Effects of Bilateral Versus Unilateral Lower Limb Training on Balance and Gait Parameters in Stroke Patients

Riphah International University

Status: Completed

Conditions: Balance; Distorted; Gait, Hemiplegic; Stroke, Ischemic

Treatments: Other: Unilateral training group (UTG); Other: Bilateral training group (BTG).

Study type: Interventional

Funder types: Other

Identifiers

NCT05945966

REC/RCR & AHS/23/0210

Details and patient eligibility

About

To determine the effects of bilateral versus unilateral lower limb training on balance and gait parameters in stroke patients

Full description

The aim of this study is to compare the effects of bilateral versus unilateral lower limb training on balance and gait parameters in stroke patients. The randomized controlled trial will recruit the stroke patients will be selected and randomly divided into two groups: Group A (unilateral training group (UTG)) and Group B (bilateral training group (BTG)).

Patients in Group A will undergo approach-oriented training using the motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the affected side, while those in Group B underwent strength training for the lower-limb muscles using Delorme's principle for the unaffected side and approach-oriented training using the MRP and PNF for the affected side for a period of six weeks, five days per week. A strengthening regimen will designed for the unaffected side, considering the frequency, intensity, time, and type (FITTs) principle provided by the American College of Sports Medicine (ACSM). The static and dynamic balance along with gait parameters will measure using the functional reach test (FRT), one-leg stance test (OLST), Berg balance scale (BBS) Dynamic Gait Index (DGI), gait parameters (stride length, gait velocity, and cadence), and Brunnstrom recovery stages (BRS) at the baseline and post rehabilitation.

Enrollment: 32 patients

Sex: All

Ages: 40 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Medically stable patients (the diagnosis was made by neurologist).
• Cognitive level is greater than 25 on MMSE.
• Chronic stroke Patients (ischemic and hemorrhagic) (6 months to 2 years).

Exclusion criteria

• Transient ischemic attack.
• Patients with other neurological condition, orthopedic problems, and uncontrolled metabolic disease.
• Severe hearing and visual loss.
• Uncontrolled arterial hypertension.
• Recurrent Stroke.
• Patient diagnosed with brainstem stroke and middle cerebral artery stroke.
• Patient with any cardiovascular unstable condition.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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32 participants in 2 patient groups

experimental group

Experimental group

Description:

In this group stroke patients will be undergone task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the hemi-paretic side

Treatment:

Other: Unilateral training group (UTG)

control group

Active Comparator group

Description:

In this group stroke patients will be undergone strength training using frequency, intensity, type, time (FITT) principle to non-hemi-paretic side and task-oriented approach using motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) to hemi-paretic side

Treatment:

Other: Bilateral training group (BTG).