Nervous System Diseases
Conditions
Interventions
Tower of Hanoi puzzle
Reversed walking therapy
Conventional physiotherapy treatment only
Sponsors
Abiodun Bamigboye
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: i Stroke survivors referred for physiotherapy treatment and resident in Ibadan ii. Aged = 18 years. iii. Conscious, with stable vital signs and capable of independent ambulation at least 10m without gait aids iv Must be medical and mental stable with ability to accept instruction and able to give consent. v. No medical record of any other neurological conditions other than stroke. vi. No open wounds, no surgery within last six months, and no coexisting orthopedic, cardiovascular, visual impairment. vii. No palpable fear of falling and must also have ability for bladder and bowel control.
Exclusion criteria
Exclusion criteria: i. Patients suffering from brain tumour, trauma or other diseases that could cause cognitive impairment. ii. Severe language, vision and/or auditory impairment or a neuropsychiatric disorder precluding cognitive examination. iii. Suffering from cognitive impairment confirmed by doctors or with a history of cognitive drug use before stroke. iv. Unstable cardiac conditions; urinary incontinence; open wounds; tinea; unstable epilepsy or seizures v. Inability to carry out the exercise therapeutic program; and current participation in a concurrent exercise therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of interest shall be the executive function. This is going to be assessed with the use of the Trail Making Test A and B (Sakai, et al., 2023). The required equipment for the Trail Making Test Part A and B worksheet and a Pencil. The procedure for the administration of Trail Making Test A and B is stated as follows: Participants will be given a copy of the Trail Making Test Part A worksheet and a pen or pencil. The use of the trail making sheet shall be demonstrated and the participants will be subsequently timed as he or she will be instructed to follow the trail made by the numbers on the test. The time it takes each participant will be recorded. The same procedure will be repeated for the Trail making test Part B. The result for both TMT- A and B will be reported as the number of second used for the completion of the task such that higher scores reveal greater impairment. The Test is discontinued if it is not completed in 5minutes. Scoring: An average score for TMT-A is 29seconds and the deficient score is greater than 78seconds while the average score for TMT-B is 75seconds with deficient score greater than 273 seconds. The difference in completion time for Trail B and Trail A (T B-A) will be calculated and recorded in seconds. The executive function will be said to be normal if the average TB-A score falls within 1 and 46 seconds but signifies impairment if greater than 47 seconds ;One other primary outcome for this study shall be Gait speed. This shall be assessed with the use of a standard protocol known as 10MWT (Nancy, et al. 2022). The required equipment and procedure for the administration of this protocol are as followed: Equipment: stop watch, measuring tape, marker, chair Procedure: A distance of 20m will be measured-out with a measuring tape. A mark with coloured dot will be made exactly 5 metre and 15 metres from the starting point. Each participant will be instructed to walk at a comfortable (normal pace) and fast pace (as f | — |
Secondary
| Measure | Time frame |
|---|---|
| One of the secondary outcome for this study shall be VO2Max (ml.kg.min). Maximum Oxygen Consumption (VO2Max) will be assessed using the 6-Minute Walk Test (6MWT). A 30m-walkway will be measured-out with a measuring tape. The start and end-points of the walkway will be marked with coloured dots. Each participant will be instructed to walk up and down the walkway for six minutes, ensuring that they reached the coloured dot at each end of the walkway. Participants will be encouraged to walk as fast as possible during the six-minute time frame, while also at liberty to stop to rest, up to sitting on one of the chairs that will be made available at the scene of the test. At every minute, participants will be notified about the time remaining, and will be verbally encouraged to “keep it up”. At the expiration of the six minutes, participants will be asked to stop and the point of termination will be marked on the wall. The total distance covered during the 6minutes will be measured and added up. The resting pulse rate, participants’ gender, age, and body weight will also be measured and recorded. These parameters will be used to calculate the VO2Max using the following equation: Estimated VO2max (ml/kg/min) = 70.161 + (0.023 × 6MWT [m]) - (0.276 × weight [kg]) - (6.79 × sex, where m = 0, f = 1) - (0.193 × resting HR [beats/minute]) - (0.191 × age [y]) A VO2Max value that is less than 20 mL/kg/min signifies impairment | — |
Countries
Nigeria
Contacts
Public ContactOlubukola Olaleye
lecturer
Outcome results
None listed