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IRCT20140304016830N9 IRCT 2018-02-25 Iran University of Medical Sciences Effect of task-oriented balance exercises on balance of patients with chronic stroke A randomized controlled trial to comparative study of the effect of single and dual cognitive task-oriented balance exercises on postural control and functional balance in subjects with chronic stroke 2018-02-04 anticipated 54 Complete https://irct.ir/trial/29041 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be performed by the person who is not involved in the study using sequentially numberd sealed envelopes, Blinding description: Evaluation of the primary and secondary outcomes is performed by experienced individuals who are blind on the groups allocation. N/A stroke. Intervention 1: Control group: receives conventional rehabilitation (including exercises for upper and lower limb stretching, range of motion and activities of daily living). Intervention 2: First intervention group: ُSingle task-oriented balance exercises group that receives 24 sessions of single task-oriented balance exercises (8 weeks, 3 sessions per week, 60 to 90 minutes per session) in addition to the conventional rehabilitation. Single task-oriented balance exercises include three types of standing, transferring and walking activities which performed based on two principals of difficulty level of motor task and individual safety. Intervention 3: Second Intervention group: cognitive dual task-oriented balance exercises group that receives 24 sessions of cognitive dual task-oriented balance exercises (8 weeks, 3 sessions per week, 60 to 90 minutes per session) in addition to the conventional rehabilitation. In this group, task-oriented balance exercises (including three types of standing, transferring and walking activities based on two principals of difficulty level of motor task and individual safety) are performed simultaneously with cognitive tasks (e.g., backward counting, saying the days of the week and the months of the year in reverse order, etc.). Yes - There is a plan to make this available What will be shared: After the completion of this study, a manuscript regarding the documentation and the results of the study will be prepared and published. If more details are needed, individuals can send their request by email to the person responsible for scientific accountability. When: 8 months after publishing the results To whom: Researchers working in academic and scientific institutions Conditions: Use of the documentation is permitted upon written permission. Where to obtain: Ghorban Taghizadeh Adsress: Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran Tel: 00982122227124 E-mail: taghizadeh.gh@iums.ac.ir How to obtain: Just sending a request by email and mentioning the explanation about the cause of the need for documentation is enough. Comments:
public Ghorban Taghizadeh
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran
Tehran Iran (Islamic Republic of) 1449614535 +98 21 2222 7124 taghizadeh.gh@iums.ac.ir Iran University of Medical Sciences scientific Ghorban Taghizadeh
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran
Tehran Iran (Islamic Republic of) 1449614535 +98 21 2222 7124 taghizadeh.gh@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Having the first experience of stroke Passing 6-24 months since stroke Having an ability to walk at least 10 meters without assistive devices Having the ability to perform the most difficult condition of laboratory test (quiet standing on foam surface with closed eyes while performing cognitive task) Having an acceptable level of cognitive function, i.e. score equal to or greater than 23 on the Mini Mental State Examination 35 years 65 years Both Having unilateral visuospatial neglect (i.e., obtaining score less than 44 at star cancellation test) Co-morbid other neurological diseases Having orthopedic disorders (such as low back pain, arthritis and flat foot) Having diabetes according to the report of patient, or the patient's family or physician Having addiction according to the report of patient, or the patient's family or physician I64 Stroke, not specified as haemorrhage or infarction Rehabilitation Rehabilitation Rehabilitation Control group: receives conventional rehabilitation (including exercises for upper and lower limb stretching, range of motion and activities of daily living). First intervention group: ُSingle task-oriented balance exercises group that receives 24 sessions of single task-oriented balance exercises (8 weeks, 3 sessions per week, 60 to 90 minutes per session) in addition to the conventional rehabilitation. Single task-oriented balance exercises include three types of standing, transferring and walking activities which performed based on two principals of difficulty level of motor task and individual safety. Second Intervention group: cognitive dual task-oriented balance exercises group that receives 24 sessions of cognitive dual task-oriented balance exercises (8 weeks, 3 sessions per week, 60 to 90 minutes per session) in addition to the conventional rehabilitation. In this group, task-oriented balance exercises (including three types of standing, transferring and walking activities based on two principals of difficulty level of motor task and individual safety) are performed simultaneously with cognitive tasks (e.g., backward counting, saying the days of the week and the months of the year in reverse order, etc.). Functional balance. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Berg Balance Scale Questionnaire, Tinetti Balance test. Postural control. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Force plate (postural sway parameters). Functional mobility. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Single and dual Timed Up & Go Test, Dynamic gait index Questionnaire. Cognitive function. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Wechsler memory scale. Iran University of Medical Sciences Approved 2017-12-08 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran Tehran Tehran Iran (Islamic Republic of)