Effects of Otago and Gaze Stabilization Exercises on Balance, Gait and QOL in Elderly Stroke Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-70
SponsorRiphah International University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • gaze stabilization exercise

    Other intervention

    Patients in group A will receive Gaze Stabilization Exercises with conventional baseline treatment

  • otago exercise

    Other intervention

    group B patients will receive Otago Exercises with conventional baseline treatment

Treatment groups

46 Participants
are divided into 2 treatment groups
Group A: gaze stabilization exerciseExperimental treatment 1 intervention
Group B: otago exerciseActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

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

Time frame
10 months
2

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

Time frame
10 months
3

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

Time frame
10 months

Secondary outcomes

Other outcomes

Sponsors and contacts

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