Relationship Between Pelvic Tilt and Sit to Stand Task in Stroke Patients

Study Overview
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Brief Summary
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The purpose of this study is to assess and determine the influence of pelvic inclination on sit to stand task in stroke patients.

Detailed Description
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There is a crucial need to have a better understanding of effect of pelvic inclination on sit to stand activity and to know the important factors to be considered to improve the patients' treatment and performance. Forty five participants are recruiting to assess the pelvic tilt angles in stroke patients during sitting position and to analyze the influence of pelvic tilt angles on ability to perform sit to stand task during rising from a chair in stroke patients.

Official Title
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Influence Of Pelvic Inclination On Sit To Stand Task In Stroke Patients

Conditions
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Stroke

Intervention / Treatment
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* Other: Sagittal pelvic tilt assessment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients' age ranged from 45-60 years old. Normal body weight with a body mass index (BMI) ranged from 18.5 to 24.9 kg/m2. Patients' had the ability to maintain sitting position without using any aids. Patients' had the ability to stand from sitting five times independently. Cooperative patients with ability to understand instructions and follow simple verbal commands. The duration of illness was from six months to 2 years. The degree of the paretic lower limb spasticity ranged between (1:1+) according to the Modified Ashworth Scale. The degree of the paretic lower limb weakness was not less than grade 3 according to group muscle testing. Exclusion Criteria: History of previous strokes and other neurological disorders. Visual, auditory and vestibular deficits. Cognitive impairments and language deficits. Leg length discrepancy is more than 0.5 cm. Previous history of orthopedic conditions in back or lower limbs (e.g. low back pain, fractures, deformities and surgeries).

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental group1<br>15 stroke patients with right side affection, their age ranged form 45 to 60 were recruited to assess the pelvic tilt angles from sitting position and from the dynamic task of sit to stand. | Other: Sagittal pelvic tilt assessment<br>* Each group passed by three phases of assessment. Firstly assess the pelvic tilt angles from sitting position. Secondly assess the pelvic tilt angles from dynamic sit to stand task. Thirdly, assess the ability to perform sit to stand task of each participant.<br>|
| Experimental group2<br>15 stroke patients with left side affection, their age ranged form 45 to 60 were recruited to assess the pelvic tilt angles from sitting position and from the dynamic task of sit to stand. | Other: Sagittal pelvic tilt assessment<br>* Each group passed by three phases of assessment. Firstly assess the pelvic tilt angles from sitting position. Secondly assess the pelvic tilt angles from dynamic sit to stand task. Thirdly, assess the ability to perform sit to stand task of each participant.<br>|
| Control group<br>15 Normal subjects without any diseases or dysfunctions , their age ranged form 45 to 60 were recruited to assess the pelvic tilt angles from sitting position and from the dynamic task of sit to stand. | Other: Sagittal pelvic tilt assessment<br>* Each group passed by three phases of assessment. Firstly assess the pelvic tilt angles from sitting position. Secondly assess the pelvic tilt angles from dynamic sit to stand task. Thirdly, assess the ability to perform sit to stand task of each participant.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| posterior pelvic tilt angle | Posterior pelvic tilt angle measured by the palpation meter (PALM) inclinometer. It was assessed as one shot in one assessment session. | One shot (Each participant was assessed immediately and it takes about 15 minutes) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pelvic Inclination analysis in sit to stand task | Pelvic Inclination analysis in sit to stand task by Two dimensional video based motion analysis in three phases of sit to stand task. It will be assessed as one shot in one assessment session. | One shot (Each participant is assessed immediately and it takes about 10 minutes) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pelvic Inclination, Sit to Stand, Stroke, Anterior pelvic tilt, Posterior pelvic tilt