About this trial
This randomized controlled trial investigates the effect of Cognitive Postural Training (CPT) on postural stability and cognitive function in patients with hemispatial neglect following stroke. Participants will be randomly assigned to receive either Cognitive Postural Training combined with conventional balance training or conventional balance training alone. Training will be provided three times per week for four weeks. The effects of the intervention on cognitive function, hemispatial neglect, postural stability, balance, and functional independence will be evaluated.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients from both genders with hemispatial neglect due to first ever right cerebral hemisphere stroke (ischemic or hemorrhagic).
Age of participants ranged from 45 to 65 years.
Mild to moderate degree of unilateral spatial neglect according to Catherine Bergego scale.(Appendix VI)
The duration of the stroke was at least six months.
Disqualifiers
21) Other brain injuries/illnesses, psychiatric, sever cognitive impairment, severe sensory or proprioceptive loss.
Trial design
Parallel
Treatments tested in this trial
Cognitive postural training
Other interventionCPT consisted of simultaneous performance of cognitive tasks and postural control activities to challenge cognitive-motor integration and postural stability. Cognitive tasks included verbal fluency (e.g., naming animals), mental sequencing (e.g., reciting the months of the year in reverse order), and route-description tasks. Training was progressively performed in different postural positions, including supine, sitting, sit-to-stand, and standing, according to the participant's abilities and level of postural control.
Conventional physical therapy program
Other interventionconventional balance training focuses on improving postural control, balance, and functional mobility. Training included static and dynamic balance exercises performed in different postural positions, including sitting, sit-to-stand, and standing. Exercises were progressed according to the participant's functional ability and balance performance and included weight-shifting activities, maintaining and changing the base of support, and functional balance activities.
Treatment groups
Trial outcomes
Primary outcomes
Overall Stability Index (OSI) - Biodex Balance System
Psotural stability- Berg Balance Score
Secondary outcomes
Cognitive Function - Montreal Cognitive Assessment (MoCA)
Global Cognitive Function - Mini-Mental State Examination (MMSE)
Hemispatial Neglect - Star Cancellation Test
Hemispatial Neglect - Catherine Bergego Scale (CBS)
Sponsors and contacts
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