Cognitive Postural Training for Hemineglect Patient After Stroke

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-65
SponsorAhram Canadian University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Cognitive postural training

    Other intervention

    CPT 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 intervention

    conventional 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

42 Participants
are divided into 2 treatment groups
Group A: Cognitive postural training groupExperimental treatment 2 interventions
Group B: Conventional physical therapy program groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Overall Stability Index (OSI) - Biodex Balance System

Time frame
Once at enrollment once at the end of treatment that will last 4 weeks
2

Psotural stability- Berg Balance Score

Time frame
Once at enrollment once at end of treatment that will last for 4 weeks

Secondary outcomes

1

Cognitive Function - Montreal Cognitive Assessment (MoCA)

Time frame
Once at enrollment once at end of treatment that will last for 4 weeks
2

Global Cognitive Function - Mini-Mental State Examination (MMSE)

Time frame
Once at enrollment once at end of treatment that will last for 4 weeks
3

Hemispatial Neglect - Star Cancellation Test

Time frame
Once at enrollment once at the end of treatment that will last 4 weeks
4

Hemispatial Neglect - Catherine Bergego Scale (CBS)

Time frame
Once at enrollment once at the end of treatment that will last 4 weeks

Other outcomes

Sponsors and contacts

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