 55 patients, with 27 serving as historical controls and 28 receiving RAS therapy three times a week. Both groups received standard physiotherapy. Results showed significant improvements in walking ability (Functional Ambulation Category) for the RAS group but no notable differences in gait, balance, or secondary outcomes. The study suggests that adding RAS to conventional physiotherapy may enhance walking ability in subacute stroke patients. This study aims to address this gap by providing evidence-based recommendations and tailored exercise strategies for stroke patients.
Interventions
Corrective exercises: 3 sessions per week for 6-8 weeks, 60 minutes per session: a 15-min warm-up, a 30-min main segment, and a 15-min cool-down. A total of 18-24 sessions will be given, each consisting of 60 mins. In weeks 1-2, participants performed balance-focused tasks including heel-toe walking, tandem standing, and single-leg standing for 3 sets of 2-10 repetitions. During weeks 3-4, the focus shifted to lower limb strength and functional mobility with sit-to-stand training, step-ups, and semi-squats, each performed for 3 sets of 5-10 repetitions. In weeks 5-6, static and dynamic marching were introduced alongside posture correction holds and neck extension exercises, completed for 3 sets of 5-10 reps or 10-30 second holds. Weeks 7-8 emphasized core strengthening through cat stretch, plank, V-shape movement, and Swiss ball bridge exercises, performed for 3 sets of 5-10 repetitions or 10-30 second holds.
The experimental group will be given the rhythmic auditory stimulation protocol along with the corrective exercises. 3 sessions per week for 6-8 weeks, 60 minutes per session: 15-min rhythmic warm-up, 30-min RAS main segment along with corrective exercises, 15-min relaxation. A total of 18-24 sessions will be given, each consisting of 60 mins. Weeks 1-2 consisted of RAS-guided gait drills, including tandem walking, military march, and walking on toes and heels, performed for 3 sets of 5-20 steps. In weeks 3-4, participants performed standing with a reduced base of support and RAS leg raises in forward, backward, and sideways directions for 3 sets of 5-10 repetitions. Weeks 5-6 advanced to RAS leg raises in all directions for each leg and graded reaching exercises while standing, each for 3 sets of 5-10 repetitions During weeks 7-8, the program included heel raises and RAS stepping/walking drills in forward, backward, sideways, and tandem directions, completed for 3 sets of 5-20 steps.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Age range 40-60 years old. * Both male and female. * Patients with subacute ischemic stroke (hemiplegia). * They had no history of back pain or any special injury. * Diagnosis of a first-time stroke or without a sequel of a previous stroke. * Hemiparesis with gait disturbance, Tinetti score \< 23 after the stroke. * Older adults with hyperkyphosis.
Exclusion criteria
* Unwillingness to cooperate. * Injury during exercise or training period. * Absence in at least 3 sessions of training. * Independent walkers. * Moderate to severe cognitive disorder. * Participants with significant orthopedic or chronic pain conditions affecting gait performance. * Any other neurologic condition. * Visual, hearing, verbal, and cognitive deficits.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tinetti POMA test | Baseline and 8th week | The Tinetti POMA test assesses functional mobility, balance, and gait abnormalities with a maximum score of 28. Scores are interpreted as follows: 25-28 (low fall risk), 19-24 (medium fall risk), and below 19 (high fall risk). The test has excellent reliability and requires minimal equipment, taking 10-15 minutes to administer. |
| Timed Up & Go test (TUG) | Baseline and 8th week | Timed Up \& Go test: The TUG test assesses functional mobility and balance by measuring the time to stand, walk 3 meters, return, and sit. Scoring interpretation: \<10 seconds (complete independence), \<20 seconds (independence for main transfers), and \>30 seconds (requires assistance). A cut-off score of ≥13.5 seconds predicts fall risk. |
| The 6-minute walking test | Baseline and 8th week | The 6-minute walking test: The 6-minute walking test (6MWT) assesses mobility and endurance by measuring the distance covered while walking at one's own pace for 6 minutes. Higher scores indicate better performance. Cut-off scores of 304 meters and 288 meters have been established for walking independence and community ambulation, respectively |
| The SF-36v2 health survey short form | Baseline and 8th week | The SF-36v2 health survey short form: The SF-36v2 health survey assesses quality of life through 8 subscales, grouped into physical and mental health categories. Scores range from 0-100, with higher scores indicating better health and quality of life. |
Countries
Pakistan
Contacts
CONTACTImran Amjad, Phd
PRINCIPAL_INVESTIGATORHira Jabeen
Riphah International University
Outcome results
None listed