Action Observation Therapy With and Without Acoustic Stimulation in Post Stroke Gait and Balance

Riphah International University

Status: Enrolling

Conditions: Stroke

Treatments: Other: Action Observation Therapy with Rhythmic acoustic stimulation; Other: Action Observation Therapy without Rhythmic acoustic stimulation

Study type: Interventional

Funder types: Other

Identifiers

NCT06059742

Riphah/RCRAHS-ISB/REC/01642

Details and patient eligibility

About

Stroke causes the interruption of blood flow towards the brain cells which results in cell death and lead to variety of disorders including deficits in balance and gait. It is well known that it is causing death and disability .The incidence of stroke is increasing in low-income countries because of not using evidence-based practice in health-related conditions in these countries. Action observation training is one of the new developing rehabilitation technique that targets motor learning by the activation of mirror neurons and is the most important approach that targets the motor and functional recovery in stroke patients. A new treatment approach i .e action observation therapy, in which the movements are observed by the patient to provide visual stimulus, then patients are asked to perform those movements. A new approach acoustic stimulation is introduced for improving gait and balance in post stroke patients in which individual patient cadence is used to adjust the beats of sound so that auditory stimulation causes recovery.

Full description

Stroke is a medical condition which causes the cessation of blood flow to the brain cells and results in cell death. It is a leading cause of death and disability. Geographical variations play a huge role in the burden for stroke. A stroke survivor experiences a range of symptoms that make it harder for them to carry out regular tasks and raise their risk of falling while walking .The effects of Action Observation Therapy with acoustic stimulation on balance in stroke patients have not been explicitly covered in recent studies. The study intends to evaluate the effectiveness of treatments with evidence for post-stroke balance and gait.

Enrollment: 45 estimated patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 40-60 years
• Both male and female
• Any type of stroke
• Walking few steps [5 or more] .
• Berg balance score above 21
• Ability to follow the study instructions-Mini mental state examination (MMSE ) score >24

Exclusion criteria

• Patients diagnosed with other neurological diseases
• Tumors or neoplasms
• Cardiopulmonary diseases
• Patient with impaired cognition
• Visual and auditory impairments

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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45 participants in 2 patient groups

Action Observation Therapy with Acoustic Stimulation

Experimental group

Description:

The patients in the action observation therapy with acoustic stimulation group will be required to observe the lower limb movements or functional actions with sound of beats in video clips. (i.e., the observation phase) and to execute what they had observed to the best of their ability with sound of beats given through headphones (i.e., the execution phase). Three common categories of movements will be elected in the protocol for each week based on the related literature

Treatment:

Other: Action Observation Therapy with Rhythmic acoustic stimulation

Action Observation Therapy Without Acoustic Stimulation

Active Comparator group

Description:

The patients in the action observation therapy without acoustic stimulation group will be required to observe the lower limb movements or functional actions without sound of beats in video clips. (i.e., the observation phase) and to execute what they had observed to the best of their ability without sound of beats (i.e., the execution phase). Three common categories of movements will be elected in the protocol for each week based on the related literature

Treatment:

Other: Action Observation Therapy without Rhythmic acoustic stimulation