Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback in Post Stroke Patients
4. Mai 2026 aktualisiert von: Riphah International University
Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback on Lower Limb on Balance, Gait and Sensation in Post Stroke Patients
This study will be a single blinded randomized controlled trail.
Non probability convenience sampling will be used to recruit the patients of either gender, aged 40-65 years, patients with the subacute phase (>3months post stroke) and able to follow the instructions.
This study will be carried out in Gulab Devi Hospital and Sahet Medical Complex Lahore.
These participants will be randomly allocated to Group A will receive bilateral task specific training with visual feedback, whereas Group B will receive unilateral task specific training with visual feedback.
Both group will perform their respective exercises 40 minutes, five days a week for 6weeks.
The Participants will be evaluated at the start and end of the exercise program through Berg Balance scale to assess balance, 10 Meter Walk Test to assess gait and Fugl Meyer Assessment of lower extremity to assess sensation.
Data will be analyzed by SPSS version 27.
Studienübersicht
Status
Aktiv, nicht rekrutierend
Bedingungen
Detaillierte Beschreibung
Stroke is a neurological deficit due to vascular lesion.
It occur due to blood flow obstruction and by the rupture of blood vessels.
It causes neurological damage such as weakness, numbness, impaired balance, gait and loss of proprioception.
These impairment lead to decrease mobility, increase risk of fall and reduce the quality of life.
Task specific training focus on repetitive practice with meaningful, goal directed task to facilitate motor relearning.
Visual feedback promote motor recovery and brain plasticity.
Task specific training with visual feedback has been shown to enhance motor relearning and sensory integration.
However most rehabilitation program focus only the affected limb.
The aim of this study is to determine effects of unilateral versus bilateral task specific training with visual feedback on lower limb on balance, gait and sensation in post stroke patients.
Studientyp
Interventionell
Einschreibung (Geschätzt)
50
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
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Lahore, Pakistan, 54000
- Department of Physical Therapy, Sahet Medical complex Lahore
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Nein
Beschreibung
Inclusion Criteria:
- Age 40-65 years
- Both gender male and female
- Pre diagnose with the Stroke
- Patient with a subacute phase (>3months post stroke)
- Ability to understand and follow the instructions (8)
- Berg Balance Scale (BBS) score between 21-40
- 10 meter walk test (0.4-0.8m/s)
Exclusion Criteria:
- Severe cognitive Impairment
- Visual and vestibular Impairment
- Other orthopedic or neurological disorder
- unilateral neglect
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: bilateral task specific training with visual feedback
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The group will received bilateral task specific training along with visual feedback on lower limb.
Bilateral training is used in rehabilitation to promote functional recovery of impaired limbs by engaging both affected and non-affected sides.
Task specific training include weight shifting, sit to stand, stepping forward / lateral and bilateral walking over uneven surfaces.
Visual feedback will be given by mirrors and visual targets place on the floor.
Visual feedback helping patients to improve balance and body awareness, particularly for individuals with sensory or motor impairments following a stroke.
Bilateral task specific training with visual feedback will perform for five days per week for six weeks.
The participants in this group underwent 40 minutes of bilateral lower limb training.
Pre and post intervention values will be recorded to assess the effectiveness
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Experimental: unilateral task specific training with visual feedback
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This group received unilateral task specific training with visual feedback on affected limb.
Task specific training include weight shifting, seated marching, stepping forward / lateral, and walk on uneven surface.
Unilateral task specific training with visual feedback will perform for five days per week for six weeks.
The participants in this group underwent 40 minutes of unilateral lower limb training.
Pre and post intervention values will be recorded to assess the effectiveness.
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Berg Balance Scale
Zeitfenster: 6 weeks
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Berg balance (BBG) is a widely used clinical test to assess a person's static and dynamic balance abilities. It consist of 14 performance based tasks each scored on a 5 point scale from 0 to 4 for a maximum total score of 56. It used for individuals with balance impairments such as post stroke patients. In scoring criteria 4 score perform task independently and safely, 3 score perform with supervision or slight assistance, 2 score perform with moderate assistance or deviation, 1score perform with major assistance and 0 score unable to perform The scoring range 41-56 low risk balance impairment, 21-40 moderate risk balance impairment and 0-20 high risk balance impairment Test retest (ICC =0.96; 95% CI, 0.93-0.98) and inter-rater (ICC=0.93; 95% CI, 0.87=0.97) reliability was excellent |
6 weeks
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Meter Walk Test (TMWT)
Zeitfenster: 6 weeks
|
10 meter walk test is use to assess the gait and gait speed over a short distance.
It is an important predictor of functional independence, fall risk and community mobility.
It is perform by the patient to walk a total 14 meter at a comfortable speed, only the middle 10 meter are timed to eliminate acceleration and deceleration bias.
First 2 meter acceleration, middle 10 meter time walking and last 2 meter deceleration.
Repeat the test twice.
The Scoring of 10 meter walk test have predicted values, gait speed < 0.4 m/ s functional status (household ambulation), 0.4 - 0.8 m/s limited community ambulation, > 0.8 m/s community ambulation and > 1.2 m/s safe for crossing the street
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6 weeks
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Fugl- Meyer Assessment - Lower Extremity
Zeitfenster: 06 weeks
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Fugl Meyer Assessment Lower Extremity is widely used outcome tool to measure in rehabilitation, particularly for stroke patients. To measure the sensation, it include light touch sensation and proprioception. The scoring criteria each item is on a 3 point scale; 0 unable to perform the task, 1 impaired and 2 normal. The total score ranges from 0 to 10. Light touch 2 sites and 2 points total score 4. Proprioception 3 joints 2 points total score 6 |
06 weeks
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Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Sponsor
Ermittler
- Hauptermittler: Zain Ul Abbas, Ms, Riphah International University
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn (Tatsächlich)
1. Juli 2025
Primärer Abschluss (Geschätzt)
1. Mai 2026
Studienabschluss (Geschätzt)
1. Juli 2026
Studienanmeldedaten
Zuerst eingereicht
4. Mai 2026
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
4. Mai 2026
Zuerst gepostet (Tatsächlich)
8. Mai 2026
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
8. Mai 2026
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
4. Mai 2026
Zuletzt verifiziert
1. Mai 2026
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- REC/RCR & AHS/25/0223
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