Stroke
Conditions
Keywords
Rhythmic Auditory Stimulation, Task-Oriented Training, Balance, Proprioception, Lower Extremity Function, Motivation, Rehabilitation Adherence
Brief summary
Stroke is one of the leading causes of long-term disability worldwide. Among survivors, limitations in lower limb motor function, balance, and proprioception significantly affect their independence and quality of life. There is a growing need for targeted rehabilitation strategies for stroke survivors, who often experience lower limb impairments that limit independence during a highly active stage of life. Task-oriented training (TOT) helps patients practice real-life movements, while rhythmic auditory stimulation (RAS), such as metronome beats, can guide and improve their timing and coordination.
Detailed description
It will be a single blinded randomized controlled trial. Non-probability convenience sampling technique will be used to recruit 38 participants aged 40 to 60 years, subacute stage post-stroke from hospitals of Daska and NLH Physio Clinic. Sealed opaque method will be used to randomly divide into two groups. Group A will receive TOT along with RAS, while Group B will receive only TOT. Both groups will participate in supervised 30-minute exercise sessions, including a 10-minute warm-up and cool-down period, five days a week for eight weeks, in addition to 30 minutes of baseline conventional physiotherapy program. The interventions will focus on lower limb function, balance, proprioceptive training, and motivational engagement. Tools used for outcome assessment include the Lower Extremity Functional Scale (LEFS) for motor function, Timed Up and Go (TUG) test for dynamic balance, Joint Position Sense (JPS) test for proprioception, Stroke Rehabilitation Motivation Scale (SRMS) for motivation, and the Rehabilitation Adherence Questionnaire (RAQ) for adherence. Data will be analyzed using SPSS version 25 to compare pre- and post-intervention effects. . After assessing the normality, if the p-value is greater than 0.05, a parametric test will be applied. If the p-value is less than 0.05 then a non-parametric test will be applied.
Interventions
OTHERTask-Oriented Training + Rhythmic Auditory Stimulation
* 30-minute TOT session + RAS (60-110 BPM progression) * Functional gait tasks, obstacle walking, stair climbing, balance tasks * 5 days/week for 8 weeks * Plus 30-minute baseline physiotherapy
* Same TOT structure without rhythmic cues * Functional lower limb tasks, balance training, gait practice * 5 days/week for 8 weeks * Plus 30-minute baseline physiotherapy
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
An independent assessor, who is blinded to the group allocations, will be responsible for evaluating study outcomes.
Intervention model description
Randomized Clinical Trial
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* • Age 40-60 years * First-time ischemic or hemorrhagic stroke * Subacute stroke (\<6 months) * Brunnstrom stage ≥ 3 (lower limb) * Able to walk 10 meters independently or with minimal support * Able to follow simple commands
Exclusion criteria
* • Severe aphasia * Other neurological disorders (Parkinson's, TBI) * Uncontrolled cardiovascular issues (BP \> 180 mmHg, arrhythmias) * Severe visual, auditory, or orthopedic impairments * Musculoskeletal injuries or medical conditions limiting participation * Diabetes, hypertension, fractures, surgeries, OA, RA
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lower Limb Motor Function | Baseline and Week 8 | Lower Extremity Function (LEFS) |
| Dynamic Balance | Baseline and Week 8 | Time up and Go Test |
| Proprioception | Baseline and post 8 weeks | Joint Position Sense Test |
| motivation | Baseline and post 8 weeks | Stroke Rehabilitation Motivation Scale (SRMS) |
| adherence | Baseline and post 8 weeks | Rehabilitation Adherence Questionnaire (RAQ) |
Countries
Pakistan
Contacts
CONTACTImran Amjad, PhD
PRINCIPAL_INVESTIGATORAiza Yousaf, MS-OMPT
Riphah International University
Outcome results
None listed