Chronic stroke patients aged between 40 and 75 years old who stand independently without gait aid for more than 30 seconds and can walk independently with or without gait aid at least 6 meters. Chronic stroke
Conditions
Interventions
System-based balance training (SBT) is a newly developed balance training program that is designed to comprehensively address all seven components of postural control. The SBT program lasts 30 minutes
system-based balance training ,Conventional balance training ,Control group
Sponsors
Graduate School of Physical Therapy, Srinakharinwirot University
Eligibility
Sex/Gender
All
Age
40 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Diagnosed with hemiparetic stroke for more than 6 months prior to enrollment in the study. 2. Aged between 40 and 75 years. 3. Able to stand independently without the use of assistive devices for more than 30 seconds. 4. Able to walk independently, with or without assistive devices, for a minimum distance of 6 meters. 5. Mild to moderate spasticity at lower extremity (Modified Ashworth scale <3) 6. Adequate visual acuity, with corrective glasses or lenses permitted, and an intact visual field as confirmed by a normal rapid finger-count confrontation test
Exclusion criteria
Exclusion criteria: 1. Concurrent participation in other research studies during the study period 2. Diagnosed with a Transient Ischemic Attack 3. Presence of unstable vital signs 4. Presence of brainstem lesions affecting the sleep-wake cycle or respiratory centers, or lesions in the cerebellum. 5. Presence of auditory or speech impairments that limit the participant's ability to understand and respond appropriately to assessments or training activities 6. Diagnosis of neurological disorders other than stroke 7. Presence of musculoskeletal disorders that interfere with balance 8. Diagnosis of dementia, defined as a score of less than 18 out of 30 on the Thai version of the Montreal Cognitive Assessment 9. Receiving medication that interfere balance such as antidepressants 10. Fixed ankle plantarflexion contractures that unable to place the heel fully on the ground while standing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Balance Evaluation Systems Test (BESTest) at 0, 4, 8 week multi-system balance performance,Balance Recovery Confidence (BRC) scale at 0, 4, 8 week balance recovery confidence score,Activities-specific Balance Confidence (ABC) scale at 0, 4, 8 week Balance confidence score,Fall Efficacy Scale (FES) at 0, 4, 8 week fear of falling score | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactPichanan Methajarunon
School of Physical Therapy, Huachiew Chalermprakiet University
Outcome results
None listed