Effects of Otago Exercise Program in Falls, Balance and Physical Performance in Stroke Patients

Riphah International University

Status: Enrolling

Conditions: Stroke

Treatments: Other: Control Group; Other: Otago Exercise Program

Study type: Interventional

Funder types: Other

Identifiers

NCT06426862

REC 01741 Muhammad Baqir

Details and patient eligibility

About

This study aims to determine the effects of the Otago Exercise Program (OEP) on falls and balance as well as overall physical performance. Participants will be divided into two groups; control and intervention group. It is a week-long study, the participants will be assessed through the Berg Balance Scale (BBS), Time Up and Go (TUG) and Fugl-Meyer Assessment (FMA).

Full description

The previous literature suggested that the Otago exercise showed significant improvement in terms of fall and balance. Most of the Studies were conducted on the elderly population but limited studies are available regarding stroke. This study will look at the effect of Otago exercise on stroke patients. The Otago exercise consists of 17 exercises; strengthening and balancing exercises. The participants will receive Otago exercise and routine physiotherapy treatment for six weeks. The participants will go through three assessments; Baseline Assessment, After 3 weeks assessment and final assessment. For association, a mixed method ANOVA test will be used.

Enrollment: 30 estimated patients

Sex: All

Ages: 40+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ischemic or hemorrhagic stroke
• Medically stable patients with acute to subacute level of stroke recovery (< 6 month).
• Patients 40 plus age
• Berg balance scale <45 and >20 score
• TUG test scoring >20 sec

Exclusion criteria

• Participants having cognition problem or language barrier
• Physical disability (fracture or amputation) other than stroke
• Previous surgery 6 weeks
• Cardiovascular and pulmonary disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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30 participants in 2 patient groups

Interventional Group

Experimental group

Description:

The interventional group will receive both treatment routine physiotherapy and the Otago exercise program (OEP). The OEP is the exercise designed for strength and balance to improve mobility, functional balance and walking. The exercises included in this protocol are 17: strength, balance and walking. The participants will receive this protocol with 10 repetitions while the interval between exercises will not be fixed; patients will be given ample time to relax and recuperate before beginning another exercise, 3 times a week for six weeks and the time duration will be 30 to 45 minutes. The exercises will be progressively administered weekly.

Treatment:

Other: Otago Exercise Program

Other: Control Group

Control group

Active Comparator group

Description:

The control group will receive routine treatment of physiotherapy for strokes like strengthening of upper and lower limb muscles (knee flexor, hip adductor and ankle dorsiflexor), stretching (hip abductors and ankle plantar flexor), postural awareness, gait and balance training like static and dynamic. The participants will be assessed through baseline assessment.

Treatment:

Other: Control Group