Effects of Multi-direction Stepping and Weight Shifting Exercises in Stroke Patients

Stroke Clinical Trial

Official title:

Effects of Multi-direction Stepping and Weight Shifting Exercises on Balance and Gait in Stroke Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05285241
• Other study ID #: ACP/OP/2016/ OL 06
• Status: Completed
• Phase: N/A
• Start date: May 11, 2016
• Est. completion date: May 22, 2017

Study information

• Verified date: March 2022
• Source: King Saud University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Stoke is a leading cause of disability that results not only in persistent neurological deficits but also profound physical de-conditioning that propagates stroke-related secondary disability. Several kinds of research have reported that there has been asymmetrical weight bearing on the affected side while sitting and standing resulting in impaired performance especially reaching in sitting, rising from the chair, walking, and climbing stairs. Despite the stroke patient being able to walk independently with or without the walking aids, the patient still lacks the normal movement pattern especially weight transfers on the affected side while performing such activities which subsequently decreases the patient to restrain the challenges while walking, decrease confidence in functional activities. Also, further, there hasn't been enough literature on this topic. Therefore, the objective of this study is to find out the effectiveness of multidirectional stepping and weight shifting exercises to improve dynamic balance and gait speed in stroke patients.

Description:

The twenty-four subjects who fulfilled the inclusion criteria were selected for the study and were randomly assigned into two groups of 12 subjects each by simple random sampling based on inclusion criteria. First, all the subjects were assessed with a detailed neurological assessment form after the consent form was taken from the patients. The experimental group was given multidirectional stepping exercise with conventional therapy whereas are control group was given only conventional therapy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 24
• Est. completion date: May 22, 2017
• Est. primary completion date: March 14, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Diagnosed with stroke via CT Scan or MRI

• Maintain the independent standing posture for 30 sec

• Ability to walk 3 meters independently without an assistive device

• Mini-Mental status examination score >21 points

• Could communicate and understand therapist's verbal command

• Voluntary agreed to participate in the study

• Age above 18 years old

• Medically stable (e.g. recent myocardial infarction, unstable angina, ventricular tachycardia)

Exclusion Criteria:

• Visual disorders and visual deficits

• History of any neurological pathology like Parkinson's or Alzheimer's disease

• Conditions affecting balance like vertigo

• Medications affecting balance

• Dementia

• Impaired conscious level or concomitant medical illness

• Lower Motor Neuron lesions

• Anti-spasmodic medication (e.g. Baclofen, Dantrolene Sodium, etc.)

• Severe orthopedic diseases in lower extremities (e.g. Osteoarthritis, fracture, sprain, strain)

Related Conditions & MeSH terms

• Stroke

Intervention

Other:
• Multidirectional stepping exercises
These exercises included stepping of the legs in different directions i.e. sideways, sideways and forefoot (forward), sideways and heel (backward).
• Conventional physiotherapy group
Conventional physiotherapy included a one-to-one range of motion exercises (10min), Strengthening exercises (10 min), Functional mat exercises (10 min), Stretching exercises (5 min), and Gait exercises (10 min)

Locations

Country	Name	City	State
Saudi Arabia	King Saud University	Riyadh

Sponsors (1)

Lead Sponsor	Collaborator
King Saud University

Country where clinical trial is conducted

Saudi Arabia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Berg Balance Scale	The Berg Balance Scale (BBS) is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function. Minimum possible value is 0 and maximum possible value is 56. Higher score represents better outcome.	4 weeks.
Primary	Functional gait assessment	The Functional Gait Assessment (FGA) assesses postural stability during walking tasks in persons with gait impairments.	4 weeks.