Perturbation Based Training And Bobath-Based Trunk Exercises On Gait , Postural Control And Mobility

Riphah International University

Status: Completed

Conditions: Stroke

Treatments: Other: Stable surface training; Other: Rocker board training

Study type: Interventional

Funder types: Other

Identifiers

NCT06130839

REC/0245Saba Sheikh

Details and patient eligibility

About

This study compares two approaches for rehabilitating stroke patients: Perturbation-Based Training and Bobath-Based Trunk Exercises. The perturbation based training focuses on challenging patients with unexpected movements to improve their balance and stability. While the Bobath method, concentrating on facilitating normal movement patterns. The study aims to determine which approach yields better outcomes in terms of trunk control, balance, and functional recovery for stroke patients. This study will also enable the individual to be more independent and minimize their falls.

Full description

Cerebrovascular is a leading cause of physical impairment and long-term disability in the globe. The complication of stroke is mobility impairment like balance, gait, and posture disorders. This impairment leads to a higher risk of falls, reduced ability in daily activities, and difficulty restoring the overall health and quality of life. Cerebrovascular accident is the second cause of fatality. Hence, one of the primary objectives in stroke rehabilitation is to restore postural stability and functional balance, which is a combination of dynamic, static and reactive balance. For improving postural stability and balance one such technique is the utilization of a rocker board, where a platform positioned on an unstable surface is used to challenge balance. Whilst rocker boards have been used effectively for, postural stability, injury prevention, rehabilitation and balance enhancement. Improvements in rocker board performance may be attributable to one or more of the following: muscle strengthening, enhanced intersegmental coordination, increase in brain activity in the supplementary motor area and/or enhanced feed-forward and feed-backward postural control mechanisms.

Enrollment: 58 patients

Sex: All

Ages: 40 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Able to walk with or without ambulatory aids
• Able to follow commands.
• Patients in the subacute and chronic stages associated with stroke hemiparesis (time since
• stroke onset 6 months- 1 year)
• Scoring > 21 on MMSE

Exclusion criteria

• Patients who have severe limitations in passive range of motion at lower extremities
• Visual and sensory deficits
• Patient who has contracture
• Orthopedic or any other neurological disorder which impair balance.
• Patients undergoing any other balance training protocol.
• Patients with recurrent strokes
• Participants who are currently participating in another clinical trial or research study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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58 participants in 2 patient groups

perturbation based training

Experimental group

Description:

1. Stretching of the erector spinae, 2. latissimus dorsi, gluteus Medius, gluteus minimums, and gluteus maximus (knee to chest) Pelvic Bridging Exercises 3. Strengthening Exercises of latissimus dorsi muscle 4. Pelvic Bridging Exercises include the gluteus maximus and quadriceps 5. Rocker board: Trunk control exercises on Rocker Board in standing position first in medio-lateral direction for 10 min and then in anterio-posterior direction for 10 min with breaks in between.

Treatment:

Other: Rocker board training

bobath based training

Experimental group

Description:

1. Stretching of the latissimus dorsi muscle 2. Functional use and strengthening of the latissimus dorsi. 3. Functional strengthening of abdominal and oblique abdominal muscles 4. Placing exercises to facilitate trunk extension 5. Rotations and counter-rotations (right and left) of the hips with the trunk extended Training of lumbar spine stabilizers Functional reach of shoulder, anterior, right, and left sides.

Treatment:

Other: Stable surface training