Alexander Technique, Routine Physical Therapy, Balance, Posture, Functional Mobility , Chronic, Hemorrhagic, Stroke

Study Overview
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Brief Summary
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MATERIALS AND METHODS Design: The randomized controlled trial. Setting: Nusrat Abdul Rauf Centre for Enablement, Faisalabad. Sample size:40 in each group. Experimental group: Recieve Alexander Technique with Routine Physical Therapy. Control Group: Recieve Routine Physical Therapy.

Detailed Description
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Control Group: Routine Physical Therapy duration: two days a week for 16 weeks. Trunk stabilising exercises time duration will be 15 minutes, Straight static standing.Time duration 15 minutes. Shoulders extend. Threestepsfeet placement.10cm away. Open eye target at 2m away. Arms by side. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Raise heel with straight foot & straight head. 20 minutes. Foot raise with straight foot & straight head. 20 minutes. Rest.5 minutes. Experimental Group: Alexander Technique + Routine Physical Therapy duration for two days a week for 16 weeks. Lessons will be 32. Verbal Instructions in Trunk stabilising exercises. Lift the lumber, Head in Centre, fix hands and feet. The time duration will be 15 minutes, Verbal instructions in Stance Phase: Relax-Lighten up-Relax-Pull-up. Shoulder back, head up, tummy in and stand up straight. Hip and feet width apart. Straight static standing.Time duration 15 minutes. Shoulders extend. Threestepsfeet placement.10cm away. Open eye target at 2m away. Arms by side. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Raise heel with straight foot & straight head. 20 minutes. Foot raise with straight foot & straight head. 20 minutes. Rest.5 minutes.

Official Title
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Effects of Alexander Technique In Addition To Routine Physical Therapy On Balance, Posture And Functional Mobility In Chronic Hemorrhagic Stroke: A Randomised Controlled Trial

Conditions
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Chronic Hemorrhagic Stroke

Intervention / Treatment
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* Other: Alexander Technique + Routine Physical Therapy
* Other: Routine Physical Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Chronic Hemorrhagic Hemiplegic Stroke. Age40-60Yrs. Both genders. Intact cognition by MMSE. Muscle tone assessment by Ashworth scale. Right or left side. 6th month onset. Exclusion Criteria: - Dizziness. Vertigo. Cerebellum damage. Hearing impairment. Vision impairment

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 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
Interventional Model Description: Parallel
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Alexander Technique + Routine Physical Therapy<br>Routine Physical Therapy+Alexander Technique Verbal Instructions in Trunk stabilising exercises. The time duration will be 15 minutes. Verbal instructions in Stance Phase Time duration 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Lessons would be two days a week for 16 weeks. | Other: Alexander Technique + Routine Physical Therapy<br>* Verbal Instructions in Trunk stabilizing exercises. The time duration will be 15 minutes. Verbal instructions in Stance Phase Time duration 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Lessons would be two days a week for 16 weeks.<br>Other: Routine Physical Therapy<br>* Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Two days a week for 16 weeks.<br>|
| Placebo Comparator: Control Group<br>Routine Physical Therapy duration: two days a week for 16 weeks. Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes.Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. | Other: Routine Physical Therapy<br>* Trunk stabilising exercises time duration will be 15 minutes. Stance Phase time duration will be 15 minutes. Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Two days a week for 16 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Scale | The balance will be assessed by the Berg balance scale includes fourteen items .(0-20) specifies high fall risk. (21-50) specifies medium fall risk. (41-56) specifies low fall risk. | 16 week | 
| Postural Assessment Scale for Stroke | The postural assessment scale for stroke comprised 12 items with a score range of 36. Static and Dynamic PASS rate from 0-3 0 indicates the lowest level of function and 3 indicates the highest level of function. | 16 week | 
| Time Up and Go Test | Time up and Go test for measuring Distance of Walking within 10-15 seconds . | 16 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cerebrovascular Accident