Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients

Chronic Stroke Clinical Trial

Official title:

Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06346652
• Other study ID #: REC-UOL-216-03-2024
• Status: Recruiting
• Phase: N/A
• Start date: March 10, 2024
• Est. completion date: April 30, 2024

Study information

• Verified date: March 2024
• Source: University of Lahore
• Contact: Safa Saleem, MSPTN
• Phone: 03354028864
• Email: safah.saleem[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Description:

Background: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

Objective: To compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Methodology: 73 patients were enrolled in this study, 37 patients were assigned into control group while 36 participants were assigned into experimental group. Control group received routine physical therapy while experimental group received core strengthening and proprioceptive neuromuscular technique. Static component of berg balance scale and PoData Stabiliometeric plate was used for plantar pressure and measurement of balance respectively.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 73
• Est. completion date: April 30, 2024
• Est. primary completion date: April 22, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 45 Years to 60 Years

Eligibility

Inclusion Criteria:

• Age (45-60 years)

• Score of 9 or Higher on static component of berg balance scale

• Having score of equal or less than 2 on Modified Ashworth scale

• Having score of greater than or equal to 24 on Mini Mental State Examination.

• First ever episode of stroke

• Duration of stroke greater than 6 months

• Both genders

Exclusion Criteria:

• Concurrent orthopedic conditions that may hamper standing

• Relevant psychiatric disorders that may prevent from following instructions.

• Medical drugs that may influence intervention

• Conditions contraindicating physical activity

• Use of Cardiac pace maker.

Related Conditions & MeSH terms

• Chronic Stroke
• Stroke

Intervention

Other:
• Routine Physical Therapy
Routine physical therapy involving muscle strengthening exercises, range of motion exercises and stretching exercises up to patient's tolerance. Other exercises were pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, wobble board exercises. Each session was of 60 minutes 5 times weekly for 6 weeks.
• Routine Physical Therapy+ PNF and Core Stregthening
Routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals were performed in lower extremity in D1 flexion pattern and D1 extension pattern up to patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks.

Locations

Country	Name	City	State
Pakistan	The University of Lahore Teaching Hospital	Lahore

Sponsors (1)

Lead Sponsor	Collaborator
University of Lahore

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Static Standing Balance	Measure using static component of berg balance scale. The items are scored from 0 to 4 with a score of 0 representing an inability to complete the task. Score of 4 representing independent item completion.	6 weeks
Secondary	Plantar Pressure	Foot plantar pressure is the pressure field that acts between the foot and support surface during static standing. PoData Stabiliometric plate was used to measure it. Normal value is 16.67% of the body weight on 5th metatarsal.	6 weeks