Effect of Sensorimotor Training Versus Dual-task Training

Comparative Effects of Sensorimotor Training and Dual-Task Training on Proprioception, Balance, Functional Mobility and Fall Risk in Stroke Patients

The aim of this study is to determine the comparative effects of sensorimotor training and dual-task training on propriocetion, balance, functional mobility and fall risk in stroke patients.

Study Overview

• Status: Recruiting
• Conditions: Stroke
• Intervention / Treatment: Other: Sensorimotor Training; Other: Dual-Task Training; Other: Conventional Physical Therapy

Detailed Description

Stroke is one of the leading causes of long-term disability worldwide and commonly results in impaired proprioception, balance deficits, reduced functional mobility, gait disturbances, and increased fall risk, particularly in chronic stroke patients. Stroke survivors often experience decreased sensory-motor integration, impaired postural control, reduced coordination, and difficulty performing dual tasks during daily activities, all of which negatively affect independence and quality of life. Sensorimotor training focuses on improving proprioception, neuromuscular control, balance, and postural stability through sensory and motor integration exercises, whereas dual-task training emphasizes simultaneous performance of motor and cognitive tasks to improve cognitive-motor coordination, gait performance, dynamic balance, and functional mobility. The aim of this study is to determine the comparative effects of sensorimotor training and dual-task training on proprioception, balance, functional mobility, and fall risk in chronic stroke patients. This study will be a randomized clinical trial. A non-probability convenience sampling technique will be used to recruit 54 participants diagnosed with chronic stroke. This study will be conducted at Nishtar Hospital, Multan and District Headquarter Hospital, Rajnapur. Participants will be randomly allocated into three groups through sealed opaque envelope method. Group A will receive sensorimotor training, Group B will receive dual-task training, while Group C will receive conventional physical therapy exercises. All groups will perform their respective exercise protocols for 30 minutes, three times a week for 8 weeks. Participants will be evaluated before and after the intervention through Joint Position Sense Test (JPS), Berg Balance Scale (BBS), Mini-BESTest, 6-Minute Walk Test (6MWT), Functional Independence Measure (FIM), and Falls Efficacy Scale-International (FES-I) to assess the effects of interventions on proprioception, balance, functional mobility, and fall risk. Data will be analyzed using SPSS version 26.

• Study Type: Interventional
• Enrollment (Estimated): 54
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Imran Amjad; Phone Number: +923324490125; Email: imran.amjad@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab Province
    • Rajanpur, Punjab Province, Pakistan, 33500
      • Recruiting
      • DHQ Rajanpur
      • Principal Investigator: Aisha Naeem

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• A diagnosis of stroke; ≥6 months after stroke onset
• Able to walk independently for at least 10 minutes
• Mini-BESTest score ≤21 indicating balance impairment.
• MoCA score ≥21 to confirm adequate cognitive function

Exclusion Criteria:

• Severe musculoskeletal conditions (e.g., advanced osteoarthritis, recent fractures) that significantly affect mobility or balance.
• Significant receptive or expressive aphasia
• Unstable heart or lung conditions preventing exercise.
• Active psychiatric disorders (e.g., major depression, schizophrenia)
• Not community-dwelling before the stroke event
• Involved in similar rehab or studies within the last 3 months

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Conventional Physical Therapy	Other: Conventional Physical Therapy; Conventional Physical Therapy, for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
Active Comparator: Sensorimotor Training	Other: Sensorimotor Training; Somatosensory Training(SMT), for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.; Other Names: Sensroy Retraining/Re-education, Sensory Motor Training
Experimental: Dual-Task Training	Other: Dual-Task Training; Dual-Task Training, for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mini-BESTest Scale	It is a tool to assess dynamic balance across four domains: anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. It consists of 14 items, each scored from 0 to 2, with a maximum total score of 28. Higher scores indicate better balance performance. The test is sensitive to changes in individuals with neurological conditions, including stroke.	8th week

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
6-minute Walk Test(6MWT)	It is a standardized assessment used to measure functional mobility and endurance by recording the total distance an individual can walk on a flat, hard surface in six minutes. It reflects the ability to perform daily physical activities and is commonly used in patients with neurological and cardiopulmonary conditions, including stroke.	8th week

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Sabiha Arshad, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): April 20, 2026
• Primary Completion (Estimated): July 5, 2026
• Study Completion (Estimated): July 20, 2026

Study Registration Dates

• First Submitted: June 1, 2026
• First Submitted That Met QC Criteria: June 1, 2026
• First Posted (Actual): June 5, 2026

Study Record Updates

• Last Update Posted (Actual): June 5, 2026
• Last Update Submitted That Met QC Criteria: June 1, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Keywords: Cognitive exercise, Dual-task, Proprioception, Rehabilitation, Sensorimotor exercise, Stroke.
• Additional Relevant MeSH Terms: Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Stroke
• Other Study ID Numbers: REC/RCR & AHS/25/0215

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
• product manufactured in and exported from the U.S.: Yes