Sensorimotor Integration Exercises on Post-stroke Balance and Fall Efficacy (SMIE)

Mahidol University

Status: Completed

Conditions: Stroke

Treatments: Behavioral: conventional physiotherapy; Behavioral: sensory motor integration exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT03584035

3-2018

Details and patient eligibility

About

To study the effect of sensorimotor integration exercises on balance and fall efficacy in sub-acute stroke by performing 18 balance training exercises with three progressive steps.

Full description

Balance impairment after stroke is significantly correlated with fall risk. To improve balance and reduce fall efficacy, the participants in the study group will be trained by six weeks three progressive steps of sensorimotor integration exercises. Each exercise step will take 30 minutes of a practice session, three sessions per week. Conventional physiotherapy (passive and active exercises and lower extremities strengthening exercises) will be given to the control group. The changes in balance performance and fall efficacy will be measured and compared within and between groups.

Enrollment: 46 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First episode of sub-acute stroke (from 1 to 26 weeks) referred from physicians
• Both sexes
• Age above 20
• Good cognition (Mini Mental State Examination Scale ≥24)
• Moderate and moderately severe disability (Modified Rankin Scale- 3 and 4)
• Impaired balance (BBS <41)

Exclusion criteria

• Recurrent stroke
• Associated with other neurological conditions (such as Parkinson's disease, Epilepsy, meningitis)
• Deficits of somatic sensation involving the paretic limb (Fugl-Meyer Assessment - sesation< 1)
• Lower extremity weight bearing pain (Fugl-Meyer Assessment- pain <1)
• Low back pain (VAS ≥ 3)
• Severe visual deficits which cannot be corrected by lens or glasses
• Symptomatic vestibular disorders (Paroxysmal postural vertigo)
• Associated serious cardiac disorder

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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46 participants in 2 patient groups

Sensory motor integration group

Experimental group

Description:

Sensory-motor integration exercises with 3 progressive steps, 30 minutes per sessions, 3 sessions per week for 6 weeks.

Treatment:

Behavioral: sensory motor integration exercises

Conventional group

Active Comparator group

Description:

Conventional exercises include simple passive and active exercises and lower extremities strengthening exercises for balance and ambulation. The exercise session will last 30 minutes for 3 sessions per week. The total intervention period is 6 weeks.

Treatment:

Behavioral: conventional physiotherapy