Effects of Compelled Body Weight Shift Technique for Rehabilitation of Individuals With Chronic Stroke

Stroke is one of the major cause of lifelong disability if not treated on time, the investigator's technique knows as Compelled Body Weight Shift Technique (CBWS) was utilized and administered to chronic stroke population and results were figured out using gait parameters and Tinetti POMA scale.

Study Overview

• Status: Completed
• Conditions: Chronic Stroke
• Intervention / Treatment: Other: Compelled Body Weight Shift Technique; Other: Compelled Body Weight Shift Technique without insole

Detailed Description

Total 28 sample size out of which 27 were divided into control and experimental group. Inclusion criteria was Unilateral chronic stroke with asymmetrical stance, Patients with score of 3,4 and 5 will be included according to FAS (Functional Ambulation Scale), Ability to understand and follow instructions, Both male and female, Any type of stroke, and Age 40-60. Written and informed consent was obtained from participants of study. Six weeks of exercise training was combined with compelled body weight shift technique via shoe lift of 0.6 cm thickness for experimental group and for control group training was performed without shoe lift.

• Study Type: Interventional
• Enrollment (Actual): 27
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • KP
    • Peshawar, KP, Pakistan, 25000
      • Usman Farooq, Mspt

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 40 years to 60 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Unilateral chronic stroke with asymmetrical stance
• Patients with score of 3,4 and 5 were included according to functional ambulation scale(59)
• Ability to understand and follow instruction
• Both male and female.
• Any type of stroke.
• Age 40-60.

Exclusion Criteria:

• • Serious or unstable medical, condition of patient.

  • History of other neurological diseases (i.e. Parkinson's disease, multiple sclerosis),
  • Contractures or any deformity.
  • Leg Length Discrepancy

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental Group (Group A); Subjects were randomly assigned and informed consent was obtained, the subjects were educated about treatment and on the basis of functional ambulation scale 3,4 and 5 subjects were included, along with this the subjects of age group between 40-60 having ability to understand and follow instructions were included in study. Results were obtained by using gait parameters including walk speed, cadence, step rate, stride length The tinetti POMA scale was utilized to record changes post treatment in gait , the weight bearing was recorded using Camry ZT-160 analog weight scale At the end of every week results were obtained.	Other: Compelled Body Weight Shift Technique; Routine Physical Therapy with 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients; Muscle re-education; Sit to stand exercise , 4 to 10 repetitions; Supported heel raise to 10 repetitions with 3 sets; Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets; Gait training; Forward walk in parallel bars with number of 10 rounds.; Task oriented training balance training; A. Stepping exercise on 15 cm height step and number of repetitions 10.; B. Tandem standing for 10 seconds.; C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.
Other: Control group: (Group B); Subjects were randomly assigned and informed consent was obtained, the subjects were educated about treatment and on the basis of functional ambulation scale 3,4 and 5 subjects were included, along with this the subjects of age group between 40-60 having ability to understand and follow instructions were included in study. Results were obtained by using gait parameters including walk speed, cadence, step rate, stride length The tinetti POMA scale was utilized to record changes post treatment in gait , the weight bearing was recorded using Camry ZT-160 analog weight scale At the end of every week results were obtained.	Other: Compelled Body Weight Shift Technique without insole; Routine Physical Therapy without 0.6 cm thickness insole inserted in shoe of unaffected side and following exercises were performed by patients; Muscle re-education; Sit to stand exercise , 4 to 10 repetitions; Supported heel raise to 10 repetitions with 3 sets; Supported squat exercise tibialis anterior and quads muscles to 10 repetitions with 3 sets; Gait training; Forward walk in parallel bars with number of 10 rounds.; Task oriented training balance training; A. Stepping exercise on 15 cm height step and number of repetitions 10.; B. Tandem standing for 10 seconds.; C. Reaching exercise in which patient performed reaching for object in therapists hand and the number of repetitions was 10.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Tinetti Performance Oriented Mobility Assessment	Tinetti Performance Oriented Mobility Assessment The Tinetti, evaluation instrument is, an effectively managed, task-arranged test that, quantifies gait and balance activities of patients. A three-point, ordinal scale, extending from 0-2. "0" demonstrates the most elevated level of debilitation and "2" the people's freedom.; Total Balance Score = 16; Total Gait Score = 12; Maximum total test Score = 28 [Time Frame: upto 6 weeks]	upto 6 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
A 10meter walk test	A 10meter walk test A ten meter distance employed, to determine functional mobility and gait speed, the ten meter walk test was performed by patient at self-selected walking pace and fast walking pace	upto 6 weeks
Camry 160 Analog Weight Scale	Camry 160 Analog Weight Scale to check the weight in kilograms	upto 6 weeks

Collaborators and Investigators

• Sponsor: Northwest Institute of Health Sciences, Pakistan

Study record dates

Study Major Dates

• Study Start (Actual): July 12, 2020
• Primary Completion (Actual): August 29, 2020
• Study Completion (Actual): August 31, 2020

Study Registration Dates

• First Submitted: July 16, 2020
• First Submitted That Met QC Criteria: July 20, 2020
• First Posted (Actual): July 21, 2020

Study Record Updates

• Last Update Posted (Actual): September 2, 2020
• Last Update Submitted That Met QC Criteria: September 1, 2020
• Last Verified: September 1, 2020

More Information

Terms related to this study

• Keywords: stroke; compelled body shift technique; tinetti performance oriented mobility assessment
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke; Body Weight
• Other Study ID Numbers: NWIHS-0001/IRB/01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF; ANALYTIC_CODE; CSR

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No