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IRCT20260715070212N1 IRCT 2026-07-20 Islam College of Physical Therapy Effects of Multimodal Balance Training with and without Auditory Cues on Balance, Gait Mobility, Risk of Fall and Quality of Life in Patients with Chronic Stroke Effects of Multimodal Balance Training with and without Auditory Cues on Balance, Gait Mobility, Risk of Fall and Quality of Life in Patients with Chronic Stroke 2025-09-01 anticipated 42 Complete https://irct.ir/trial/91696 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: None, Randomization description: Participants were gathered using non-probability convenient sampling and randomly assigned into two equal groups of 21 using a simple randomization method (lottery system). The unit of randomization was the individual patient, and allocation concealment was maintained using sealed envelopes until group assignments were determined, Blinding description: This study utilized a single-blind approach. The outcome assessors who recorded the data at baseline, 6 weeks, and 12 weeks were kept completely blinded to the treatment group assignments of the participants. The physical therapists delivering the interventions and the participants themselves were not blinded due to the nature of physical exercise protocols. N/A Chronic Stroke. Intervention 1: Intervention group: ​Multimodal balance training with auditory cues. Includes trunk stability, weight shifts, visual cue walking, ball-based diagonal reaching, and rhythmic auditory stimulation (RAS) delivered via a digital metronome. Sessions lasted 45 minutes, administered 2 times a week for 12 weeks (24 sessions total). Intervention 2: Control group: Multimodal balance training without auditory cues. Includes identical trunk stability, weight shifts, visual cue walking, and ball-based diagonal reaching exercises without rhythmic audio feedback. Sessions lasted 45 minutes, administered 2 times a week for 12 weeks (24 sessions total). Yes - There is a plan to make this available What will be shared: De-identified individual participant data (IPD) including demographic variables, baseline characteristics, and pre/post intervention clinical scale scores (BBS, TUG, FES-I, SSQOL) along with the study protocol and data dictionary. When: Data will become available immediately following publication of the study results and will remain accessible indefinitely. To whom: Available to researchers, clinicians, and academic students working in the fields of physical therapy, neurological rehabilitation, and clinical biomechanics. Conditions: For the purpose of systematic reviews, meta-analyses, secondary independent data analysis, or replication studies. Where to obtain: The dataset will be publicly accessible via the open-access science repository medRxiv. How to obtain: No formal request process is required as the data will be directly downloadable as open-access files from the repository repository URL. Comments:
public Hammad Sattar
Pasrur Road, Sialkot
Sialkot Pakistan 51310 +92 321 1665247 hbari023@gmail.com Islam College of Physical Therapy scientific Hammad Sattar
Pasrur Road, Sialkot
Sialkot Pakistan 51310 +92 321 1665247 hbari023@gmail.com Islam College of Physical Therapy Pakistan Pakistan Diagnosed with a unilateral chronic stroke (>1 year post-stroke), aged between 45 to 70 years 45 years 75 years Both Aphasia Moderate to severe cognitive impairment (MMSE < 24) Severe cardiac diseases Uncontrolled hypertension Non-healing ulcers Osteoporosis Severe visuospatial deficits G46.4 Cerebellar stroke syndrome Rehabilitation Rehabilitation Intervention group: ​Multimodal balance training with auditory cues. Includes trunk stability, weight shifts, visual cue walking, ball-based diagonal reaching, and rhythmic auditory stimulation (RAS) delivered via a digital metronome. Sessions lasted 45 minutes, administered 2 times a week for 12 weeks (24 sessions total). Control group: Multimodal balance training without auditory cues. Includes identical trunk stability, weight shifts, visual cue walking, and ball-based diagonal reaching exercises without rhythmic audio feedback. Sessions lasted 45 minutes, administered 2 times a week for 12 weeks (24 sessions total). Gait, balance performance, and functional mobility. Timepoint: Measured at baseline (0 weeks), at mid-intervention (6 weeks), and post-intervention (12 weeks). Method of measurement: Berg Balance Scale (BBS). Dynamic balance and functional mobility status. Timepoint: Measured at baseline (0 weeks), at mid-intervention (6 weeks), and post-intervention (12 weeks). Method of measurement: Timed Up and Go (TUG) test. Fear of falling and balance confidence during daily activities. Timepoint: Measured at baseline (0 weeks), at mid-intervention (6 weeks), and post-intervention (12 weeks). Method of measurement: Fall Efficacy Scale-International (FES-I). Health-related quality of life across specific stroke domains. Timepoint: Measured at baseline (0 weeks), at mid-intervention (6 weeks), and post-intervention (12 weeks). Method of measurement: Stroke Specific Quality of Life Scale (SSQOL). Islam College of Physical Therapy Approved 2025-08-15 Research Ethical Committee, Islam Teaching Hospital Pasrur Road, Islam teaching hospital, Sialkot Sialkot Punjab Pakistan