Clinical trial NCT05255809: Alexander Technique, Routine Physical Therapy, Balance, Posture, Functional Mobility , Chronic, Hemorrhagic, Stroke
Official title: Effects of Alexander Technique In Addition To Routine Physical Therapy On Balance, Posture And Functional Mobility In Chronic Hemorrhagic Stroke: A Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Chronic Hemorrhagic Stroke
Keywords: Cerebrovascular Accident
Lead sponsor: University of Lahore
Sponsor class: OTHER
First posted: 2022-02-25
Enrollment: 80
Sex: ALL
Minimum age (years): 40
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel
Primary purpose: TREATMENT

Brief summary: MATERIALS AND METHODS Design: The randomized controlled trial. Setting: Nusrat Abdul Rauf Centre for Enablement, Faisalabad. Sample size:40 in each group. Experimental group: Recieve Alexander Technique with Routine Physical Therapy. Control Group: Recieve Routine Physical Therapy.

Detailed description: Control Group: Routine Physical Therapy duration: two days a week for 16 weeks.

Trunk stabilising exercises time duration will be 15 minutes,

Straight static standing.Time duration 15 minutes. Shoulders extend. Threestepsfeet placement.10cm away. Open eye target at 2m away. Arms by side.

Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Raise heel with straight foot \& straight head. 20 minutes. Foot raise with straight foot \& straight head. 20 minutes. Rest.5 minutes.

Experimental Group: Alexander Technique + Routine Physical Therapy duration for two days a week for 16 weeks. Lessons will be 32.

Verbal Instructions in Trunk stabilising exercises. Lift the lumber, Head in Centre, fix hands and feet. The time duration will be 15 minutes,

Verbal instructions in Stance Phase:

Relax-Lighten up-Relax-Pull-up. "Shoulder back", "head up", "tummy in" and "stand up straight".

Hip and feet width apart.

Straight static standing.Time duration 15 minutes. Shoulders extend. Threestepsfeet placement.10cm away. Open eye target at 2m away. Arms by side.

Ankle Strategy. 40 minutes with rest of 5 minutes after 10 minutes. Raise heel with straight foot \& straight head. 20 minutes. Foot raise with straight foot \& straight head. 20 minutes. Rest.5 minutes.

Eligibility criteria: Inclusion Criteria:

* Chronic Hemorrhagic Hemiplegic Stroke.
* Age40-60Yrs.
* Both genders.
* Intact cognition by MMSE.
* Muscle tone assessment by Ashworth scale.
* Right or left side.
* 6th month onset. Exclusion Criteria: -
* Dizziness.
* Vertigo.
* Cerebellum damage.
* Hearing impairment.
* Vision impairment

Primary outcomes:
measure: Berg Balance Scale
timeFrame: 16 week
measure: Postural Assessment Scale for Stroke
timeFrame: 16 week
measure: Time Up and Go Test
timeFrame: 16 week
Secondary outcomes:
Other outcomes:
Locations:
city: Faisalābad
country: Pakistan
facility: NACE
state: Punjab
Study officials:
affiliation: University of Lahore
name: Kaneez Fatima, MS PTN*
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Kim S. Exploring the field application of combined cognitive-motor program with mild cognitive impairment elderly patients. J Exerc Rehabil. 2018 Oct 31;14(5):817-820. doi: 10.12965/jer.1836418.209. eCollection 2018 Oct.
citation: Kal E, van den Brink H, Houdijk H, van der Kamp J, Goossens PH, van Bennekom C, Scherder E. How physical therapists instruct patients with stroke: an observational study on attentional focus during gait rehabilitation after stroke. Disabil Rehabil. 2018 May;40(10):1154-1165. doi: 10.1080/09638288.2017.1290697. Epub 2017 Feb 24.
citation: Becker JJ, Copeland SL, Botterbusch EL, Cohen RG. Preliminary evidence for feasibility, efficacy, and mechanisms of Alexander technique group classes for chronic neck pain. Complement Ther Med. 2018 Aug;39:80-86. doi: 10.1016/j.ctim.2018.05.012. Epub 2018 May 23.