PNF vs Pertubation Based Balance Training in Subacute Stroke Patients.

Riphah International University

Status: Enrolling

Conditions: Stroke

Treatments: Other: PBBT (pertubation based balance training); Other: PNF and PBBT intervention group; Other: PNF(proprioceptive neuromuscular facilitation exercises)

Study type: Interventional

Funder types: Other

Identifiers

NCT05856045

REC/5341nimraazmat

Details and patient eligibility

About

To determine the effects of proprioceptive neuromuscular facilitation exercises versus perturbation-based balance training on balance, coordination, and proprioception in subacute stroke patients, it will be a randomized clinical trial.

Full description

Stroke is the major cause of disability and mortality worldwide. Stroke is defined as an abrupt neurological outburst caused by impaired perfusion through the blood vessels to the brain. Every year the number of strokes affected individuals are rising thereby putting an extra pressure on socioeconomic conditions in developing countries. Major complications of stroke include hemiplegia leading to upper limb dysfunction along with gait abnormalities. This study will be conducted to determine the effects of proprioceptive neuromuscular facilitation exercises versus perturbation-based balance training on balance, coordination, and proprioception in subacute stroke patients. The randomized clinical trial will be conducted, participants will be selected through Non probability convenience sampling technique and then randomly allocated into three treatment groups.

Enrollment: 40 estimated patients

Sex: All

Ages: 40 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age:40-70 years.
• Gender: Male and female
• The Subacute stroke patients, at least 3 months post stroke.
• Patients able to stand without support from upper limb.
• Patients able to perform 10 meter walk test.

Exclusion criteria

• Neurological conditions other than stroke like Guillain barre syndrome, Chronic inflammatory demyelinating polyradiculoneuropathy, Parkinson's disease, Transverse Myelitis etc.
• Patients with not intact higher mental function and cognition.
• Patients with grade 3 arthritis and traumatic injuries like spinal cord injuries and TBIs
• Other chronic disabling pathologies, orthopedic injuries that could impair locomotion

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 3 patient groups

PNF intervention group

Experimental group

Description:

Proprioceptive neuromuscular facilitation (PNF) is a therapeutic approach that uses cutaneous, proprioceptive and auditory input to produce functional improvement in motor output.

Treatment:

Other: PNF(proprioceptive neuromuscular facilitation exercises)

PBBT(pertubation based balance training) intervention group

Experimental group

Description:

Perturbation-based balance training (also referred to as reactive balance training or perturbation training) utilizes a task-specific approach to balance training, applying repeated exposure to unpredictable mechanical perturbations that mimic balance disturbances experienced in daily life.

Treatment:

Other: PBBT (pertubation based balance training)

PNF and PBBT intervention group

Experimental group

Description:

both techniques will be used

Treatment:

Other: PNF and PBBT intervention group