individual with stroke balance ability,
Conditions
Interventions
Individuals in the experimental group will be trained with the multidirectional reach training for 30 minutes (10times for forward and backward,
20times for sideway to affected side) and conventional physical therapy 30 minutes/days,
3 days/week for 4 weeks. ,Participants in the control group will be received a conventional physical therapy for 30 minutes/day,
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Experimental group,Control Group
Sponsors
Faculty of Allied Health Sciences, Chulalongkorn University
Faculty of Allied Health Sciences,
Chulalongkorn University
Eligibility
Sex/Gender
All
Age
30 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Individuals with hemiparesis who was diagnosed with their first stroke (ischemic or hemorrhagic) 2. Aged between 30-75 years old 3. Can stand by themselves at least 2 minutes without gait aid 4. Can walk with or without gait aid 5. Have a Brunnstrom motor recovery stage 3-6 6. Good visual acuity (participants could be used glasses or lens for correction) and good visual field (Rapid finger-counting confrontation screening: normal) 7. Do not have other neurological condition such as Parkinson’s disease, cerebellar disorder. 8. Do not have pusher syndrome (Scale for Contraversive Pushing≥ 2) and neglect syndrome (Line Bisection test≥ 0.7 inch) 9. Do not have cognitive impairment (Mini-mental state exam-Thai 2002 ≤ 23 points) 10. Do not have severe spasticity at lower-extremity (Modified Ashworth scale≥3) 11. Do not have musculoskeletal problems that effect to the ability to stand or walk such as fracture or arthritis of lower extremity. 12. Do not have uncontrolled hypertension
Exclusion criteria
Exclusion criteria: 1. Cannot follow the command 2. Have injury that affect to ability to maintain balance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| limit of stability (LOS) at baseline (before training), at 4th week after training and 1-month follow-up Balance master,weight bearing Squat (WBS) at baseline (before training), at 4th week after training and 1-month follow-up Balance master,balance ability at baseline (before training), at 4th week after training and 1-month follow-up Fullerton advance balance (FAB) Scale,balance ability at baseline (before training), at 4th week after training and 1-month follow-up Multi-directional reach test | — |
Secondary
| Measure | Time frame |
|---|---|
| movement function of lower limb at baseline (before training), at 4th week after training and 1-month follow-up Fugl-Meyer Assessment (FMA: lower extremity-motor part) | — |
Countries
Thailand
Contacts
Public ContactAkkradate Siriphorn
Chulalongkorn University
Outcome results
None listed