Effect of Gait Training With Auditory Stimuli on Balance, Gait & Funtional Independence in Stroke

Study Overview
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Brief Summary
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To determine the effect of gait training with auditory stimuli on dynamic balance, gait and functional independence on chronic stroke.

Detailed Description
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The purpose of this study is to find the effect of gait training with auditory stimuli using a smart phone metronome application on dynamic balance, gait and functional abilities of chronic stroke patients.

Official Title
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Effect of Gait Training With Auditory Stimuli on Dynamic Balance, Gait and Functional Independence in Chronic Stroke

Conditions
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Stroke

Intervention / Treatment
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* Other: conventional gait training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: both gender Age between 30-70 More than 6 months after the stroke Able to walk more than 10 meters independently MMSE score of 24 Exclusion Criteria: Dependent gait Aphasia Any hearing or visual defects Moderate to severe cognitive disorder People not willing to participtae

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 70 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: effect of gait training with AS on dynamic balance, gait and functional independence in stroke<br>Patients with chronic stroke receive gait training with auditory stimuli to improve dynamic balance, gait and functional independence. | Other: conventional gait training<br>* The experimental group received circuit gait training with auditory stimuli using a smartphone metronome application. The training program consisted of eight different activities i.e. tandem walk, one-leg standing, military march, sitting up and forward walk, lateral walk, kicking a ball towards the wall, walking on a set pattern and obstacle walk .Patient will practice each task for 3-4 mints and three times per week.<br>* Other names: Gait training with auditory stimuli;|
| Other: effect of conventional gait training on dynamic balance, gait and functional independence in stroke<br>Patients in this group receive conventional gait training only to improve dynamic balance, gait and functional independence .Patients did not receive auditory stimuli for gait training. | Other: conventional gait training<br>* The experimental group received circuit gait training with auditory stimuli using a smartphone metronome application. The training program consisted of eight different activities i.e. tandem walk, one-leg standing, military march, sitting up and forward walk, lateral walk, kicking a ball towards the wall, walking on a set pattern and obstacle walk .Patient will practice each task for 3-4 mints and three times per week.<br>* Other names: Gait training with auditory stimuli;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg balance scale | To identify the effect of treatment on dynamic balance. The BBS consists of 14 items scored on a 5 point ordinal scale , ramging from 0-4 ..0 means unable to sit without support .4 means able to sit independently. | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Barthel index | it is an ordinal scale that measures functional independence in the domain of personal care and mobility. | 6 weeks | 
| Gait speed | it is the time one takes to walk a specific distance on level surface over a short distance. A distance of 3 to 10 meters is measured over a level surface with 2 meters acceleration and 2 meter for decleration | 6 weeks | 
| POMA | It evaluates dynamic balance and walking patters. | 6 weeks |