A comparison of the effectiveness of modified otago exercises and vestibular rehabilitation therapy on balance, postural stability, and risk of fall in sub-acute stroke.
To compare the effects of modified Otago exercises and Vestibular rehabilitation therapy
on balance, postural stability, and risk of fall in sub-acute stroke.
Design
Randomized Clinical Trial, a single blinded study, sample size 42, computer generated randomization
Settings and conduct
Data is being collected from General Hospital, Lahore.
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Diagnosed cases of ischemic stroke.
Age between 40-70 years
Both males and females.
Stroke with unilateral hemiplegia in less than 6 months.
Participants are able to walk 10 meters with or without assistive device.
Participants should be able to understand and follow simple verbal instructions, Mini-Mental Status Examination (MMSE ≥24).
Exclusion criteria:
Participants with spasticity (modified Ashworth scale grade ≥3) or flaccidity in lower limbs
and upper limbs.
Individuals suffering from unstable angina, symptomatic heart failure or uncontrolled
hypertension.
Balance or gait impairments prior to the stroke.
Visual field defects
Severe unilateral spatial neglect.
Neurological and orthopedic comorbidities like significant osteoarthritis, particularly in the
lower limbs.
Intervention groups
Group A will be treated by Vestibular Rehabilitation Therapy (25 minutes) and Conventional
physical therapy (30 minutes).
Group B will be treated by Modified Otago Exercises (25 minutes) and Conventional
physical therapy (30 minutes).
Main outcome variables
Balance, postural stability and risk of fall.
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20240503061638N1
Registration date:2024-05-09, 1403/02/20
Registration timing:registered_while_recruiting
Last update:2024-05-09, 1403/02/20
Update count:0
Registration date
2024-05-09, 1403/02/20
Registrant information
Name
Aaminah Nawaz
Name of organization / entity
Riphah International University Lahore
Country
Pakistan
Phone
+92 332 4080727
Email address
aaminahnawaz7@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-01-05, 1402/10/15
Expected recruitment end date
2024-08-15, 1403/05/25
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
A comparison of the effectiveness of modified otago exercises and vestibular rehabilitation therapy on balance, postural stability, and risk of fall in sub-acute stroke.
Public title
Comparative effects of modified otago exercises and vestibular rehabilitation therapy on balance, postural stability, and risk of fall in sub-acute stroke.
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Diagnosed cases of ischemic stroke.
Age between 40-70 years
Both males and females.
Stroke with unilateral hemiplegia in less than 6 months.
Participants are able to walk 10m with or without assistive device.
Participants should be able to understand and follow simple verbal instructions, Mini-Mental Status Examination (MMSE ≥24).
Exclusion criteria:
Participants with spasticity (modified Ashworth scale grade ≥3) or flaccidity in lower limbs and upper limbs.
Individuals suffering from unstable angina, symptomatic heart failure or uncontrolled hypertension.
Balance or gait impairments prior to the stroke.
Visual field defects
Severe unilateral spatial neglect.
Neurological and orthopedic comorbidities like significant osteoarthritis, particularly in the lower limbs.
Age
From 40 years old to 70 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
42
Randomization (investigator's opinion)
Randomized
Randomization description
After baseline assessment, eligible subjects will be randomly allocated into two groups, Group
A and Group B through computerized table generator method of randomization.
Blinding (investigator's opinion)
Single blinded
Blinding description
The assessors involved in outcome assessment will be blinded to the treatment, ensuring an
unbiased evaluation of the measured outcomes.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Riphah International University