Universal Exercise Unit Therapy With Sling Exercise Therapy on Lower Limb Kinematics in Chronic Stroke Patients

Riphah International University

Status: Enrolling

Conditions: Chronic Stroke

Treatments: Other: Routine Physical Therapy / Control Group; Other: Sling Exercise Therapt (SET); Other: Universal Exercise Unit Therapy (UEU)

Study type: Interventional

Funder types: Other

Identifiers

NCT05033873

REC/RCR&AHS/21/1108

Details and patient eligibility

About

Stroke occurred when blood supply to brain or a part of brain is disturbed due to clot (ischaemic stroke) or due rupture of small vessels (hemorrhagic stroke) in brain and causes bleeding in brain cells. The prevalence of stroke was 1.2 % (1200/100,000) in Pakistan, 3.1% in China and it is 44.29 to 559/100,000 in different parts of the world. Leading cause of stroke is hypertension. The aim of study will be to compare universal exercise unit therapy with sling exercise therapy on lower limb kinematics, disability, balance and quality of life in chronic stroke patients.

Full description

This will be randomized controlled trial. Study will be conducted at Khawaja Arshed Hospital Sargodha. Duration of intervention will be 08 weeks, 5 sessions in a week, total 40 sessions. Duration of single session will be one hour. A convenient sample of n patients fulfilling the inclusion and exclusion criteria will be selected from in-patient settings of various hospitals from the city Sargodha and will be allocated randomly into three groups equally after taking informed consent. Group A will obtain Universal Exercise Unit Therapy. Group B will obtain Sling Exercise Therapy and Group C will be control and will receive routine physical therapy. Outcome will be measured at baseline, 04 weeks and 08 weeks. Outcome measurement tools will be Berg balance scale, Barthel index, Short form 12 (SF-12), Trunk impairment scale, functional reach test and smart phone motion analysis for lower limb kinematics. Scores will be measure in mean and SD. Results of intervention will be comparing by using one way ANOVA by using IBM SPSS version 21.0

Enrollment: 90 estimated patients

Sex: All

Ages: 30 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with chronic (course of disease at least six month)
• Recently discharge from in-patients setting with in 06 month of onset
• Hemiplegia (either right or left)
• Both gender
• Age between 30 to 70
• Medically stable
• No balance disorders before this stroke.
• History of mental
• illness or severe cognitive impairment (MINI-MENTAL SCALE SCORE > 25)

Exclusion criteria

• Stroke Patient with complication like shoulder hand syndrome, adhesive capsulitis or shoulder partial dislocation
• Stroke patients with behavioral issue, significant cognitive deficit
• Patients with arthritis and fracture
• Chronic stroke with deformities
• Serious viscera dysfunction, such as cardiovascular system,
• Lung, liver and kidney
• History of mental
• Illness or severe cognitive impairment (MINI-MENTAL SCALE SCORE > 25)
• Audio-visual understanding
• obstacle, unable to cooperate with instructions;
• Infection and ulcer skin

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 3 patient groups

Group A: Universal Exercise Unit Therapy (UEU)

Experimental group

Description:

This experimental group will be given universal exercise unit therapy.

Treatment:

Other: Universal Exercise Unit Therapy (UEU)

Group B: Sling Exercise Therapy (SET)

Experimental group

Description:

This experimental group will be given sling exercise therapy

Treatment:

Other: Sling Exercise Therapt (SET)

Group C: Control Group

Other group

Description:

Control group will be given routine physical therapy

Treatment:

Other: Routine Physical Therapy / Control Group