About this trial
To compare effects of otago exercises and Gaze stabilization exercises on Balance, gait and quality of Life in elderly stroke patients
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Had ischemic or haemorrhagic stroke ≤6 months
Berg Balance Scale (BBS) score between 35 and 45
Dynamic Gait Index score between 11 and 19
Mini-mental status exam scores > 24
Disqualifiers
Participants with severe vision or hearing impairment
Neurological disorders including epilepsy, Alzheimer's disease, vertigo, Parkinson disease, and stroke, muscular disorders which limit functional activity (OA, RA, etc)
Medications that affect balance, severe cardiovascular conditions, recent lower limb injury or surgery
Peripheral vestibular disorder
Trial design
Parallel
Treatments tested in this trial
gaze stabilization exercise
Other interventionPatients in group A will receive Gaze Stabilization Exercises with conventional baseline treatment
otago exercise
Other interventiongroup B patients will receive Otago Exercises with conventional baseline treatment
Treatment groups
Trial outcomes
Primary outcomes
Berg Balance Scale
Berg Balance Scale Most reliable balance measuring tools for people suffered from stroke known as Berg Balance Scale. There are 14 questions in it, which aims at testing balance while sitting, standing, or performing specific movements. The total score on the Berg Balance Scale ranges from 0 to 56. 41-56: Have good balance and are at a low risk of falling. 21-40: Individuals have an increased risk of falling and may benefit from interventions to improve balance. 0-20: Individuals in this range have a significant balance impairment and are at a high risk of falling, requiring more intensive intervention and possibly assistance with mobility. Most of researches supported the validity and reliability of the BBS especially with stroke patients with high interclass correlation coefficients (ICCs) 0. 90
Dynamic Gait Index
Dynamic Gait Index A tool for assessing gait, balance and fall risk in stroke patients is known as Dynamic Gait Index. It involves eight generic movements that are representative of common gait problems like turning the head while walking, stepping over an object, or changing speed. Consist of total 0-24 score . Between 22-24: Normal and \< 19: Abnormal. Scores below 19 are indicative of gait dysfunction . Dynamic Gait Index validity is 0. 90. The overall reliability was high (overall intra-class correlation coefficient = .96
Stroke-Specific Quality of Life (SS-QOL)
Stroke-Specific Quality of Life (SS-QOL) is a specially developed tool for estimating the quality of life of stroke survivors. SS-QOL scale consists of 49 items, comprises 12 domains include Energy, Family Roles, Language, Mobility, Mood, Personality, Self-care, Social Roles, Thinking, Upper Extremity Function, Vision, and Work/Productivity. Each item is scored on a 5-point Likert scale. where 1 indicates the most severe impairment and 5 indicates no impairment. The total score can range from 49 to 245, with higher scores representing better quality of life. In the SS-QOL domains, the Cronbach's alpha coefficients are generally provided with values of between 0. 73 and 0. 96. Concurrent validity was high with r = 0.94-0.95
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