Effects Of Perturbation Based Balance Training in Reactive Balance Control Among Chronic Stroke Patients

Study Overview
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Brief Summary
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Chronic stroke patients often have impaired balance on reactive balance control. Task specific exercises are important part of the fall intervention in daily activities of life should be incorporated during the rehabilitative services Objective: Effects of perturbation based balance training in reactive balance control in chronic stroke patients.

Detailed Description
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RCT (Randomized Control Trail) study was conducted. Stroke patients who have impaired balance and reactive control were determined on inclusion & exclusion criteria. Stroke patients with impaired balance control were arbitrarily allocated into two groups with one control and one interventional group ages ranged from 45 to 50 years. The sample size was 20 patients. Group 1 (control group) received tradional balance training and Group 2 (interventional group) received perturbation based training for balance control. The interval of treatment was 6 weeks. Data is collected from Azra Naheed Medical college (Ch Muhammad Akram teaching & research hospital) Lahore and Physiotherapy department of Social security hospital manga mandi Lahore. Tinetti performance oriented mobility assessment (POMA),Time up and go (TUG) and Activity specific balance confidence (ABC) was used to evaluate the pre and post values of balance control.

Official Title
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Effects Of Perturbation Based Balance Training in Reactive Balance Control Among Chronic Stroke Patients

Conditions
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Stroke

Intervention / Treatment
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* Other: perturbation training
* Other: Conventional' balance training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals who was not obese and BMI was <28 Individuals at chronic stroke level (>6 months post stroke). The patients who can walk with or without a gait aid (but without assistance of another Exclusion Criteria: • Different neurological diseases and problems that can impaired balance control (e.g. Parkinson's disease); upper or the lower body parts amputation; cognitive, language, or social impairments which can affect the following of instructions. Patients who were attending any perturbation based training Patients who were visually impaired, having orthostatic hypotension or dizziness

Ages Eligible for Study
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Minimum Age: 45 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: perturbation based training<br>External perturbations occur by forces outside the patient' control (e.g., a push or pull from the physiotherapist). Internal perturbations caused when the patient is unable to control the centre of mass and the base of support relationship during voluntary movement; 'agility' tasks, such as kicking a soccer ball, | Other: perturbation training<br>* external or internal postural perturbations. External perturbations occur by forces outside the patient' control (e.g., a push or pull from the physiotherapist). Internal perturbations caused when the patient is unable to control the centre of mass and the base of support relationship during voluntary movement; 'agility' tasks, such as kicking a soccer ball,<br>|
| Active Comparator: Conventional' balance training<br>Starting from a situated position, expand your left leg until it's corresponding to the floor. Try not to bolt your knee. At that point, gradually bring your foot down to the floor. Rehash with your correct leg, exchanging to and fro between legs for a sum of 20 repitions (10 on every leg). Situated Marching Starting with a situated position, lift your effected leg towards your chest, making an honest effort to keep up controlled development. | Other: Conventional' balance training<br>* Starting from a situated position, expand your left leg until it's corresponding to the floor. Try not to bolt your knee. At that point, gradually bring your foot down to the floor. Rehash with your correct leg, exchanging to and fro between legs for a s<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tinetti performance oriented mobility assessment | POMA for gait and balance for stroke patients | 2 months | 
| Time up and go (TUG) | screening test that is a sensitive and specific measure of probability for falls among older adults[ | 2 months | 
| Activity specific balance confidence (ABC) | the Activities-specific Balance Confidence Scale (ABC Scale) is a structured questionnaire that measures an individual's confidence in performing activities without losing balance | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, Perturbation based training, Fall, Berg balance scale, Performance oriented mobility assessment