Stabilizing Reversal and Rhythmic Stabilization vs Pelvic Proprioceptive Neuromuscular Facilitation in Stroke Patients

Last updated: December 20, 2024
Sponsor: Riphah International University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Thrombosis

Stroke

Cerebral Ischemia

Treatment

Pelvic Proprioceptive Neuromuscular Facilitation

Stabilizing Reversals and Rhythmic Stabilization

Clinical Study ID

NCT06459388
REC/RCR & AHS/23/0276
  • Ages 40-65
  • All Genders

Study Summary

The goal of this clinical trial is to compare the effects of stabilizing reversal and rhythmic stabilization versus pelvic proprioceptive neuromuscular facilitation on trunk control, postural stability and mobility in stroke patients. The main question it aims to answer is:

Is there any difference in effects of stabilizing reversal and rhythmic stabilization versus pelvic proprioceptive neuromuscular facilitation on trunk control, postural stability and mobility in stroke patients?

Researchers will compare stabilizing reversal and rhythmic stabilization to pelvic proprioceptive neuromuscular facilitation to see if there any difference in effects of stabilizing reversal and rhythmic stabilization versus pelvic proprioceptive neuromuscular facilitation on trunk control, postural stability and mobility in stroke patient.

Participants will be divided into two groups:

Group A will receive stabilizing reversals and rhythmic reversals technique. The patient will perform 3 sets with 15 repetitions in each session, 5 days per week for 8 weeks.

Group B will receive Pelvic PNF protocol. The treatment protocol will be followed 5 days a week for 8 weeks (i.e. 20 sessions) and each session will last for 30 minutes.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Diagnosed cases of ischemic stroke.

  • Both genders of stroke patients.

  • Age of stroke patients between 40-65 years.

  • Duration of stroke less than 6 months.

  • Participants should be able to understand and follow simple verbal commands (MMSE

  • 24).

Exclusion

Exclusion Criteria:

  • Recurrent history of stroke.

  • Recent history of any trauma.

  • Musculoskeletal disorders such as low back pain, arthritis, degenerative diseases ofthe lower limbs affecting motor performance, spinal deformity and contractures.

  • Spasticity (modified Ashworth scale grade ≥3) or flaccidity in lower limbs and upperlimbs.

  • PNF treatment given to the pelvic region within 6 weeks.

Study Design

Total Participants: 50
Treatment Group(s): 2
Primary Treatment: Pelvic Proprioceptive Neuromuscular Facilitation
Phase:
Study Start date:
May 01, 2024
Estimated Completion Date:
January 31, 2025

Study Description

It will be a randomized clinical trial study in which non-probability convenience sampling will be used. The sample size will be 50. The participants fulfilling the inclusion criteria will be divided randomly into two groups through computerized table generator method of randomization. Baseline assessment of both groups will be done before the execution of interventions. Group A will receive stabilizing reversal and rhythmic stabilization protocols for 5 days per week for 8 weeks. Group B will receive pelvic PNF protocol 5 days per week for 8 weeks. Trunk Impairment scale will be used to assess trunk control, Postural assessment Scale and Functional Reach Test will be used to assess postural stability and Performance Oriented Mobility Assessment will measure the mobility at the baseline, at 4 weeks and after the completion of intervention at 8 weeks to find out the outcome measures of the participants. The data will be analyzed using SPSS version 24. Normality of data will be assessed through Kolmogorov-smirnov test. Difference between preintervention, mid-intervention and post-intervention readings will be calculated using repeated measure ANOVA for parametric data. For non-parametric data Kruskal Wallis test will be used. For between group analysis Independent sample t test will be used for parametric data and Mann Whitney test will be used for non-parametric data.

Connect with a study center

  • Lahore General Hospital

    Lahore, Punjab 54600
    Pakistan

    Active - Recruiting

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