Comparative Effects of Dual Task and PNF on Balance ,Cognition and Motor Function in Chronic Stroke Patients .

Riphah International University

Status: Enrolling

Conditions: Stroke

Treatments: Other: PNF(proprioceptive neuromuscular facilitation exercises); Other: Dual tasking

Study type: Interventional

Funder types: Other

Identifiers

NCT05931172

REC/LHR/23/0224 nadia

Details and patient eligibility

About

The aim of this study is to compare the effect of dual tasking and proprioceptive neuromuscular facilitation on balance, cognition and motor function in chronic stroke patients. It will be randomized clinical trial.

Full description

Stroke is the major cause of disability and mortality worldwide. A stroke is defined as an abrupt neurological outburst caused by impaired perfusion through the blood vessels to the brain. Every year the number of patients affected by stroke is rising thereby putting extra pressure on socioeconomic conditions in developing countries. Major complications of stroke include hemiplegia leading to upper limb dysfunction along with gait abnormalities. This study will be conducted to determine the effects of proprioceptive neuromuscular facilitation exercises versus dual-task training on balance, cognition, and motor function in chronic stroke patients. The randomized clinical trial will be conducted, participants will be selected through Non-probability convenience sampling technique and then randomly allocated into two treatment groups.

Enrollment: 32 estimated patients

Sex: All

Ages: 50 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

item

• Both male and female
• Age 50-70 years.
• Person should be able to walk 10meter distance with or without assistance.
• Patient should be Cognitively able to perform required task.
• Chronic Stroke patients with strength >2 on manual muscle testing.

Exclusion criteria

item

• Any Gait impairment .
• Patients with comorbidities like cardiac pathologies.
• Patients with dementia .
• History of fall in last 6 months.
• History of Severe Freezing episodes.
• History of Camptocormia (axial deformity.
• Central or peripheral paresis.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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32 participants in 2 patient groups

Dual tasking

Experimental group

Description:

Dual tasking utilizes a task-specific approach to balance training, applying repeated exposure to unpredictable mechanical perturbations that mimic balance disturbances experienced in daily life.

Treatment:

Other: Dual tasking

Proprioceptive neuromuscular facilitation

Experimental group

Description:

Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach that uses cutaneous, proprioceptive and auditory input to produce functional improvement in motor output.

Treatment:

Other: PNF(proprioceptive neuromuscular facilitation exercises)