Combined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients

April 7, 2025 updated by: Riphah International University

Combined Effects Of Sensory Integration And Vestibular Exercises On Dizziness, Fall Risk And Quality Of Life In Post-Stroke Patients

The aim of this study is to determine the combined effects of sensory integration and vestibular exercise on dizziness, fall risk and quality of life.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial will be conducted at Mansoorah Teaching Hospital in 7 months after the approval of the synopsis. 38 participants with stroke will be included as per the sample size calculation through the convenience sampling technique. Participants who meet inclusion criteria will be randomly allocated using an online randomization tool into two groups Group A will receive Combine Sensory integration exercise and vestibular exercise with routine physical therapy for 40 minutes and Group B will receive Vestibular exercise with routine physical therapy for 40 minutes. Each group will receive a treatment session of 3 times in week for 6 weeks. The data will be analyzed using SPSS version 24.

Study Type

Interventional

Enrollment (Estimated)

38

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 Contact

Study Locations

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Both male and female
  • Age between 40years-65years
  • those who have been diagnosed with vestibular disorders
  • An ability to stand for for 5 minutes without aid measured by 5 times sit to stand test.

Exclusion Criteria:

  • Have bilateral or unstable vestibular loss
  • Any neurological condition is present
  • Active BPPV is present
  • Any acute orthopaedic condition is present
  • Peripheral neuropathy is present
  • Visual impairment not corrected with glasses.

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: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: GROUP A (Sensory Integration and Vestibular Exercise with Routine Physical Therapy)

Sensory Integration Exercise:

Week 1-2

  1. Eyes Open Standing for 5 minutes.
  2. Sitting position for 5 minutes.

Week 3-4

  1. Eyes Closed Standing for 5 minutes.
  2. Sit to stand for 5 minutes.

Week 5-6

  1. Tandem Walk for 4 minutes.
  2. Walk Obstacle Course for 4 minutes.

Vestibular Exercise

Week 1-2

  1. Head Movements for 5 minutes
  2. Gaze Stabilization for 5 minutes.

Week 3-4

  1. Single Leg Stance for 5 minutes.
  2. Rotation Exercises for 5 minutes.

Week 5-6

  1. Walking Patterns for 4 minutes.
  2. Pendulum Exercise for 4 minutes.
  3. Catch and Throw for 4 minutes.

Routine Physical Therapy for 20 minutes.
Other: Sensory Integration and Vestibular Exercise with Routine Physical Therapy
  1. Stand with feet hip-width apart 5 rep
  2. Sit in chair without backrest 5 rep

1.Stand with feet hip -width apart 5 rep

2.Sit to stand sit on chair without backrest and perform sit to stand repeatedly 5 rep

1.Tandem Walk one foot directly in front of the other.2 sets 5 steps forward and backward

2.Patientwalk forward cross an obstacle, continue walk. Walk Lateral Walk Backward 2 sets

  1. Stand and slowly move head side to side and up down 10 repetition
  2. Fix gaze and move head side to side or up and down 10 repetitions

1. Stand on one leg for 10 seconds hold on. Repeat 5 times on each leg.

2. Stand and rotate body to right and left 10 rotations

  1. Walk on straight line , zigzag pattern, walk while looking your shoulder 5 rep
  2. Sit and swing your legs back and forth 5rep
  3. Play catch in standing. 2 sets 5-8 catches.

Static stretching 30 sec hold 5 times
Experimental: GROUP B (Vestibular Exercise with Routine Physical Therapy)

Vestibular Exercise

Week 1-2

  1. Head Movements for 10 minutes
  2. Gaze Stabilization for 10 minutes.

Week 3-4

  1. Single Leg Stance for 10 minutes.
  2. Rotation Exercises for 10 minutes.

Week 5-6

  1. Walking Patterns for 5 minutes.
  2. Pendulum Exercise for 5 minutes.
  3. Catch and Throw for 10 minutes.

Routine Physical Therapy for 20 minutes.
Other: Vestibular Exercise with Routine Physical Therapy

Vestibular exercise

1. Stand with feet hip -width apart and slowly move head side to side and up down.10 repetitions for each direction.

2 .Fix your gaze on object while moving your head side to side or up and down. 10 repetitions for each movement.

1.Patient will stand on one leg for 10 second. Hold onto a stable support if needed. 5 times on each leg.

2. Stand with feet hip-width apart and rotate body to the right and left. 10 rotations in each direction.

  1. Walk on a straight line or in a zigzag pattern or walk while looking over your shoulder. (5 rep)
  2. Sit on a stable chair and swing your legs back and forth, similar to a pendulum. (5rep)
  3. Catch and Throw play catch with a partner while standing. 2 sets of 5-8 catches.

Routine Physical Therapu Static stretching exercises for 30 sec hold with 30 sec rest. 5 times for each muscle group

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Combined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients
Time Frame: 6 weeks
DHI assesses Dizziness Consists 25 items three answers yes sometimes no. Highest disability 100 ,lowest one be 0.The SS-QOL, disease-specific consist 49 items 12 domains, social role (five questions), mobility (six questions), energy (three questions), language (five questions), self-care (five questions), mood (five questions), personality (three questions), thinking (three questions), upper extremity function (five questions), family role (three questions), vision (three questions),work/productivity (three questions). Each item ranked five-point level one means completely agreed while level five means completely disagree. Total score ranges from 49 to 245.Time up and go test Duration of ≥13.5 s associate increased fall risk with vestibular dysfunction. STRATIFY tool comprises five items risk factors past history falling, patient agitation, visual impairment, incontinence, transfer and mobility score range from 0 to 5 points and risk of falling is a score ≥ 2 points.
6 weeks

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Aruba Saeed, Phd*, 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)

July 10, 2024

Primary Completion (Estimated)

March 30, 2025

Study Completion (Estimated)

March 30, 2025

Study Registration Dates

First Submitted

July 8, 2024

First Submitted That Met QC Criteria

July 8, 2024

First Posted (Actual)

July 15, 2024

Study Record Updates

Last Update Posted (Actual)

April 9, 2025

Last Update Submitted That Met QC Criteria

April 7, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/23/0271

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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