Effects of Vojta Therapy on Posture and Trunk Control

University of Lahore

Status: Enrolling

Conditions: Stroke; Stroke Ischemic

Treatments: Other: Vojta therapy; Other: Routine physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07244952

UOL/IREB/25/12/0031

Details and patient eligibility

About

Vojta therapy that is reflex locomotion therapy is a neurophysiological rehabilitation approach that stimulates specific "reflex zones" on the body to activate global, innate movement patterns. In stroke rehabilitation, it is used to improve postural control, trunk stability, and functional movement by engaging automatic motor responses. Vojta stimulation can activate motor cortical and subcortical areas as well as postural muscles. Pose estimation will be used to analyze human motion in stroke patients. The study will identify if there is significant difference in the comparative effects of Vojta therapy in addition to routine physical therapy on posture, trunk control and upper extremity motor function in sub-acute stroke patients

Full description

Vojta therapy can be used in the early stages of stroke patients' rehabilitation because acute stroke patients are characterized by a disruption in their capacity to react to changes in body posture, necessitating automatic postural adjustment. This study will determine the comparative effects of Vojta therapy in addition to routine physical therapy on posture, trunk control and upper extremity motor function in patients with sub-acute stroke. Body angles will be measured used Vojta therapy.

Enrollment: 62 estimated patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 45-65 years
• Both males and females
• First time subacute stroke (7 days post stroke to 3 months)
• Brunnstrom stage 1,2
• A confirmed CT scan for subacute ischemic stroke
• A hemiplegia with score of ≤2 of medical research council scale for muscle strength of the arm (MRCS)
• Premorbid modified Rankin scale score ≤ 3
• Stroke patient who can achieve supported standing
• Patients having NIHSS score 16-20 will be included
• Patient who can achieve sitting for 30 seconds

Exclusion criteria

• Severe cognitive impairments that can hinder rehabilitation
• Limitations in communication due to aphasia
• Altered consciousness or dementia (Epple et al., 2020b)
• Patients suffering from postural hypotension

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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62 participants in 2 patient groups

Experimental arm

Experimental group

Description:

Vojta therapy and routine physical therapy

Treatment:

Other: Routine physical therapy

Other: Vojta therapy

Conventional therapy arm

Active Comparator group

Description:

Routine physical therapy

Treatment:

Other: Routine physical therapy