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Study aim
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This study investigates the effect of virtual reality (VR) intervention in improving balance, in acute and sub acute stroke patients
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Design
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Parallel, Single blinded, Randomised control trial with 50 sample size
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Settings and conduct
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Allied hospital Faisalabad, Punjab, Pakistan. It was a single-blinded study, the participants were unaware whether they are receiving the experimental treatment or a placebo. This design helps to reduce bias that may occur if participants know whether they are receiving the treatment or not, which could influence their responses or behavior.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria:
Willing to give consent؛ Patients having age between 45 to 60 years ؛Both male and female ؛Mini mental scale more than 18 score ؛Berg Balance Scale score less than 20
Exclusion criteria:
Recurrent stroke episodes ؛Any other neurological conditions that causes balance disturbs that is Alzheimer؛ Parkinson's؛ dementia؛ Malignancy, infectious disease؛ Any surgery within last 6 months؛ Chronic stroke patients
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Intervention groups
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Group A received baseline treatment that is Functional electrical stimulation and Range of motion exercises for balance. Range of motion exercises are Ankle movements, stand tall, feet together, side steps, Hip abduction, Heel rises, weight shift, and leg stance, balance walking. Each exercises performed with the repetitions of 10 reps, 5 sets.
Functional electrical stimulation used for the stimulation and improving balance. FES delivered with 0.3-ms pulses at 30 HZ with the maximum tolerance of intensity 20-30 mA in acute stage
Goup B received protocol which includes virtual reality along with baseline treatment. A total of 18 sessions (3 alternate sessions per week or 45 min each) performed on the participants in 40 minute session.
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Main outcome variables
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Berg Balance Scale
Postural assessment scale for stroke