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IRCT20190717044237N1 IRCT 2019-11-10 University of Lahore, main campus Effects of Visual Scanning Exercises on Balance, Gait and Activities of Daily Livings in Patients with Post Stroke Eye Movement Disorders; A Randomized Controlled Trial RCT Effects of Visual Scanning Exercises on Balance, Gait and Activities of Daily Livings in Patients with Post Stroke Eye Movement Disorders; A Randomized Controlled Trial 2018-10-20 anticipated 64 Complete https://irct.ir/trial/41332 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Other design features: No, Randomization description: A double-blind, randomized controlled design will be used. Assessors and patients will be blinded in the present study. They will not know about the group allocation and treatment allocation given to patients. All patients will be allocated randomly into experimental and control groups by using computer-generated random number table. All random numbers will be kept in a sealed envelope. All envelops will be kept by a third person who will not be involved in this study. For each patient a sealed envelope will be opened and mentioned group will be allocated, Blinding description: Patients and outcome assessors will be blinded in this study. Patients will not know about the treatment and group allocation and it will be achieved by random numbers. Random numbers will be kept in a sealed envelope. For each patient a sealed envelope will be opened and mentioned group will be allocated. Outcome assessors will just assess the outcomes of treatment at baseline and after four weeks in outcome measure questionnaires. They will not know that they are recording the outcome of which group so in this way they can not be biased. 1 Stroke. Intervention 1: Intervention group: Intervention group will receive visual scanning exercises along with task-specific approach. Intervention 2: Control group: Control group will receive task-specific approach which is used as routine physiotherapy. Task specific activities will be given in following steps. Step 1: In step 1 the physiotherapist will identify the missing components of movement by asking the patient to perform task. Step II: In step II the physiotherapist advice the patient to practice those missing components which were identified in step I. Step III: In step III the physiotherapist will advise the patient to practice the task as a whole. Step IV: In step IV the task is practiced in different environments i.e engage patients in practicing the functional tasks according to the level of balance and gait functions. Yes - There is a plan to make this available What will be shared: All collected deidentified IPD When: Data will be available to other people after the completion of study and remained available till 6 months To whom: Data will be available to people working in academic institutions Conditions: Data can be accessed by communicating with principle investigator "Sana Batool" through institutional email address: sana.batool1@uipt.uol.edu.pk Where to obtain: Data/document is available from principle investigator "Sana Batool" through institutional email address: sana.batool1@uipt.uol.edu.pk How to obtain: Data/document can be accessed through communicating with principle investigator "Sana Batool" on institutional email address: sana.batool1@uipt.uol.edu.pk Comments: N/A
public Dr. Sana Batool, PT
University of Lahore, Main Campus, Lahore
Lahore Pakistan 54000 +92 42 99200600 sana.batool1@uipt.edu.pk University of Lahore scientific Dr. Sana Batool, PT
University of Lahore, Main Campus, Lahore
Lahore Pakistan 54000 +92 42 99200600 sana.batool1@uipt.edu.pk University of Lahore Pakistan Patients who suffered with eye-movement disorder either an ischemic or hemorrhagic stroke Clinically diagnosed by a neurologist Information on the type of stroke will be obtained from the patients’ medical records Both male and female patients between the age group of 19–60 years Minimum score of 7 on Mini-Mental State Examination (MMSE) Patients in the sub-acute stage after the stroke and able to follow instructions and have the capacity to provide informed consent 19 years 60 years Both Repeated stroke Severe dementia, identified by applying the MMSE History of an organic disorder or major psychiatric impairment Disability or other comorbid disease such as cancer or amputation that will limit or prevent assessment of the patients Participation in other interventional or pharmacological studies which can affect the results of this study Patients with vestibular problems who have positive dix-hallpike test Patients with facial palsy • Patients with ophthalmological problems before stroke onset Patients suffering from balance problems as a result of muscular problem 164 I64 Stroke, not specified as haemorrhage or infarction Treatment - Other Other Intervention group: Intervention group will receive visual scanning exercises along with task-specific approach Control group: Control group will receive task-specific approach which is used as routine physiotherapy. Task specific activities will be given in following steps. Step 1: In step 1 the physiotherapist will identify the missing components of movement by asking the patient to perform task. Step II: In step II the physiotherapist advice the patient to practice those missing components which were identified in step I. Step III: In step III the physiotherapist will advise the patient to practice the task as a whole. Step IV: In step IV the task is practiced in different environments i.e engage patients in practicing the functional tasks according to the level of balance and gait functions. Berg balance scale. Timepoint: Before intervention and at 4 weeks of intervention. Method of measurement: Scoring. Dynamic gait index scale to assess the gait impairments and risk of fall. Timepoint: Before and after 4 weeks of intervention. Method of measurement: A four -point ordinal scale ranging from 0-3 will be used. Barthel index scale to measure the activities of daily living functions. Timepoint: Before and after 4 weeks of intervention. Method of measurement: A three -point ordinal scale ranging from 0-2 will be used. University of Lahore, main campus Approved 2018-09-20 Institutional Review Board University of Lahore, Main Campus, Lahore Lahore Punjab Pakistan