Chronic stroke patients Chronic Stroke, System-Based Task-Oriented balance training , Balance Performance, Balance confidence
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. individuals with a confirmed diagnosis of a first stroke, 2. having a confirmed diagnosis of hemiparetic stroke for at least 6 months before study enrollment, 3. aged between 40 and 75 years, 4. able to understand verbal instructions and communicate responses sufficiently to complete the assessments and participate in the intervention program, 5. able to stand independently without assistive devices for more than 30 seconds 6. able to ambulate independently for a minimum distance of 6 meters after stroke onset, with or without an assistive device, 7. having normal vision function.
Exclusion criteria
Exclusion criteria: 1. participating in another clinical trial concurrently with this study, 2. diagnosed of a transient ischemic attack (TIA), 3. presenting of severe spasticity in major lower limb muscles involved in gait operationally defined according to the Modified Ashworth Scale (MAS) > 3, 4. having unstable vital signs 5. having brainstem lesions affecting the sleep-wake cycle or respiratory control, or lesions in the cerebellum, 6. weakness or abnormal movement patterns resulting from other neurological disorders unrelated to stroke, 7. having musculoskeletal disorders that affect balance, 8. having Cognitive impairment, defined as a score <17 on the Thai Montreal Cognitive Assessment (MoCA-Thai), 9. currently using of medications known to influence balance, including antidepressants, antipsychotics, or sedative agents, 10. having ankle plantarflexion contracture
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Activities-specific Balance Confidence (ABC) scale 2. Balance Recovery Confidence (BRC) scale 3.Systems-based Balance Evaluation Systems Test (S-BESTest) Baseline and after 4 weeks intervention Score | — |
Countries
Thailand
Contacts
Faculty of physical therapy, Srinakharinwirot University