Video Balance-based Exercise in Persons With Stroke

Study Overview
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Brief Summary
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This study is to compare the effects of Interactive video balance-based exercise (IVBE) intervention and conventional rehabilitation on the balance and functional performance in stroke survivors. Fifteen participants will receive Interactive video balance-based exercise, while the other half will receive conventional rehabilitation.

Detailed Description
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Thirty individuals with stroke are recruited and allocated to 2 groups in this study. Fifteen participants in group A will undergo 30 minutes a day and 3 days a week interactive video balance-based exercise intervention for four weeks. Another 15 participants allocated to the group B will receive 30 minutes a day and 3 days a week conventional rehabilitation for four weeks. Time up go test (TUG), Berg Balance Scale (BBS), Modified Falls Efficacy Scale (MFES), Motricity Index (MI), Functional Ambulation Category (FAC) were assessed before and after intervention in both groups

Official Title
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Effect of Interactive Video Balance-based Exercise in Persons With Stroke

Conditions
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Stroke

Intervention / Treatment
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* Behavioral: interactive video balance-based exercise
* Behavioral: Conventional physiotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients present with unilateral hemiplegia caused by a first-ever stroke cognitive ability is sufficient to understand the nature of study (Mini-Mental State Examination score>=23) medical and psychological condition stable Exclusion Criteria: patients having severe spasticity (Modified Ashworth scale > 3) severe hearing or eye problem intake of drugs or other medical condition that can affect function or can't tolerate rehabilitation

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 80 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: Interactive video balance-based exercise<br>Fifteen participants in group A will undergo 30 minutes a day and 3 days a week interactive video balance-based exercise intervention for four weeks. | Behavioral: interactive video balance-based exercise<br>* Interactive video balance-based exercise :10 minutes of warm up exercise, 30 minutes of Interactive video balance-based exercise and 5 minutes of cool down exercise.<br>|
| Active Comparator: Conventional physiotherapy<br>Another 15 participants allocated to the group B will receive 30 minutes a day and 3 days a week conventional rehabilitation for four weeks. | Behavioral: Conventional physiotherapy<br>* conventional physiotherapy: 10 minutes of warm up exercise, 30 minutes conventional physiotherapy and 5 minutes of cool down exercise. Conventional physiotherapy contains rolling, sitting, balance exercise, standing, overground walking, facilitation of the paretic limbs, and so on.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Berg Balance Scale (BBS) | Participants perform a series of 14 functional balance tasks, such as maintaining a quiet stance, sitting-to-stand, shifting weight and reaching, turning in place, standing on one leg, and maintaining a tandem stance. | Measurement before and after intervention ( week 0 and at the end of week 4) in both groups | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change of Time Up Go test (TUG) | The TUG test is a quick, reliable, valid, and accurate method commonly used to test dynamic stability and functional mobility. In the test, participants stand up from a 46-cm-high armchair with back support, walk straight for 3 m, turn around, walk back to the chair, and sit down as quickly and safely as possible. | Measurement before and after intervention ( week 0 and at the end of week 4) in both groups | 
| Change of Modified Falls Efficacy Scale (MFES) | The MFES is a 14-item rating scale questionnaire that contains the original 10-activity Falls Efficacy Scale and 4 additional activities. It is used to assess confidence of not falling while performing daily activities. | Measurement before and after intervention ( week 0 and at the end of week 4) in both groups | 
| Change of Motricity Index (MI) | The MI reflects general muscle strength in persons with stroke. | Measurement before and after intervention ( week 0 and at the end of week 4) in both groups | 
| Change of Functional Ambulation Category (FAC) | The FAC is based on the required level of assistance during walking in individuals with stroke. | Measurement before and after intervention ( week 0 and at the end of week 4) in both groups | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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interactive video balance-based exercise, conventional physiotherapy