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IRCT20240503061639N1 IRCT 2024-05-13 Riphah international university Comparative effects of modified otago exercise program(MOEP) and perturbation-based balance training (PBT)on reactive postural control and balance in patients with sub-acute stroke Comparative effects of modified otago exercise program(MOEP) and perturbation-based balance training(PBT)on reactive postural control and balance in patients with sub-acute stroke 2024-05-08 anticipated 64 Complete https://irct.ir/trial/76624 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be done through simple random sampling using lottery method. this will be cluster randomization because we had large sample size for two intervention groups with 32 patients in each group. In lottery method , we will assigned a number to patient as 1,23...…64, after which we select a random numbers for each interventions groups, so first 32 selected patients will receive modified otago exercise program and next 32 will receive perturbation based balance training, Blinding description: Participants are blind in my study, because they are divided into two intervention groups without knowing it. N/A Sub-acute Stroke. Intervention 1: Intervention no 1 will be modified otago exercise program and routine physical therapy treatment. Participants will engage in 20 minute of routine physical therapy which includes range of motion and isometric exercises and 60 minutes of moderate-intensity otago exercises. The modified otago exercises consists of 17 strength(with 10 repetitions, with and without support) and balance exercises and a walking program, 15 minutes walking before and after strength and balance exercises. Balance exercises will be knee bends, backwards walking with or without assistive device, walking and turning around with or without assistive device, sideways walking with or without assistive device, tandem stance (heel toe stand) with or without assistive device , tandem walk (heel toe walk) with or without assistive device , one leg stand with or without assistive device , heel walking with or without assistive device , toe walk with or without assistive device , heel toe walking backwards with or without assistive device, sit to stand with or without assistive device , stair walking with or without assistive device. Intervention program will be continued for 8 weeks, and 3 times a week. Assistive devices will be used like canes etc. Intervention 2: Intervention group 2 will be Perturbation based balance training and routine physical therapy treatment. Participants will engage in 20 minute of routine physical therapy which includes range of motion and isometric exercises and 60 minutes of perturbation based balance training which includes double-leg foam balance activity, tilt board training and roller board and platform perturbations. Devices used are knee cushion, foam, tilt board and platform. Intervention program will be continued for 8 weeks, and 3 times a week. Assistive devices will be used like canes etc. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I will plan it after my thesis finalization so that there will be na chance of error
public Rida Zahid
Street no 5 New Islam Pura ,Toba Tek Singh,Pakistan
Toba Tek Singh Pakistan 36050 +92 325 0405631 ridazahid173@gmail.com Riphah international university Lahore scientific Rida Zahid
Street no 5 New Islam Pura ,Toba Tek Singh,Pakistan
Toba Tek Singh Pakistan 36050 +92 325 0405631 ridazahid173@gmail.com Riphah international university Lahore Pakistan Sub-acute stroke patients Survivors of ischemic stroke Subjects should have stable condition after the stoke incidence Tolerance of balance and gait tasks without fatigue Both genders can participate in the study Age from 50 to 70yearsPatient who can follow written, verbal directions and demonstration 50 years 70 years Both Patients with any other neurological conditions (Brain Injury, Multiple Sclerosis, Parkinson’s disease and Vestibular Disorders). Subjects with diagnosed peripheral neuropathy Patient with visual and vestibular impairment Z82.3 G46. Family history of stroke, Cerebellar stroke syndrome , Brain stem stroke syndrome, Cerebrovascular disease, unspecified, Sequelae of cerebrovascular disease, Sequelae of stroke, not specified as haemorrhage or infarction, Rehabilitation Rehabilitation Intervention no 1 will be modified otago exercise program and routine physical therapy treatment. Participants will engage in 20 minute of routine physical therapy which includes range of motion and isometric exercises and 60 minutes of moderate-intensity otago exercises. The modified otago exercises consists of 17 strength(with 10 repetitions, with and without support) and balance exercises and a walking program, 15 minutes walking before and after strength and balance exercises. Balance exercises will be knee bends, backwards walking with or without assistive device, walking and turning around with or without assistive device, sideways walking with or without assistive device, tandem stance (heel toe stand) with or without assistive device , tandem walk (heel toe walk) with or without assistive device , one leg stand with or without assistive device , heel walking with or without assistive device , toe walk with or without assistive device , heel toe walking backwards with or without assistive device, sit to stand with or without assistive device , stair walking with or without assistive device. Intervention program will be continued for 8 weeks, and 3 times a week. Assistive devices will be used like canes etc. Intervention group 2 will be Perturbation based balance training and routine physical therapy treatment. Participants will engage in 20 minute of routine physical therapy which includes range of motion and isometric exercises and 60 minutes of perturbation based balance training which includes double-leg foam balance activity, tilt board training and roller board and platform perturbations. Devices used are knee cushion, foam, tilt board and platform. Intervention program will be continued for 8 weeks, and 3 times a week. Assistive devices will be used like canes etc. Reactive postural control. Timepoint: Before intervention, after 4 weeks of intervention program and 8 weeks after completion of intervention program. Method of measurement: Mini- bestest scale will be used for assessment of reactive postural control. Balance. Timepoint: on start of treatment, after 4 weeks of treatment and 8 weeks after completion of intervention program. Method of measurement: Berg balance scale will be used for the assessment of balance. Rida zahid Approved 2024-04-29 Ethics committee of Riphah International University Raza street 25, Bhabra' block M, Gulberg 3, Lahore, Pakistan Lahore Punjab Pakistan