Comparison of Modified-Otago and Tai Chi Exercises in Patients With Stroke

Riphah International University

Status: Completed

Conditions: Stroke

Treatments: Other: Modified-Otago Exercises; Other: Tai-Chi Exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06308224

REC/RCR&AHS/23/0290

Details and patient eligibility

About

The study aims to determine the comparative effects of Modified-Otago and Tai Chi Exercises on Balance and Motor Function in Patients with Stroke.

Full description

This randomized clinical trial will be conducted at the Physiotherapy and Chiropractor Centre, Lahore. Data will be collected within seven months after the approval of synopsis. A total of 64 patients will be recruited through convenience sampling technique after inclusion and exclusion criteria. After the baseline assessment, randomizations will be performed through the lottery method. Group A will receive Modified Otago exercises for 60 minutes, 3 times per week for 12 weeks, and Group B will receive Tai Chi Qigong exercises for 60 minutes, 3 times per week for 12 weeks. To assess the balance and motor function, the Berg Balance Scale (BBS) and Motor Assessment Scale will be used, respectively. The data will be analyzed by using the SPSS (Statistical Package for Social Sciences) 23 version.

Enrollment: 62 patients

Sex: All

Ages: 40 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Clinically diagnosed stroke patients with ischemic type.
2. Post-stroke ≥ 3 months.
3. Survivors of both hemorrhagic and ischemic stroke.
4. Subjects should have stable conditions after the stroke incidence.
5. Community-dwelling survivors of stroke who were aged ≥40 years.
6. Both genders can participate in the study.
7. Mini-Mental State Exam score equal to or greater than 24.
8. Modified Rankin Scale score of three or less.
9. Berg Balance Scale score is between 41 and 52.
10. Muscle strength grade should be of grade 4 and above.

Exclusion criteria

1. Subjects with diagnosed peripheral neuropathy.
2. The subject is unable to perform Tai Chi exercises.
3. No history of other neurological and musculoskeletal conditions.
4. Subjects with diagnosed vestibular disease.
5. Subjects have cardiac abnormalities.
6. Contracture, fracture, or pain in the musculoskeletal system.
7. Subjects who have undergone strength and balance training in the past 3 months.
8. Subject taking medications that increase the incidence of falls.
9. Subjects have been diagnosed with malignancy of any type.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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62 participants in 2 patient groups

Group A (Modified-Otago Exercises)

Experimental group

Description:

Participants will engage in Modified-Otago exercises for 30 minutes of moderate-intensity exercise at least three times weekly for 12 weeks. 1. Walking for 15 minutes 2. Strengthening exercises for 10 minutes 3. Balance exercises 20 minutes

Treatment:

Other: Modified-Otago Exercises

Group B (Tai Chi Exercises)

Experimental group

Description:

Participants of the Tai Chi qigong group will participate in a 30-minute exercise class three times a week for 12 weeks. 1. Warm-up exercises for 10 minutes 2. Tai Chi Exercises for 30 minutes 3. Cool-down exercises for 5 minutes

Treatment:

Other: Tai-Chi Exercises