Task-oriented Progressive Resistance Strength Training and Balance Exercises on Lower Limb in Individuals With Stroke

March 29, 2021 updated by: Riphah International University

Effects of Task-oriented Progressive Resistance Strength Training and Balance Exercises in Functional Performance on Lower Limb in Individuals With Stroke

Stroke is ranked as the number fifth cause of death and a main cause of disability in the United States. It affects the arteries which supply blood to and within the brain. If the blood supply to the brain is disrupted, it will not be able to receive oxygen and the nutrients which are transported by those arteries. This leads to the death of brain cells having a magnificent effect on the function of that part.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This study was quasi-experimental trial, to compare the effectiveness of Progressive Resistive Strength Exercises and Balance Exercises in subjects with Stroke. Subjects with Stroke meeting the predetermined inclusion & exclusion criteria were divided into two groups using lottery method. Pre assessment was done using Berg Balance Scale, Fugl Meyer Assessment - Lower Extremity and Step Test.

Subjects in one group were treated with Progressive Resistive Strength Training and other group was treated with Balance training. Each subject received 12 treatment sessions, with 03 treatment sessions per week. Results were recorded at the end of 3rd, 6th, 9th and 12th treatment sessions. Recorded values were analysed using SPSS.

Study Type

Interventional

Enrollment (Actual)

18

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab
      • Lahore, Punjab, Pakistan, 54000
        • Riphah IU

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

45 years to 60 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Hemiparetic from a single stroke occurring at least a year earlier, not presently receiving any rehabilitation services,
  • Participants should not be receiving any rehabilitation services
  • Participants should be able to walk 10 m independently without an assistive device
  • Participants should be medically stable enough to allow participation, and able to understand instructions and follow commands.

Exclusion Criteria:

  • Participants with any medical condition that would prevent participation in the training program
  • Participants with any uncontrolled health condition for which exercise is contraindicated.
  • Participants with any tumor or neurological signs.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Task oriented Strength training group
Standing and reaching in different directions Sit-to-stand Stepping forward and backward Stepping sideways onto blocks
Other: Task orientated strengthening training
  1. Standing and reaching in different directions for objects located beyond arm's length to promote loading of the lower limbs and activation of lower limb muscles;
  2. Sit-to-stand from various chair heights to strengthen the lower limb extensor muscles;
  3. Stepping forward and backward onto blocks of various heights to strengthen the lower limb muscles;
  4. Stepping sideways onto blocks of various heights to strengthen the lower limb muscles;
  5. forward step-up onto blocks of various heights to strengthen the lower limb muscles;
  6. heel(s) raise and lower while maintaining in a standing posture to strengthen the plantar- flexor muscles.

Each workstation was 5 min in duration for each exercise class. Each subject participated in a one-to-one therapy.
Experimental: Balance Training
Stepping forward, backward, and sideways on the exercise step; Stepping over blocks of various heights; Standing up from a chair, From a sitting position on a 65-cm Swiss ball, Arms; bending the trunk forward and side to side); Performing double-legged stance Performing tandem stance Rising from a chair without the use of the arms; Walking forward and backward with a tandem walking pattern Performing single- legged stance
Other: Balance training exercises
  1. Stepping forward, backward, and sideways on the exercise step;
  2. Stepping over blocks of various heights;
  3. Standing up from a chair, walking four steps forward, performing a bilateral stool touch and walking backwards to the chair;
  4. Standing up from a chair, walking four steps forward, turning to the right, stepping over the exercise step, turning to the right again and walking forwards to the chair (repeat the exercise circuit in opposite direction);
  5. From a sitting position on a 65-cm Swiss ball, performing a range of motion and balance exercises (forward and backward rolling of the
  6. Arms; bending the trunk forward and side to side);
  7. Performing double-legged stance for 10 s;
  8. Performing tandem stance for 10 s;
  9. Rising from a chair without the use of the arms;
  10. Walking forward and backward with a tandem walking pattern (toes of one foot touching the heel of the foot in front);
  11. Performing single- legged stance for 10 s.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Berg Balance Scale (BBS)
Time Frame: 4months
Zero indicates the lowest level of function and 4 the highest level of function. The total score ranges from 0 to 56.
4months
Fugl Meyer Assessment Lower Extremity
Time Frame: 4 months
Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform, 1=performs partially and 2=performs fully. The total possible scale score is 226.
4 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2019

Primary Completion (Actual)

October 30, 2019

Study Completion (Actual)

December 30, 2019

Study Registration Dates

First Submitted

March 26, 2021

First Submitted That Met QC Criteria

March 26, 2021

First Posted (Actual)

March 29, 2021

Study Record Updates

Last Update Posted (Actual)

March 30, 2021

Last Update Submitted That Met QC Criteria

March 29, 2021

Last Verified

March 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/Lhr/19/2033 Hira Javed

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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