Proactive and Reactive Balance Training Effects on Balance and Functional Performance Among Chronic Stroke Survivors

Al-Quds University

Status: Completed

Conditions: Balance; Stroke; Chronic Stroke

Treatments: Other: Reactive balance training; Other: proactive balance training

Study type: Interventional

Funder types: Other

Identifiers

NCT06192485

RESC/2023-11

Details and patient eligibility

About

The study is an RCT study, comparing the proactive and reactive balance training among stroke survivors, the participants will be chronic stroke patients aged between 50- 75 years old, and the participants will receive a balance training program for 8 weeks 3 sessions in the week, the participants will randomly be allocated in two groups proactive group and the reactive group, at the end of the study will compare the different effects between proactive and reactive balance training

Full description

The objectives of the study are: (1) To investigate the effect of reactive balance training on balance and functional performance, (2) To investigate the effect of proactive balance training on functional activity and balance stroke survivors, and (3) To study the reactive balance training versus the proactive balance on balance and functional performance among stroke survivors.

The study will be a single-blinded RCT study will consist of 40 chronic stroke patients and will allocate randomly into 2 groups, the first intervention group n=20 will have proactive-balance training, and the second group n= 20 will have reactive balance training, the two groups will be blinded.

The study population will be chronic stroke patients discharged from Bethlehem Arab Society for Rehabilitation (BASR), Alahli Hospital, Al Mezan Hospital, and Alehsan Society for Rehabilitation, and lives in Hebron City and their villages.

The program will consist of 24 sessions in 8 weeks, through 3 sessions weekly. The sessions will be 45 minutes, starting with a 10 Min warm-up exercise and then the balance training and the sessions will end with 5 Min cool-down exercise.

The session will be individualized, the program has sequences depending on the patient's ability.

The program consists of:

1. Sitting training
2. Standing training
3. Walking training The sequences of the training will be based on a balance training protocol.

Enrollment: 40 patients

Sex: All

Ages: 50 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. chronic stroke patients
2. Males and females
3. Age from 50-75 years old
4. Able to follow up on instructions
5. Able to walk at least 10 meters continuously
6. Able to perform sub-maximal physical activity
7. stable health condition

Exclusion criteria

1. Acute stage or Subacute stage (less than 3 months)
2. stroke patients with other severe diseases
3. Head injuries
4. patients with mental problems
5. patients with vestibular problems
6. Patients refuse to sign the consent form

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Proactive balance training group

Active Comparator group

Treatment:

Other: proactive balance training

Reactive balance training group

Active Comparator group

Treatment:

Other: Reactive balance training