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

University of Lahore

Status: Completed

Conditions: Chronic Stroke

Treatments: Other: Routine Physical Therapy+ PNF and Core Stregthening; Other: Routine Physical Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06346652

REC-UOL-216-03-2024

Details and patient eligibility

About

Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Full description

Background: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

Objective: To compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Methodology: 73 patients were enrolled in this study, 37 patients were assigned into control group while 36 participants were assigned into experimental group. Control group received routine physical therapy while experimental group received core strengthening and proprioceptive neuromuscular technique. Static component of berg balance scale and PoData Stabiliometeric plate was used for plantar pressure and measurement of balance respectively.

Enrollment: 73 patients

Sex: All

Ages: 45 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age (45-60 years)
• Score of 9 or Higher on static component of berg balance scale
• Having score of equal or less than 2 on Modified Ashworth scale
• Having score of greater than or equal to 24 on Mini Mental State Examination.
• First ever episode of stroke
• Duration of stroke greater than 6 months
• Both genders

Exclusion criteria

• Concurrent orthopedic conditions that may hamper standing
• Relevant psychiatric disorders that may prevent from following instructions.
• Medical drugs that may influence intervention
• Conditions contraindicating physical activity
• Use of Cardiac pace maker.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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73 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Routine Physical Therapy

Treatment:

Other: Routine Physical Therapy

Interventional Group

Experimental group

Description:

Routine Physical Therapy + PNF + Core Strengthening

Treatment:

Other: Routine Physical Therapy+ PNF and Core Stregthening