Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients

Study Overview
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Brief Summary
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Following stroke, patients loses functions of the motor, sensory and higher brain cognitive faculties to various degrees which lead to diminished balance. It has been documented that hemiplegic or hemiparetic stroke patients presented with more posture sway, asymmetric weight distribution, impaired weight-shifting ability and decreased stability capability. There are many balance exercises and strategies; to improve balance in elderly age group population, to prevent fall prevention. But we have very few evidences of giving manual perturbation balance training in stroke patients to improve speed, balance and function. Therefore this study is taken up to examine whether the manual perturbation balance training is more effective in improving speed, balance and function in stroke patients.

Detailed Description
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There are many more studies done for elderly populations, normal individuals for improving balance by giving perturbation based balance training.All perturbation exercises are given by either mechanical or by self reaching tasks in forward,backward,and in both sideways. There are very studies ;who attempted perturbation based balance training to improve balance in elderly population but not for stroke patients for their Speed, Balance and Function.The manual perturbation exercise can be an promising intervention in the future for various conditions

Official Title
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Effectiveness of Perturbations Exercises in Improving Balance, Function and Mobility in Stroke Patients.

Conditions
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Stroke

Intervention / Treatment
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* Other: Perturbation
* Other: Conventional Physiotherapy Treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: First ever stroke Age ranges between 40-70 Both genders were included Ambulatory patients with or without ambulatory aids Occurrence of stroke at within 0-3 months i.e.-sub acute Able to follow command Mini mental scale examinations not less than 24 Exclusion Criteria: Patients who has severe limitations in passive range of motion at lower extremities Patients with impaired sensory, proprioceptor, cognitive and perceptual ability Patient who has contracture Orthopedic or any other neurological disorder which impair balance

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

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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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Group<br>manual perturbations were given in forward, Backward,right and left sideways, 10 perturbations were given,6 days in week,in fallowing positions- sitting,kneeling, standing positions | Other: Perturbation<br>* Manual perturbations were given at waist region,over the Shoulders. in following positions- sitting, kneeling, standing positions,10 perturbations were given in forward,backward,both right and left side, 6 days in a week all precautionary measures taken for the patient's safety<br>* Other names: Manual Perturbation;Other: Conventional Physiotherapy Treatment<br>* Conventional Physiotherapy treatment were given to participants included in this group for 30 mins daily for 4 weeks<br>* Other names: control Group;|
| Placebo Comparator: Control group<br>Conventional Physiotherapy were given 6 days in a week, for 30 mins for 4 weeks, includes stretching, strengthening of contralateral limbs | Other: Perturbation<br>* Manual perturbations were given at waist region,over the Shoulders. in following positions- sitting, kneeling, standing positions,10 perturbations were given in forward,backward,both right and left side, 6 days in a week all precautionary measures taken for the patient's safety<br>* Other names: Manual Perturbation;Other: Conventional Physiotherapy Treatment<br>* Conventional Physiotherapy treatment were given to participants included in this group for 30 mins daily for 4 weeks<br>* Other names: control Group;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Scale | patients ability of balance were assessed | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Independence Scale | ability of Functional independent level for Activity Of Daily Living were assessed | 4 weeks |