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IRCT2017071916830N7 IRCT 2017-11-09 Vice Chancellor for research, Iran University of Medical Sciences The effect of rehabilitation exercises on balance in patients with chronic stroke A randomized controlled trial to investigate the effect of sensory reweighting as a method of balance exercises on postural control, functional balance and mobility, activities of daily living, anxiety and stress suffering from chronic stroke 2017-05-22 anticipated 40 Complete https://irct.ir/trial/15618 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: Randomization will be performed by the person who is not involved in the study using sequentially numberd sealed envelopes. 3 Stroke. Intervention 1: Control group: receives conventional rehabilitation. Intervention 2: Intervention group: In addition to conventional rehabilitation, receives 24 sessions of sensory reweighting as a method of balance exercises (8 weeks, 3 sessions per week, 45-60 minutes per session). Exercises include proprioceptive, visual, vestibular, combination of proprioceptive and vestibular, combination of visual and vestibular and combination of proprioceptive and visual stimulations.
public Ghorban Taghizadeh
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran
Tehran Iran (Islamic Republic of) +98 21 2222 7124 gh_taghizade@yahoo.com; taghizadeh.gh@iums.ac.ir Iran University of Medical Sciences scientific Ghorban Taghizadeh
Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran
Tehran Iran (Islamic Republic of) +98 21 2222 7124 gh_taghizade@yahoo.com; taghizadeh.gh@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Having the first experience of stroke; Ability to walk 10 meters without assistive devices; Having an acceptable level of cognitive function, i.e. score equal to or greater than 23 on the Mini Mental State Examination; Having at least fifth grade education; Having the ability to perform the most difficult condition of laboratory test (quiet standing for 180 seconds while vibration is applied on the Achilles tendons of both sides and attention to visual stimulus); Ability to read a sentence from the screen at a distance of 2 meters. Exclusion criteria: Co-morbid other neurological diseases, orthopedic disorders (such as low back pain, arthritis, hallux valgus, flat foot), diabetes or addiction according to the report of patient, or the patient's family or physician; History of falling during the past month according to the report of patient, or the patient's family. 25 years 75 years Both I64 Stroke, not specified as haemorrhage or infarction Rehabilitation Rehabilitation Control group: receives conventional rehabilitation. Intervention group: In addition to conventional rehabilitation, receives 24 sessions of sensory reweighting as a method of balance exercises (8 weeks, 3 sessions per week, 45-60 minutes per session). Exercises include proprioceptive, visual, vestibular, combination of proprioceptive and vestibular, combination of visual and vestibular and combination of proprioceptive and visual stimulations. Postural control. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Force plate (postural sway parameters). Functional balance and mobility. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Fuctional reach test, Berg Balance Scale Questionnaire, Timed Up & Go Test, Tinetti Balance test, Six Minute Walk Test, Activities-Specific Balance Confidence Scale Questionnaire, Dynamic gait index Questionnaire, gait speed. Anxiety. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Beck Anxiety Questionnaire, Hamilton Anxiety Scale Questionnaire, Depression, Anxiety, Stress Scales (DASS) Questionnaire. Activities of daily living. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Barthel Index Questionnaire. Stress. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Depression, Anxiety, Stress Scales (DASS) Questionnaire. Participation. Timepoint: Before and after intervention and and 8 weeks after intervention. Method of measurement: Canadian occupational performance measure Questionnaire. Instrumental activities of daily living. Timepoint: Before and after intervention and 8 weeks after intervention. Method of measurement: Lawton Instrumental activities of daily living Scale Questionnaire. Sleep quality. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: Pittsburgh Sleep Quality Index Questionnaire. Fatigue. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: Fatigue severity scale Questionnaire, Visual analog scale of fatigue. Quality of life. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: World health organization quality of life assessment Questionnaire. Fear of fall. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: Fall efficacy scale Questionnaire. Pain. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: Brief pain inventory Questionnaire, Short-Form McGill Pain Questionnaire, Visual analog scale of pain. Depression. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: Depression Anxiety Stress Scales (DASS) Questionnaire, Visual analog scale of depression. Functional balance. Timepoint: Before and after intervantion and 8 weeks after intervention. Method of measurement: Duration of standing on each leg with open and closed eyes, Duration of tandem standing with open and closed eyes. Vice Chancellor for research, Iran University of Medical Sciences Approved 2016-07-11 Ethics Committee of Iran University of Medical Sciences Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran Tehran Iran (Islamic Republic of)