Circulatory System Nervous System Diseases
Conditions
Interventions
conventional physical therapy program
Sponsors
faculty of physicl therapy cairo university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1- Patients diagnosed as anterior circulation stroke either Ischemic or hemorrhagic insult in MCA territory diagnosed by neurologist and confirmed by CT and or MRI. 2- First time stroke 3- Adults aged range from 43 to 69 yrs old. 4- Ability to stand unassisted for 30 seconds and ability to walk with or without support at least 30 m 5- Ability to communicate and understand instructions as indicated by a Mini-Mental Status Examination. 6- Mild to moderate balance impairment score of Berg Balance Scale [BBS] was =21 and =40according to a predictive cut off value which defined as the risk of “independent safe ambulation.
Exclusion criteria
Exclusion criteria: 1- Infratentorial or post circulation stroke (brainstem or cerebellar, vertebrobasilar) 2- • patients with vestibular symptoms like vertigo or dizziness. 3- • Patients with other neurologic problems unrelated to stroke hemiparesis which can affect balance ability. 4- • Significant medical or psychiatric illness, motor apraxia and sensory aphasia. 5- • Lower limb orthopedic disorders, musculoskeletal complication like joint contracture that would affect the ability to walk safely or sever weight bearing pain. 6- • Patients who will not provide informed consent for study participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postural stability considered the primary outcome which will be assessed using computerized dynamic posturography device SOT and Berg Balance scale at the base line before treatment and after 6 weeks. | — |
Secondary
| Measure | Time frame |
|---|---|
| Gait performance will be assessed also using The Timed Up-and-Go (TUG) before and after treatment as Secondary out come | — |
Countries
Egypt
Contacts
Public ContactEhab Shaker Belal
Professor of Neurology faculty of medicine Cairo university
Outcome results
None listed