Hemineglect After Stroke
Conditions
Brief summary
This randomized controlled trial investigates the effect of Cognitive Postural Training (CPT) on postural stability and cognitive function in patients with hemispatial neglect following stroke. Participants will be randomly assigned to receive either Cognitive Postural Training combined with conventional balance training or conventional balance training alone. Training will be provided three times per week for four weeks. The effects of the intervention on cognitive function, hemispatial neglect, postural stability, balance, and functional independence will be evaluated.
Interventions
OTHERCognitive postural training
CPT consisted of simultaneous performance of cognitive tasks and postural control activities to challenge cognitive-motor integration and postural stability. Cognitive tasks included verbal fluency (e.g., naming animals), mental sequencing (e.g., reciting the months of the year in reverse order), and route-description tasks. Training was progressively performed in different postural positions, including supine, sitting, sit-to-stand, and standing, according to the participant's abilities and level of postural control.
OTHERConventional physical therapy program
conventional balance training focuses on improving postural control, balance, and functional mobility. Training included static and dynamic balance exercises performed in different postural positions, including sitting, sit-to-stand, and standing. Exercises were progressed according to the participant's functional ability and balance performance and included weight-shifting activities, maintaining and changing the base of support, and functional balance activities.
Sponsors
Ahram Canadian University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
45 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients from both genders with hemispatial neglect due to first ever right cerebral hemisphere stroke (ischemic or hemorrhagic). * Age of participants ranged from 45 to 65 years. * Mild to moderate degree of unilateral spatial neglect according to Catherine Bergego scale.(Appendix VI) * The duration of the stroke was at least six months. * Body mass index ranged from 18.5 - 30 Kg/m2. * Montreal cognitive assessment score more than 21 (Nasreddine, et al., 2005). * Mini mental state examination score between 20 and 24 (Li, et al., 2016). * Grade of spasticity less than two according to Modified Ashworth Scale (Harb and kishner 2022). * Berg balance scale score less than 45 (Miranda-Cantellops, et al., 2022). * Muscle power of lower limbs 3 or more
Exclusion criteria
* 21\) Other brain injuries/illnesses, psychiatric, sever cognitive impairment, severe sensory or proprioceptive loss. 22\) Other causes of cognitive dysfunction. 23) Severe apraxia, severe aphasia. 24) Drugs that affect balance or cognition 25) Ankle disorders (e.g.sprain), vestibular disorder 26) ophthalmic disorders, homonymous hemianopsia 27) Progressive neurological disease (e.g., dementia)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall Stability Index (OSI) - Biodex Balance System | Once at enrollment once at the end of treatment that will last 4 weeks |
| Psotural stability- Berg Balance Score | Once at enrollment once at end of treatment that will last for 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Cognitive Function - Montreal Cognitive Assessment (MoCA) | Once at enrollment once at end of treatment that will last for 4 weeks |
| Global Cognitive Function - Mini-Mental State Examination (MMSE) | Once at enrollment once at end of treatment that will last for 4 weeks |
| Hemispatial Neglect - Star Cancellation Test | Once at enrollment once at the end of treatment that will last 4 weeks |
| Hemispatial Neglect - Catherine Bergego Scale (CBS) | Once at enrollment once at the end of treatment that will last 4 weeks |
| Functional Independence - Barthel Index (BI) | Once at enrollment once at the end of treatment that will last 4 weeks |
Countries
Egypt
Contacts
CONTACTAlaa M Elbaroudy
Outcome results
None listed