Stroke
Conditions
Keywords
Cognitive exercise, Dual-task, Proprioception, Rehabilitation, Sensorimotor exercise, Stroke.
Brief summary
The aim of this study is to determine the comparative effects of sensorimotor training and dual-task training on propriocetion, balance, functional mobility and fall risk in stroke patients.
Detailed description
Stroke is one of the leading causes of long-term disability worldwide and commonly results in impaired proprioception, balance deficits, reduced functional mobility, gait disturbances, and increased fall risk, particularly in chronic stroke patients. Stroke survivors often experience decreased sensory-motor integration, impaired postural control, reduced coordination, and difficulty performing dual tasks during daily activities, all of which negatively affect independence and quality of life. Sensorimotor training focuses on improving proprioception, neuromuscular control, balance, and postural stability through sensory and motor integration exercises, whereas dual-task training emphasizes simultaneous performance of motor and cognitive tasks to improve cognitive-motor coordination, gait performance, dynamic balance, and functional mobility. The aim of this study is to determine the comparative effects of sensorimotor training and dual-task training on proprioception, balance, functional mobility, and fall risk in chronic stroke patients. This study will be a randomized clinical trial. A non-probability convenience sampling technique will be used to recruit 54 participants diagnosed with chronic stroke. This study will be conducted at Nishtar Hospital, Multan and District Headquarter Hospital, Rajnapur. Participants will be randomly allocated into three groups through sealed opaque envelope method. Group A will receive sensorimotor training, Group B will receive dual-task training, while Group C will receive conventional physical therapy exercises. All groups will perform their respective exercise protocols for 30 minutes, three times a week for 8 weeks. Participants will be evaluated before and after the intervention through Joint Position Sense Test (JPS), Berg Balance Scale (BBS), Mini-BESTest, 6-Minute Walk Test (6MWT), Functional Independence Measure (FIM), and Falls Efficacy Scale-International (FES-I) to assess the effects of interventions on proprioception, balance, functional mobility, and fall risk. Data will be analyzed using SPSS version 26.
Interventions
Somatosensory Training(SMT), for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
OTHERDual-Task Training
Dual-Task Training, for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
OTHERConventional Physical Therapy
Conventional Physical Therapy, for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Masking description
Randomized for RCT
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* A diagnosis of stroke; ≥6 months after stroke onset * Able to walk independently for at least 10 minutes * Mini-BESTest score ≤21 indicating balance impairment. * MoCA score ≥21 to confirm adequate cognitive function
Exclusion criteria
* Severe musculoskeletal conditions (e.g., advanced osteoarthritis, recent fractures) that significantly affect mobility or balance. * Significant receptive or expressive aphasia * Unstable heart or lung conditions preventing exercise. * Active psychiatric disorders (e.g., major depression, schizophrenia) * Not community-dwelling before the stroke event * Involved in similar rehab or studies within the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mini-BESTest Scale | 8th week | It is a tool to assess dynamic balance across four domains: anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. It consists of 14 items, each scored from 0 to 2, with a maximum total score of 28. Higher scores indicate better balance performance. The test is sensitive to changes in individuals with neurological conditions, including stroke. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 6-minute Walk Test(6MWT) | 8th week | It is a standardized assessment used to measure functional mobility and endurance by recording the total distance an individual can walk on a flat, hard surface in six minutes. It reflects the ability to perform daily physical activities and is commonly used in patients with neurological and cardiopulmonary conditions, including stroke. |
Countries
Pakistan
Contacts
CONTACTImran Amjad
PRINCIPAL_INVESTIGATORSabiha Arshad
Riphah International University
Outcome results
None listed