Clinical trial NCT06346652: Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients
Official title: Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Stroke
Keywords: core strengthening
plantar pressure
Lead sponsor: University of Lahore
Sponsor class: OTHER
First posted: 2024-04-04
Enrollment: 73
Sex: ALL
Minimum age (years): 45
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Detailed description: Background: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

Objective: To compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Methodology: 73 patients were enrolled in this study, 37 patients were assigned into control group while 36 participants were assigned into experimental group. Control group received routine physical therapy while experimental group received core strengthening and proprioceptive neuromuscular technique. Static component of berg balance scale and PoData Stabiliometeric plate was used for plantar pressure and measurement of balance respectively.

Eligibility criteria: Inclusion Criteria:

* Age (45-60 years)
* Score of 9 or Higher on static component of berg balance scale
* Having score of equal or less than 2 on Modified Ashworth scale
* Having score of greater than or equal to 24 on Mini Mental State Examination.
* First ever episode of stroke
* Duration of stroke greater than 6 months
* Both genders

Exclusion Criteria:

* Concurrent orthopedic conditions that may hamper standing
* Relevant psychiatric disorders that may prevent from following instructions.
* Medical drugs that may influence intervention
* Conditions contraindicating physical activity
* Use of Cardiac pace maker.

Primary outcomes:
measure: Static Standing Balance
timeFrame: 6 weeks
Secondary outcomes:
measure: Plantar Pressure
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: The University of Lahore Teaching Hospital
Study officials:
affiliation: The University of Lahore
name: Safa Saleem, MSPTN
role: PRINCIPAL_INVESTIGATOR
References: