Effect of Planter Vibration and Otago Exercise in Old Hemiplegic Patients

Cairo University (CU)

Status: Completed

Conditions: Balance Disorders

Treatments: Device: Local Plantar vibrator; Other: Otago exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT06399224

Vibration on hemiplegia

Details and patient eligibility

About

This study aims to determine effect of Plantar vibration and Otago exercise on risk of fall and quality of life in hemiplegic elderly

Full description

Stroke is one of the major causes of permanent disability. Stroke can have many causes and occurs mainly in old age, Hemiplegic patients have a two-fold higher risk of falling than other patients of the same age or gender, beside fall in older adults can cause significant physical and psychological injury to the individual. Otago exercises are the interventions given for fall prevention in elderly and showed good results with hemiplegic cases as well, it is easy and could be done by old adults even at home. Plantar vibration as a cheap, portable, and easy applicable, saving time and with no effort could be a good choice as a treatment tool to be added for old hemiplegic patients treatment programme. Thus applying an easy and effective programme for old hemiplegic subjects that reduces their risk of fall and improves their balance and ADL and at the same time helps them to conduct it easily and adhere to it should be our target to full fill.

Enrollment: 80 patients

Sex: Male

Ages: 65 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• first-ever stroke
• age 65-75years
• duration since stroke ≥6 months
• balance deficit confirmed by one leg stance (OLS) test; patient unable to stand on affected leg for 30s with eyes open
• able to walk without the use of aids .able to understand verbal commands.

Exclusion criteria

• participation in other treatment protocols for balance
• presence of conditions other than stroke affecting balance
• history of lower-limb surgery within the previous year
• fixed ankle contractures
• cognitive impairments (MMSE<24)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Planter vibrator with otago exercise

Active Comparator group

Description:

This group will receive15 minutes of plantar vibration with frequency of 80 Hz, with 10 seconds of vibration and 5 seconds of rest with total time 15 min before the 50 minutes Otago exercise. The frequency of the exercise will be 3 times a week for 12 weeks.

Treatment:

Other: Otago exercise

Device: Local Plantar vibrator

Otago exercise

Active Comparator group

Description:

This group will receive 50 minutes Otago exercise only. The frequency of the exercise will be 3 times a week for 12 weeks.

Treatment:

Other: Otago exercise