Clinical trial NCT05221112: Effects of PNF Patterns Training on Trunk Balance, and Gait in Chronic Stroke Patients
Official title: Effects of PNF Patterns Training on Trunk Balance, and Gait in Chronic Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke, Ischemic
Keywords: stroke
Gait Disorder
Balance; Disorder,
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-02-02
Enrollment: 30
Sex: ALL
Minimum age (years): 35
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: total 30 subjects will be randomly assigned to the experiment group (diagonal pattern training) and the control group (single plane training).Diagonal pattern training will be modified with proprioceptive neuromuscular facilitation technique's chopping and lifting pattern to create 10 movements.
Primary purpose: TREATMENT

Brief summary: To determine the effects of PNF patterns Training on trunk balance and gait in chronic stroke patients.

Detailed description: This study will be conducted to investigate the effects of PNF patterns training on the trunk control, balance, and gait ability of chronic stroke patients. Data will be collected from stroke patients from Government Mian Munshi hospital (DHQ) and Riphah Rehabilitation center. A consecutive sampling technique will be use which is based on 6 months' time period. TIS (Trunk Impairment Scale), BBS (Berg Balance Scale), 10 MWT (Meter Walk Test) will be used as a tool to collect the data. SPSS 21 version will be used for data entry and analysis.

This study will provide the effects of PNF patterns training on the trunk control, balance, and gait ability in chronic stroke patients. All possible patients will be taken using random sampling. Single plane training and diagonal pattern training will use. The subjects will randomly assign to the experiment group (diagonal pattern training) and the control group (single plane training). Diagonal pattern training will modified with proprioceptive neuromuscular facilitation technique's chopping and lifting pattern to create 10 movements.

Informed consent will be taken from all patients.

Eligibility criteria: Inclusion Criteria:

* Chronic stroke patients whose onset of stroke was at least 6 months to two years
* Ability to maintain an independent standing posture for 30s, ability to walk 30m alone indoor.
* Patient with the ability to communicate enough and to understand oral instructions given by the therapist.
* Patients who were not using assistive devices
* Patients receiving drug therapy of internal medicine for the alleviation of spasticity.

Exclusion Criteria:

* Unconscious patients.
* Patients undergone Spine surgery.
* Patients with Hemi neglect.
* Sensory ataxia or cerebellar ataxia.
* Coronary heart disease (CHD) or peripheral arterial disease (PAD).
* Cardio respiratory problems.

Primary outcomes:
measure: Trunk Impairment Scale
timeFrame: Six months
measure: Berg Balance Scale
timeFrame: Six months
measure: 10 Meter Walk Test
timeFrame: Six months
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Riphah International University
state: Fedral
Study officials:
affiliation: Riphah International University
name: zeest hashmi, MSNMPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Van Criekinge T, Truijen S, Schroder J, Maebe Z, Blanckaert K, van der Waal C, Vink M, Saeys W. The effectiveness of trunk training on trunk control, sitting and standing balance and mobility post-stroke: a systematic review and meta-analysis. Clin Rehabil. 2019 Jun;33(6):992-1002. doi: 10.1177/0269215519830159. Epub 2019 Feb 22.
citation: Zhu Z, Cui L, Yin M, Yu Y, Zhou X, Wang H, Yan H. Hydrotherapy vs. conventional land-based exercise for improving walking and balance after stroke: a randomized controlled trial. Clin Rehabil. 2016 Jun;30(6):587-93. doi: 10.1177/0269215515593392. Epub 2015 Jun 30.
citation: Van Criekinge T, Saeys W, Hallemans A, Velghe S, Viskens PJ, Vereeck L, De Hertogh W, Truijen S. Trunk biomechanics during hemiplegic gait after stroke: A systematic review. Gait Posture. 2017 May;54:133-143. doi: 10.1016/j.gaitpost.2017.03.004. Epub 2017 Mar 4.
citation: Dubey L, Karthikbabu S. Trunk proprioceptive neuromuscular facilitation influences pulmonary function and respiratory muscle strength in a patient with pontine bleed. Neurol India. 2017 Jan-Feb;65(1):183-184. doi: 10.4103/0028-3886.198193. No abstract available.