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IRCT20210507051205N1 IRCT 2021-09-15 Madinah Teaching Hospital Faisalabad COMPARATIVE EFFECTS OF BACKWARD WALKING TRAINING AND STANDING BALANCE TRAINING ON WALKING SPEED AND BALANCE IN PATIENTS WITH SUBACUTE STROKE COMPARATIVE EFFECTS OF BACKWARD WALKING TRAINING AND STANDING BALANCE TRAINING ON WALKING SPEED AND BALANCE IN PATIENTS WITH SUBACUTE STROKE 2020-08-02 anticipated 61 Complete https://irct.ir/trial/57056 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment, Randomization description: Randomization was done using an online random number generator, randomizer.org. Website determined 2 sets (A and B). Set A was BWT group and set B was SBT group. The numbers from 1-70 were selected (The sample size was 70, 35 in each group). Randomizer generated the numbers for each group (A or B) and patients were allocated based on that numbers, Blinding description: The participants had no information about the treatment given in both groups. N/A Subacute Stroke. Intervention 1: Intervention group: Group A:Group A participants received the task oriented training (grasping objects and CIMT) combined with backward walking training. The participants were treated 60 minutes, 3 times per week for 4 weeks. Intervention 2: Intervention group: Group B:Group B participants received the task oriented training (grasping objects and CIMT) combined with standing balance training. The participants were treated 60 minutes, 3 times per week for 4 weeks. Yes - There is a plan to make this available What will be shared: The primary and secondary outcome measure data will be shared and no further detail regarding patients personal information will be provided When: Starting in January 2022 To whom: Researchers , scholars, physiotherapist Conditions: none Where to obtain: Direct contact with Responsible How to obtain: Access as per policy Comments: none
public Muhammad Umer Shabbir
West canal road faisal town
Faisalabad Pakistan 38000 +92 41 8750971 muhammad.umer.shabbir@tuf.edu.pk The University of Faisalabad scientific Dr. Mohsin Hussain PT
West canal road faisal town
Faisalabad Pakistan 38000 +92 41 8750971 m.mohsinhussain@tuf.edu.pk The University of Faisalabad Pakistan Diagnosis of first stroke in previous 45 days, Patients older than 20 years and less than 50 years, Able to maintain upright standing posture with moderate assistance, Anticipated inpatient rehabilitation length of stay 2 to 3 weeks, Anticipated remaining in the geographic area for the study duration, Vision within functional limits (considered enough for gait training) 20 years 50 years Both Absence of significant balance impairment, defined by Berg Balance Scale (BBS) score greater than 45/56, Lower extremity joint or weight-bearing pain, Other neurological diagnoses, Inability to follow 2-step command, History of Contraversive pushing syndrome, History of Cerebellar stroke. I69.869 Other paralytic syndrome following other cerebrovascular disease affecting unspecified side Rehabilitation Rehabilitation Intervention group: Group A:Group A participants received the task oriented training (grasping objects and CIMT) combined with backward walking training. The participants were treated 60 minutes, 3 times per week for 4 weeks. Intervention group: Group B:Group B participants received the task oriented training (grasping objects and CIMT) combined with standing balance training. The participants were treated 60 minutes, 3 times per week for 4 weeks. Berg balance scale. Timepoint: baseline, after 3 weeks and at the end of 6th week. Method of measurement: The 14-item scale was used to assess the static and dynamic standing balance, sitting, standing up, and transfer ability. This scale has a great reliability, validity and it has been in use for years for assessing the balance in post-stroke patients. 6-Meter walk test. Timepoint: at baseline, at the end of 2nd week and at the end of 4th week. Method of measurement: The 6-Meter Walk Test was used to evaluate gait speed, which helped to explain responsiveness in stroke patients. A stopwatch was used to record the amount of time it took to walk. Participants covered the distance twice at their own pace to determine their average gait speed. If balance aid was needed, it was given, but no help with the lower extremities was offered. At each research time point, the evaluation was performed with the least orthotic and restrictive assistive device possible. 3-meter backward walk test. Timepoint: at baseline, at the end of 2nd week and at the end of 4th week. Method of measurement: The 3-Meter Backward Walk Test was used to determine backward walking speed. A timer was used to record the time it took to walk backward 3 meters. Participants covered the distance twice at their own pace to determine their average gait speed. If balance aid was needed, it was given, but no help with the lower extremities was offered. At each research time point, the evaluation was performed using the least orthotic and restrictive assistive device. Berg balance scale. Timepoint: at baseline, at the end of 2nd week and at the end of 4th week. Method of measurement: This 14-item scale assessed the static and dynamic standing balance, sitting, standing up, and transfer ability. This scale has a great reliability, validity and it has been in use for years for assessing the balance in post-stroke patients. This scale measured the questions on the basis of Likert scale system and the score ranged from 0-56 and the scoring reference is as: 41-56 = independent 21-40 = walking with assistance 0 –20 = wheelchair bound. N/A Approved 2020-07-29 UIPT Ethical Review Committee Defense road bhuptian chowk Lahore Punjab Pakistan