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Effects of Frenkels Exercises and Electrical Muscle Stimulation on Stroke Patients

8 juni 2026 bijgewerkt door: Riphah International University

Combined Effects of Frenkels Exercises and Electrical Muscle Stimulation on Balance, Coordination and Proprioception in Stroke Patients

To determine the combined effects of frenkel's exercises and electrical muscle stimulation on coordination, balance and proprioception in stroke patients.

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Gedetailleerde beschrijving

Effects of virtual reality and Frenkel's exercises on balance, gait, and quality of life in 36 stroke patients selected through non-probability convenience sampling. Participants were randomly divided into two groups: Group A (virtual reality) and Group B (Frenkel's exercises).Each intervention was administered three times weekly for 30 minutes per session over six weeks. A p-value of <0.05 was considered significant. This study concluded that virtual reality training significantly improved balance and quality of life in stroke patients, whereas Frenkel's exercises were more effective in enhancing gait. The effect of PNF with and without EMS on spasticity gait and lower limb function in 22 chronic stroke patient Participants were randomly divided into control group, receiving PNF technique alone and an experimental group, receiving PNF combined with EMS. The PNF technique include rhythmic initiation, stabilizing reversal and dynamic reversal while EMS was applied at frequency of 25 to 50 hertz for 10 seconds three times a week for 6 weeks. Data were analyzed using SPSS version 25. The experiment group showed significant improvement over the control group. The effectiveness of Frankles exercise on balance and Function for post stroke patients on 28 patients who were randomly assigned into two groups. Among them 14 patients were assigned into experimental group received Frankel with Conventional Physiotherapy and another 14 into control group received only conventional physiotherapy. Total treatment sessions were twenty-four comprising of 3 sessions per week for 4 weeks. The Effects of electrical muscle stimulation on core muscle activation and physical performance in non-athletic adults data as randomized, controlled, parallel-group trial conducted at a single centre to study. Forty-one healthy young volunteers were recruited and randomized into two groups: strengthening with superimposed EMS (S+E) and strengthening (S) groups. Participants underwent the 30 minutes of strength training program, three times a week for 8 weeks, consisting of core muscle exercises. Study concluded EMS as a safe and reasonable modality for improving physical fitness in healthy individuals.Effects of whole-body electromyostimulation on function, muscle mass, strength, social participation, and falls-efficacy in older people. Two different exercise groups formed through stratified random sampling, an experimental group (EG), which will undergo WB-EMS training, and an active control group (ACG), which will undergo resistance exercise training. Assessment was calculated at baseline and after eight weeks, three months, and six months after intervention. Study concluded that innovative, time-efficient, joint-friendly, and highly individualized exercise technologies (such as WB-EMS) may be a good choice for the elderly with time constraints, physical limitations, or little enthusiasm, who are exercising less than the recommended amounts for impact on muscle mass, strength, and function. The effect of BAPS board versus Frenkel's exercise on balance in stroke patients. 10 subjects were recruited and divided into two groups, BAPS Board training was given to one group and Frenkel's exercise was given to another group for seven consecutive days and its pre and post intervention effect were noted with the help of Berg Balance Scale As per study, it has been concluded that BAPS Board and Frenkel exercise both improve balance in post stroke patient. Limitation of the studies include untreated control group that was absent in this study. Further research is needed to identify specific interventions that enhance recovery of function after stroke. The effectiveness of Frenkel's exercise for improving lower limb sensation, balance, motor function, functional ambulation, and activities of daily living in subacute ischemic stroke patients with impaired proprioception. Through retrospective cohort study. He enrolled 14 patients suffering subacute ischemic stroke divided into two groups: intervention group (performed Frenkel's exercise, 15 minutes per day, 15 days over a period of 3 weeks, n=7) and control group (received conventional physical therapy instead, n=7). The study concluded that Frenkel's exercise improves sensory and balance recovery among subacute ischemic stroke patients with impaired proprioception and minimal lower limb motor weakness. This study aims to address this gap by providing evidence-based recommendations on combined effect of Frenkels exercise with EMS and tailored exercise strategies for stroke patients

Studietype

Ingrijpend

Inschrijving (Geschat)

38

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Nee

Beschrijving

Inclusion Criteria:

  • Typically 50-65 years old.(14)
  • Both male and female are included
  • Patients with subacute ischemic stroke (hemiplegia).(15)
  • Ability to walk independently for at least 10minutes.(16)
  • Diagnosis of a first-time stroke or without sequel of a previous stroke(15)
  • MOCA score>26 to confirm adequate cognitive function.
  • Brunnstrom exercise recovery stages of 3-4 or higher(17)
  • Voluntarily provided informed consent prior to participating

Exclusion Criteria:

  • Patients with severe cognitive impairment or dementia.(16)
  • Patients with unstable medical conditions, such as uncontrolled hypertension or cardiac disease.
  • Patients with recent surgery or injury that may affect participation in the study.
  • Patients with contraindications to electrical muscle stimulation (EMS), such as unstable cardiopulmonary medical conditions pacemakers or metal implants

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Enkel

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Frenkels exercise with EMS
Participant will receive EMS for 10 minutes and Frenkels exercise for 20 minutes for 3 days per week for 8 weeks
Group A will include 19 participants. Participant will receive EMS for 10 minutes and Frenkels exercise for 20 minutes for 3 days per week for 8 weeks In Week 1-2 Investigator will apply 50Hz EMS pulse duration of 150 μs, intermittent with 5s of EMS stimulation to perform the movement and 10s of rest stimulation for adaptation while focusing lower limb exercises in according to frenkles exercises for 20 min in lying position Week 3-4: 60 Hz EMS stimulation applied pulse duration of 200 μs, intermittent with 5 s of EMS stimulation to perform the movement and 10 s of rest with frenkles exercises in sitting position Week 5-6 Frequency of 70 Hz pulse duration of 250 μs, intermittent with 5 s of EMS stimulation to perform the movement and 10 s of rest EMS stimulation will be applied with frenkles exercises in standing position Week 7-8: In progression, Frequency of 85 Hz and pulse duration of 300 μs, intermittent with 5 s of EMS stimulation to perform the movement and 10 s of rest
Actieve vergelijker: Conservative Treatment
Participants will receive routine therapy for 30 minutes. It could be hot pack, IR with routine exercises for 3 days per week for 8 weeks.

Group B will also include 19 participants. Each participant will receive routine therapy for 30 minutes. It could be hot pack, IR with routine exercises for 3 days per week for 8 weeks.

Weeks 1-2: Initial Phase

  1. Breathing exercises
  2. Range of motion exercises
  3. Seated exercises Weeks 3-4: Strengthening Phase Resistance band exercises: Upper and lower limb strengthening

b) Weight-bearing exercises c) Gait training: Walking with support d) Balance exercises: Weeks 5-6 Functional Phase

  1. Functional activities: Reaching, scooting, transferring
  2. Gait training: Walking without support, navigating obstacles
  3. Balance exercises: Dynamic balance, reaction training
  4. Strengthening exercises:

Weeks 7-8: Advanced Phase

  1. Advanced gait training: Stair climbing, curbs, uneven surfaces
  2. Complex functional activities: Cooking, dressing, household chores

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
The Berg Balance Scale (BBS)
Tijdsspanne: Baseline and 8th week
It's a 14-item performance-based measure, meaning it assesses how well a person can perform specific tasks related to balance. Each item is scored on a 5-point scale (0-4), with higher scores indicating better balance, and a total score range of 0-56.
Baseline and 8th week
The Nottingham Sensory Assessment (NSA)
Tijdsspanne: baseline and 8th week

NSA is used to evaluate sensory impairments, particularly in individuals who have experienced stroke.

scores ranging from 0 (extreme difficulty/unable to perform) to 4 (no difficulty) for each item.

baseline and 8th week
The Lower Extremity Motor Coordination Test (LEMOCOT)
Tijdsspanne: Baseline and 8th Week
(LEMOCOT) scoring scale involves assessing an individual's ability to perform specific lower extremity movements, with scores ranging from 0 (extreme difficulty/unable to perform) to 4 (no difficulty) for each item. The total score is obtained by summing the scores of all items, with a higher score indicating better motor coordination.
Baseline and 8th Week

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Sabiha Arshad, M.Phill, Riphah International University

Publicaties en nuttige links

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Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

20 juni 2026

Primaire voltooiing (Geschat)

1 augustus 2026

Studie voltooiing (Geschat)

1 augustus 2026

Studieregistratiedata

Eerst ingediend

5 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

5 mei 2026

Eerst geplaatst (Werkelijk)

11 mei 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

10 juni 2026

Laatste update ingediend die voldeed aan QC-criteria

8 juni 2026

Laatst geverifieerd

1 juni 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

NEE

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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