Effects of Core Strengthening and PNF Pattern on Balance and Plantar Pressure in Chronic Stroke

University of Lahore

Status: Enrolling

Conditions: Stroke; Paralysis

Treatments: Other: Routine physical therapy; Other: core strengthening exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT05436782

IRB-UOL-FAHS/1089/2021

Details and patient eligibility

About

To compare the effects of core strengthening and PNF on standing balance and plantar pressure in chronic stroke patients

Full description

The effects of different exercise regimes and PNF techniques on balance and plantar pressure had been studied. This study focuses on determining the effects of CSE and PNF techniques on developing static standing balance and plantar pressure in stroke patients using PoData

Enrollment: 73 estimated patients

Sex: All

Ages: 45 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Age 45-60

  • Score of 9 or higher on the static component of Berg Balance Scale
  • Both genders will be recruited.
  • First ever episode of stroke
  • Duration of stroke greater than 6 months.
  • Having a score of equal to or less than 2 on the Modified Ashworth Scale
  • Having a score of greater than or equal to 24 on the Mini-mental state examination in order to understand the commands.

Exclusion criteria

• • Concurrent orthopedic (for e.g. amputation ) that may hamper standing

  • Relevant psychiatric disorders that may prevent from following instructions.
  • Other medical drugs that may influence our intervention
  • Condition contraindicating physical activity
  • Use of cardiac pacemakers.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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73 participants in 2 patient groups

Group A

Active Comparator group

Description:

• Group A (control group) will receive routine physical therapy involving muscle strengthening exercises, range of motion exercises, and stretching exercises up to the patient's tolerance. Other exercises will be pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, and wobble board exercises. Each session will be of 60 minutes 5 times weekly for 6 weeks

Treatment:

Other: Routine physical therapy

Group B

Experimental group

Description:

Group B (experimental group) will receive routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals will be performed in lower extremity in D1 flexion pattern and D1 extension pattern up to patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks. The outcome measure will be measured at and 6th week interval

Treatment:

Other: core strengthening exercises