Comparison of Effects of Activity Base Therapy vs Strength Training on Gait Performance in Chronic Stroke

Study Overview
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Brief Summary
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Stroke is a leading cause of disability worldwide affecting both male and female especially in older people. Functional independence and locomotion are hampered in stroke, therefore, affecting their quality of life. Objective: To find the comparative effects of activity base therapy vs strength training on gait performance in chronic stroke patients.

Detailed Description
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It was a randomized controlled trial, conducted in physical therapy department of Sir Ganga Ram Hospital. 20 chronic stroke patients were equally divided into two groups. In group-A patients were treated with activity base therapy and in group-B patients were treated with strength training. Patients were treated for a total of 6 weeks (12 sessions), 1 hour in a day, 3 times per week. Patients were assessed using Timed Up and Go (TUG) test and Fugl Meyer Examination-Lower Extremity (FME-LE). SPSS 25 was used toanalyze the dat

Official Title
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Comparison of Effects of Activity Base Therapy vs Strength Training on Gait Performance in Chronic Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: activity based therapy
* Other: Strength Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants were at least 6 months post stroke. Ability to walk independent or with help of walking aids Ischemic stroke patients included in study. Mini mental state examination patients fully understand the commands Exclusion Criteria: Presence of orthopaedic problems. Neurological disorders. Psychological problems. Cognitive issues. People with severe visual issues. Participants with other medical complications foot ulcers, orthopaedic or other neurological impedance

Ages Eligible for Study
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Minimum Age: 55 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Activity based therapy<br>Activity based training was done in 2 phases. exercise involve Standing and reaching Sit-to-stand Stepping forward and backward Phase 2 Phase 2 started after 3 weeks. Phase 2 included the phase 1 exercise along with below exercise. (10) Walking on a treadmill; | Other: activity based therapy<br>* Standing and reaching (2) Sit-to-stand (3) Stepping forward and backward onto blocks (4) Stepping sideways onto blocks (5) Forward step up onto blocks (6) Raising and lowering of heel (7) Standing with the base of support constrained with feet in parallel and tandem conditions Phase 2 started after 3 weeks. Phase 2 included the phase 1 exercise along with below exercise. (10) Walking on a treadmill; (11) Walking over various surfaces and obstacles;<br>|
| Active Comparator: strength training<br>Strength training for hip • flexor and extensors and abductors, knee extensors, and ankle dorsi flexors and plantar •flexors. Apart from using body weight, sandbag weights and Therabands of eight different resistances | Other: Strength Training<br>* Strength training included for hip • flexor and extensors and abductors, knee extensors, and ankle dorsi flexors and plantar •flexors. Apart from using body weight, sandbag weights and Therabands of eight different resistances<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time Up and Go Test (TUG) | Simple screening test that is a sensitive and specific measure of probability for falls among older adultsThe Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turn around 180 degrees, walk back to the chair, and sit down while turning 180 degrees. | 2 months | 
| Fugl meyer for lower limb | The fugal-meyer assessment (FMA) is a stroke-specific, performance-based impairment index. It is designed to assess motor functioning in patient with post stroke hemiplegia. | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic stroke, Gait, Activity based therapy, strength training, exercises