Effects of PNF Patterns Training on Trunk Balance, and Gait in Chronic Stroke Patients

Stroke, Ischemic Clinical Trial

Official title:

Effects of PNF Patterns Training on Trunk Balance, and Gait in Chronic Stroke Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05221112
• Other study ID #: REC/RCR & AHS/21/0218
• Status: Completed
• Phase: N/A
• Start date: September 15, 2021
• Est. completion date: February 15, 2022

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To determine the effects of PNF patterns Training on trunk balance and gait in chronic stroke patients.

Description:

This study will be conducted to investigate the effects of PNF patterns training on the trunk control, balance, and gait ability of chronic stroke patients. Data will be collected from stroke patients from Government Mian Munshi hospital (DHQ) and Riphah Rehabilitation center. A consecutive sampling technique will be use which is based on 6 months' time period. TIS (Trunk Impairment Scale), BBS (Berg Balance Scale), 10 MWT (Meter Walk Test) will be used as a tool to collect the data. SPSS 21 version will be used for data entry and analysis.

This study will provide the effects of PNF patterns training on the trunk control, balance, and gait ability in chronic stroke patients. All possible patients will be taken using random sampling. Single plane training and diagonal pattern training will use. The subjects will randomly assign to the experiment group (diagonal pattern training) and the control group (single plane training). Diagonal pattern training will modified with proprioceptive neuromuscular facilitation technique's chopping and lifting pattern to create 10 movements.

Informed consent will be taken from all patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: February 15, 2022
• Est. primary completion date: February 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 35 Years to 65 Years

Eligibility

Inclusion Criteria:

• Chronic stroke patients whose onset of stroke was at least 6 months to two years

• Ability to maintain an independent standing posture for 30s, ability to walk 30m alone indoor.

• Patient with the ability to communicate enough and to understand oral instructions given by the therapist.

• Patients who were not using assistive devices

• Patients receiving drug therapy of internal medicine for the alleviation of spasticity.

Exclusion Criteria:

• Unconscious patients.

• Patients undergone Spine surgery.

• Patients with Hemi neglect.

• Sensory ataxia or cerebellar ataxia.

• Coronary heart disease (CHD) or peripheral arterial disease (PAD).

• Cardio respiratory problems.

Related Conditions & MeSH terms

• Ischemic Stroke
• Stroke
• Stroke, Ischemic

Intervention

Other:
• diagonal pattern training
patients will receive proprioceptive neuromuscular facilitation technique's chopping and lifting pattern to create 10 movements.
• single plane training
patients will receive single plane training of proprioceptive neuromuscular facilitation in control group

Locations

Country	Name	City	State
Pakistan	Riphah International University	Islamabad	Fedral

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

References & Publications (4)

Dubey L, Karthikbabu S. Trunk proprioceptive neuromuscular facilitation influences pulmonary function and respiratory muscle strength in a patient with pontine bleed. Neurol India. 2017 Jan-Feb;65(1):183-184. doi: 10.4103/0028-3886.198193. — View Citation

Van Criekinge T, Saeys W, Hallemans A, Velghe S, Viskens PJ, Vereeck L, De Hertogh W, Truijen S. Trunk biomechanics during hemiplegic gait after stroke: A systematic review. Gait Posture. 2017 May;54:133-143. doi: 10.1016/j.gaitpost.2017.03.004. Epub 2017 Mar 4. Review. — View Citation

Van Criekinge T, Truijen S, Schröder J, Maebe Z, Blanckaert K, van der Waal C, Vink M, Saeys W. The effectiveness of trunk training on trunk control, sitting and standing balance and mobility post-stroke: a systematic review and meta-analysis. Clin Rehabil. 2019 Jun;33(6):992-1002. doi: 10.1177/0269215519830159. Epub 2019 Feb 22. — View Citation

Zhu Z, Cui L, Yin M, Yu Y, Zhou X, Wang H, Yan H. Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial. Clin Rehabil. 2016 Jun;30(6):587-93. doi: 10.1177/0269215515593392. Epub 2015 Jun 30. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Trunk Impairment Scale	This test is used to assess balance and function of trunk in stroke patients	Six months
Primary	Berg Balance Scale	To assess whole body balance	Six months
Primary	10 Meter Walk Test	To assess dynamic mobility	Six months