Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients (perturbation)

Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients.

Following stroke, patients loses functions of the motor, sensory and higher brain cognitive faculties to various degrees which lead to diminished balance. It has been documented that hemiplegic or hemiparetic stroke patients presented with more posture sway, asymmetric weight distribution, impaired weight-shifting ability and decreased stability capability. There are many balance exercises and strategies; to improve balance in elderly age group population, to prevent fall prevention. But we have very few evidences of giving manual perturbation balance training in stroke patients to improve speed, balance and function. Therefore this study is taken up to examine whether the manual perturbation balance training is more effective in improving speed, balance and function in stroke patients.

Study Overview

• Status: Completed
• Conditions: Stroke
• Intervention / Treatment: Other: Perturbation; Other: Conventional Physiotherapy Treatment

Detailed Description

There are many more studies done for elderly populations, normal individuals for improving balance by giving perturbation based balance training.All perturbation exercises are given by either mechanical or by self reaching tasks in forward,backward,and in both sideways. There are very studies ;who attempted perturbation based balance training to improve balance in elderly population but not for stroke patients for their Speed, Balance and Function.The manual perturbation exercise can be an promising intervention in the future for various conditions

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• India
  • Maharashtra
    • Aurangabad, Maharashtra, India, 431003
      • MGM School Of Physiotherapy

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 40 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. First ever stroke
2. Age ranges between 40-70
3. Both genders were included
4. Ambulatory patients with or without ambulatory aids
5. Occurrence of stroke at within 0-3 months i.e.-sub acute
6. Able to follow command
7. Mini mental scale examinations not less than 24

Exclusion Criteria:

1. Patients who has severe limitations in passive range of motion at lower extremities
2. Patients with impaired sensory, proprioceptor, cognitive and perceptual ability
3. Patient who has contracture
4. Orthopedic or any other neurological disorder which impair balance

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental Group; manual perturbations were given in forward, Backward,right and left sideways, 10 perturbations were given,6 days in week,in fallowing positions- sitting,kneeling, standing positions	Other: Perturbation; Manual perturbations were given at waist region,over the Shoulders. in following positions- sitting, kneeling, standing positions,10 perturbations were given in forward,backward,both right and left side, 6 days in a week all precautionary measures taken for the patient's safety; Other Names: Manual Perturbation; Other: Conventional Physiotherapy Treatment; Conventional Physiotherapy treatment were given to participants included in this group for 30 mins daily for 4 weeks; Other Names: control Group
Placebo Comparator: Control group; Conventional Physiotherapy were given 6 days in a week, for 30 mins for 4 weeks, includes stretching, strengthening of contralateral limbs	Other: Perturbation; Manual perturbations were given at waist region,over the Shoulders. in following positions- sitting, kneeling, standing positions,10 perturbations were given in forward,backward,both right and left side, 6 days in a week all precautionary measures taken for the patient's safety; Other Names: Manual Perturbation; Other: Conventional Physiotherapy Treatment; Conventional Physiotherapy treatment were given to participants included in this group for 30 mins daily for 4 weeks; Other Names: control Group

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Berg Balance Scale	patients ability of balance were assessed	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional Independence Scale	ability of Functional independent level for Activity Of Daily Living were assessed	4 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Timed Up and Go Test	patient's speed for performing Activity Of Daily Living were assessed by this test	4 weeks

Collaborators and Investigators

• Sponsor: Mahatma Gandhi Institute of Medical Sciences
• Investigators: Principal Investigator: Nawaj Pathan, PG student, MGM School Of Physiotherapy,Aurangabad,Maharashtra, India

Study record dates

Study Major Dates

• Study Start: January 1, 2014
• Primary Completion (Actual): December 1, 2014
• Study Completion (Actual): December 1, 2014

Study Registration Dates

• First Submitted: December 10, 2014
• First Submitted That Met QC Criteria: July 26, 2017
• First Posted (Actual): July 31, 2017

Study Record Updates

• Last Update Posted (Actual): July 31, 2017
• Last Update Submitted That Met QC Criteria: July 26, 2017
• Last Verified: July 1, 2017

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: MGM ECRHS 2014/160