About this trial
A randomized control trial will be done on diagnosed stroke patients of chronic stage in DHQ Hospital Mirpur and FF Hospital Rawalpindi physical therapy Department.The purpose of the study is to determine Effects of Motor Relearning Program Versus Proprioceptive Neuromuscular Facilitation on Balance and Gait in Stroke .
Subjects will complete Berg Balance Scale (BBS). 10-meter walk test for gait speed will be used for measuring walking speed in meters per second over a short distance, Timed-Up-And-Go (TUG) Test will be used for test of functional mobility and gait parameter. All these measures will be taken at baseline, then after 6 weeks of intervention. There will be 4 sessions per week. The control group will receive Group Motor relearning programe while the Study Group (B) will receive Proprioceptive Neuromuscular Facilitation(PNF)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
more than 6 month post stroke
both male and female
Can ambulate 25 feet/10 meter (with or without assistive device).
Age between 25 to 65 years.
Disqualifiers
History of neurologic disease other than the chronic stroke.
Orthopedic disorder involving any joint of lower limbs that interfere with study.
Gross visuospatial deficits .
Unhealed fracture of lowerlimb .
Trial design
Parallel
Treatments tested in this trial
Proprioceptive Neuromuscular Facilitation
Procedure/SurgeryPNF of 30 minutes duration will given in a single session. Pelvic anterior elevation and posterior depression of the hemiplegic side. rhythmic initiation slow reversal agonistic reversals Pelvic anterior depression and posterior elevation of the hemiplegic side. The first diagonal (D1): Flexion and extension The second diagonal (D2): Flexion and extension 4 session per week
Motor Relearning Program
Procedure/SurgeryMotor Relearning Programme (MRP) This is a task-oriented approach to help the control of movement, focusing on the relearning of daily activities.
Treatment groups
Trial outcomes
Primary outcomes
gait parameter
measurements of how a person walks, by using 10 meter walk test and TUG
Secondary outcomes
Balance
an even distribution of weight enabling someone or something to remain upright and steady by using BBS
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