Clinical trial NCT06509646: Comparison of Tai Chi and Frenkel's Exercises in Patients With Stroke
Official title: Comparison of Tai Chi and Frenkel's Exercises to Improve Balance, Fall Risk and Activities of Daily Living in Patients With Stroke
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Keywords: Tai Chi Exercise
Frenkel's Exercise
Stroke
ADL
Fall Risk
Balance
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-07-19
Enrollment: 36
Sex: ALL
Minimum age (years): 50
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The main objective of this study is to compare the effectiveness of Tai Chi and Frenkel's exercises to improve balance, fall risk and activities of daily living in patients with stroke.

Detailed description: A total of 44 patients will be recruited after inclusion and exclusion criteria. Patients will be recruited through nonprobability convenience sampling technique and will be randomized through Lottery method into either a Group A or a Group B, and for each group, the number of patients will be identical. Group A will receive Tai Chi exercises for 1-hour class, 3 times per week for 12 weeks along with routine physical therapy. Routine treatment includes range of motion (ROM) exercise, stretching \& strengthening exercises, passive movements \& gait training. Group A will receive the Tai Chi exercise with conventional treatment and Group B will receive Frenkel's exercise with conventional treatment. Treatment dosage will be 1 session per day of 1 hour class, 2 sets per session, and 5 repetitions per set, 3 times per week and for 12 weeks. Patients will be assessed at baseline and after the treatment using a variety of measurement scales. After the completion of this time period, the assessment of balance, activities of daily living and fall risk will be performed again and will be compared to baseline assessment to check the comparison between 2 interventions. The risk fall will be measured by Stratify Risk Assessment Tool, Activities of daily will be measured by The Barthel Index (BI) , while balance will be assessed by using berg balance scale (BBC). Data will be analyzed by using SPSS (Statistical Package for Social Sciences) 23 version.

Eligibility criteria: Inclusion Criteria:

* Community-dwelling survivors of stroke who were aged ≥50 years
* Both genders can participate in the study
* ≥3 months poststroke
* The vital signs were stable
* Survivors of both hemorrhagic and ischemic stroke
* Modified Rankin Scale 14 score of three or less
* Short Physical Performance Battery 15 score of 3 to 9
* Mini-Mental State Exam 16,17 score of 18 or greater.

Exclusion Criteria:

* The subject is unable to perform exercises.
* Subjects with diagnosed vestibular disease.
* The subjects included in the experiment were normal elderly without stroke diseases.
* The subjects had dyskinesias and could not complete Tai Chi exercises.
* Serious medical condition (e.g. active cancer treatment.
* Stroke survivors whom had no disability that would interfere with study participation.
* Subject taking medications that increases the incidence of fall.
* Subjects who undergoes strength and balance training in the past 3 months.

Primary outcomes:
measure: The Barthel Index
timeFrame: 12th week
measure: The Berg Balance Scale (BBS)
timeFrame: 12th week
measure: Fall Risk Assessment Tool (SRATIFY)
timeFrame: 12th week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Alveena fatima
state: Punjab
Study officials:
affiliation: Riphah International University
name: Aruba Saeed, phd
role: PRINCIPAL_INVESTIGATOR
References: