Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback in Post Stroke Patients
2026年5月4日 更新者：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.
調査の概要
状態
積極的、募集していない
詳細な説明
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.
研究の種類
介入
入学 (推定)
50
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
-
-
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Lahore、パキスタン、54000
- Department of Physical Therapy, Sahet Medical complex Lahore
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
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
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：bilateral task specific training with visual feedback
|
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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実験的：unilateral task specific training with visual feedback
|
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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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Berg Balance Scale
時間枠：6 weeks
|
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)
時間枠：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
時間枠：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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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
捜査官
- 主任研究者：Zain Ul Abbas, Ms、Riphah International University
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2025年7月1日
一次修了 (推定)
2026年5月1日
研究の完了 (推定)
2026年7月1日
試験登録日
最初に提出
2026年5月4日
QC基準を満たした最初の提出物
2026年5月4日
最初の投稿 (実際)
2026年5月8日
学習記録の更新
投稿された最後の更新 (実際)
2026年5月8日
QC基準を満たした最後の更新が送信されました
2026年5月4日
最終確認日
2026年5月1日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- REC/RCR & AHS/25/0223
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個々の参加者データ (IPD) を共有する予定はありますか?
いいえ
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いいえ
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