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IRCT20201101049221N1 IRCT 2020-11-24 The University of Lahore Effects of Proprioceptive Neuromuscular Facilitation on balance and gait in chronic stroke patients Effects of gait training with and without Proprioceptive Neuromuscular Facilitation on balance and gait in chronic stroke patients. 2020-03-07 anticipated 60 Complete https://irct.ir/trial/52028 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: The study is double blinded randomized control trial. two groups are taken, control group and experimental group for comparison, Randomization description: randomization was done by lottery method, Blinding description: Participants and Outcome evaluators were unaware of group allocation.After randomization, study participants were only informed about their allocated exercise program, they remained unaware of the interventions in the other group. Information about the details of both programs was not provided except for similar exercises among both groups. Researchers who assessed outcomes or involved in data analyses will be masked to group allocation.Moreover, if two or more study participants were in the clinic at the same time, they were assigned to different treatment areas without any opportunity to observe each other or their treatment times were rearranged to prevent unintended crossover. N/A stroke. Intervention 1: Experimental group in which routine physical therapy was performed for 20 minutes and PNF with gait training for 30 minutes (total 50 minutes session). Routine physical therapy involved muscle strengthening exercises, range of motion exercises and stretching exercises up to patient’s tolerance based gait training involved PNF pelvic patterns, PNF lower extremity D1 Flexion and PNF lower extremity D1 extension, each exercise was repeated 10 to 20 times or up to patient’s tolerance, progressed from rhythmic initiation to stabilizing reversals and then followed by dynamic reversals up to 4th week of treatment session. Other exercises involved pelvic bridging, rolling, sitting and standing exercises and walking practice in parallel bars and treadmill training up to patients tolerance.The treatment was provided at rehabilitation clinic 3 days per week on alternate basis, for 6 weeks (18 sessions). parallel bars, couch, standard chair and treadmill were used during treatment. Intervention 2: Control group had a treatment session of 40 minutes, 20 minutes of routine physical therapy as that in experimental group that included muscle strengthening exercises, range of motion exercises and stretching exercises up to patient’s tolerance and 20 minutes of gait training alone, that included pelvic rolling, bridging, sitting and standing exercises and walking practice in parallel bars and treadmill training up to patients tolerance. The treatment was provided at rehabilitation clinic 3 days per week on alternate basis, for 6 weeks (18 sessions).parallel bars, couch, standard chair and treadmill were used during treatment. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Data may be available after completion and publication of clinical trial
public Dr Ashfaq Ahmed
1 Km, Defence Road Campus,Bhobatian Chowk, Lahore
Lahore Pakistan 75500 +92 56 3785097 momna2april@gmail.com University of Lahore scientific Dr Ashfaq Ahmed
1 km, Defence road, Bhobatian chowk Lahore, Pakistsn
Lahore Pakistan 75500 +92 56 3785097 momna2april@gmail.com University of Lahore Pakistan Hemiplegic patients having single episode of hemorrhagic or ischemic stroke Participants who are more than 6 months post stroke Having Mini Mental Status Exam greater than 24 Patients who are able to walk with or without support for 10 m Patients having no orthopedic injuries 35 years 85 years Both participants with severe spasticity (modified ashworth scale grade≥3) or severe flaccidity in lower limbs and upper limbs participants having visual and auditory dysfunctions I67 Other cerebrovascular diseases Rehabilitation Rehabilitation Experimental group in which routine physical therapy was performed for 20 minutes and PNF with gait training for 30 minutes (total 50 minutes session). Routine physical therapy involved muscle strengthening exercises, range of motion exercises and stretching exercises up to patient’s tolerance based gait training involved PNF pelvic patterns, PNF lower extremity D1 Flexion and PNF lower extremity D1 extension, each exercise was repeated 10 to 20 times or up to patient’s tolerance, progressed from rhythmic initiation to stabilizing reversals and then followed by dynamic reversals up to 4th week of treatment session. Other exercises involved pelvic bridging, rolling, sitting and standing exercises and walking practice in parallel bars and treadmill training up to patients tolerance.The treatment was provided at rehabilitation clinic 3 days per week on alternate basis, for 6 weeks (18 sessions). parallel bars, couch, standard chair and treadmill were used during treatment. Control group had a treatment session of 40 minutes, 20 minutes of routine physical therapy as that in experimental group that included muscle strengthening exercises, range of motion exercises and stretching exercises up to patient’s tolerance and 20 minutes of gait training alone, that included pelvic rolling, bridging, sitting and standing exercises and walking practice in parallel bars and treadmill training up to patients tolerance. The treatment was provided at rehabilitation clinic 3 days per week on alternate basis, for 6 weeks (18 sessions).parallel bars, couch, standard chair and treadmill were used during treatment. Balancing capability. Timepoint: before intervention and six weeks after intervention. Method of measurement: Berg Balance Scale. Gait parameters. Timepoint: before interventions and six weeks after interventions. Method of measurement: GAITRite platinum. The University of Lahore Approved 2020-03-05 Institutional Review Board of The University of Lahore 207 B block, AWT phase 2, Lahore , Pakistan Lahore Punjab Pakistan