Effects of Dual-Task and Progressive Wall Squat Training in Stroke Survivors

Riphah International University

Status: Completed

Conditions: Stroke Ischemic

Treatments: Other: Group B; Other: Group A

Study type: Interventional

Funder types: Other

Identifiers

NCT06845683

REC/24/0211 Barira Shahid

Details and patient eligibility

About

To determine the Effects of Dual-Task and Progressive Wall Squat Training on Cognition, Balance and Functional mobility in Stroke Survivors.

Full description

A stroke is a neurological disorder in which clots or ruptured vessels obstruct blood vessels, causing abnormal blood flow in the brain. This may lead to the unexpected death of brain cells and aggravate illnesses like depression and dementia.It is a disease with significant health and social consequences because of its high frequency and rate. Stroke is thought to affect 9.2% of the population in Europe, with a rate of 191.9 per 100,000 people annually. According to estimates, between 25 and 74% of those who survive this illness need assistance or become totally reliant on their everyday activities.The primary long-term effects of a stroke are dysphagia, paralysis, motor impairments, cognitive decline, and speech difficulties.

Dual-task training entails doing a motor task and a cognitive task at the same time. This method's justification is that a lot of daily tasks necessitate multitasking, and dual-task training can improve both cognitive and motor abilities by promoting brain plasticity and the interaction of the two systems. In the dual task training, cognitive task (like naming animals or counting backwards) is combined with a lower limb strengthening exercise called wall squats. Both tasks gradually increase in difficulty and intensity based on how well each person performs. By testing the muscle strength, endurance, and coordination of stroke survivors as well as their attention, memory, and executive function, this training seeks to improve their cognitive abilities, balance, and functional mobility.

Enrollment: 50 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age: Stroke patients aged 45 to 65 years.
• Individuals with a single ischemic stroke.
• Within the first 2 months post-stroke. (Subacute stage)
• Medically stable without acute conditions interfering with exercise.
• Mini-Mental State Examination (MMSE) score≥24
• Ability to walk 10m without assistance

Exclusion criteria

• Unstable Medical Conditions (cardiovascular, respiratory, or other medical conditions)
• Recent Stroke or Medical Event
• Other Neurological Conditions such as Presence of other neurological conditions (e.g., Parkinson's disease).
• Uncontrolled Hypertension: Systolic BP >160 mm Hg or diastolic BP >100 mm Hg

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

combining progressive wall squats with cognitive training

Experimental group

Description:

Group A will receive dual-task intervention (combining progressive wall squats with cognitive training) along with routine rehabilitation. The group will undergo 45 minute treatment session three times per week over an eight weeks period, focusing on gradually intensifying the progressive wall squat exercises with careful supervision to ensure safety and proper form along with cognitive tasks.

Treatment:

Other: Group A

progressive wall squats

Active Comparator group

Description:

Group B will receive single-task intervention (involving progressive wall squats) along with routine rehabilitation. A routine rehabilitation comprising slow sustained stretching (with a hold time of 10 seconds per stretch, totaling 10 repetitions per session) and active range of motion exercises (10 repetitions per session) targeting both the upper and lower extremities. The group will undergo 45 minute treatment session three times per week over an eight weeks period.

Treatment:

Other: Group B