Comparative Effects of Task Oriented Progressive Resistance Training and Modified Otago Exercise Among Stroke Patients.
Comparative Effects of Task Oriented Progressive Resistance Training and Modified Otago Exercise on Balance and Lower Limb Motor Function Among Stroke Patients.
調査の概要
状態
条件
詳細な説明
Stroke is a clinical syndrome marked by the sudden onset of localized neurological indications that persist longer than 24 hours or result in death. This definition includes stroke both due to infarction and due to hemorrhage. Stroke is the second or third most common cause of death, one of the main causes of adult disability worldwide, and a global health problem. The remaining 80% are due to ischemic stroke which itself has a number of different subtypes, including large artery disease, cardio embolism, and small vessel disease. This study aims to evaluate the effects of Task Related Progressive Resistance Training and Modified Otago Exercises on balance and lower limb motor function in stroke patients.
A randomized controlled trial will be conducted over eleven months. Fifty-two stroke patients aged 45 to 65 years will be selected using non-probability convenient sampling technique. Participants will be randomly allocated into two groups using a lottery method. Group A will receive Task-Oriented Progressive Resistance Training which includes functional strengthening activities targeting lower limb muscles, while Group B will undergo Modified Otago Exercise Program which involves balance and strength exercises used to prevent fall in stroke. Interventions will be carried out over eight weeks, with assessments conducted pre- and post-intervention using the Berg Balance Scale (for balance), Fugl-Meyer Assessment (for lower limb motor function) and Mini Mental State Examination (for cognitive function). Data will be analysed using SPSS version 26, applying parametric or non-parametric tests based on data normality.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究場所
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Punjab Province
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Lahore、Punjab Province、パキスタン、54000
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参加基準
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
説明
Inclusion Criteria:
- Adults aged 45 to 65 years. (9)
- Both genders male and female.
- Clinically diagnosed with ischemic stroke.
- Chronic stroke patients 6 to 10 months.
- Presence of hemiparesis with mild to moderate motor deficits FMA-LE score 34.
- Cognitive impairment MMSE score more than 26.
- Ability to walk at least 10 meters with or without an assistive device
Exclusion Criteria:
- Dementia or major neurocognitive disorder. (6)
- Complete paralysis or unable to participate in active exercise. (11)
- Patients with severe joint pain or arthritis are excluded due to reduce risk of injury and avoid confounding factors.
- Recent fractures, or other musculoskeletal issues limiting exercise participation.
- Suffering from physical diseases that prevent full participation in training.
研究計画
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：Modified otago exercises
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Warm up Head, neck, back extension, trunk, and ankle movement
他の名前：
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アクティブコンパレータ：Task oriented progressive resistance training
Participants receive interventions 3 session per week for 4 weeks
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Standing and reaching in different directions for objects beyond arm's length
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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 |
|---|---|---|
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Fugl-Meyer Assessment (FMA)
時間枠：baseline to 4rth week
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Fugl-Meyer Assessment of Lower Extremity (FMA-LE) total score interpretation ranges from 0 to 34, with higher scores indicating better motor function.
Generally, a score of 34 represents normal function, while scores below 29 indicate varying degrees of disability.
(15) All FMA-LE forms and subscales showed a high internal consistency (Cronbach's alpha>0.91).
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baseline to 4rth week
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Berg Balance Scale (BBS)
時間枠：Baseline to 4rth week
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The BBS is postural balance scale containing 14 items including standing and sitting unsupported, reaching forward, and placing the alternating foot on a stool.
Administering the BBS takes approximately 15 min.
Each of the 14 items are scored on a 5-level ordinal scale from 0 (-unable to perform or requiring help‖) to 4 (-normal performance‖), thus providing a potential maximum score of 56 points.
(13) 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
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Baseline to 4rth week
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Mini Mentel Scale (MMS)
時間枠：baseline to 4rth week
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The Mini-Mental State Examination (MMSE) is a brief test used to screen for cognitive impairment, particularly in older adults.
It assesses different aspects of cognitive function, including orientation, attention, memory, and language.
The MMSE is scored on a scale of 0-30, with a score of 24 or higher generally considered normal.
(17) The Mini-Mental State Examination (MMSE) generally demonstrates good internal consistency reliability, as indicated by Cronbach's alpha values ranging from 0.78 to 0.81.
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baseline to 4rth week
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協力者と研究者
捜査官
- 主任研究者：Sabiha Arshad, MS、Riphah International University
出版物と役立つリンク
一般刊行物
- Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine (Abingdon). 2020 Sep;48(9):561-566. doi: 10.1016/j.mpmed.2020.06.002. Epub 2020 Aug 6.
- Cekmece C, Sade I, Ozcan E, Balci S. Investigation of the effect of task-oriented occupational therapy on daily living activity performance in chronic stroke patients. Pak J Med Sci. 2024 Jul;40(6):1214-1218. doi: 10.12669/pjms.40.6.7954.
- Appelros P, Stegmayr B, Terent A. Sex differences in stroke epidemiology: a systematic review. Stroke. 2009 Apr;40(4):1082-90. doi: 10.1161/STROKEAHA.108.540781. Epub 2009 Feb 10.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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