The aim of this study is to determine the combined effects of sensory integration and vestibular exercise on dizziness, fall risk and quality of life.
This randomized controlled trial will be conducted at Mansoorah Teaching Hospital in 7 months after the approval of the synopsis. 38 participants with stroke will be included as per the sample size calculation through the convenience sampling technique. Participants who meet inclusion criteria will be randomly allocated using an online randomization tool into two groups Group A will receive Combine Sensory integration exercise and vestibular exercise with routine physical therapy for 40 minutes and Group B will receive Vestibular exercise with routine physical therapy for 40 minutes. Each group will receive a treatment session of 3 times in week for 6 weeks. The data will be analyzed using SPSS version 24.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
38
1. Stand with feet hip-width apart 5 rep 2. Sit in chair without backrest 5 rep 1.Stand with feet hip -width apart 5 rep 2.Sit to stand sit on chair without backrest and perform sit to stand repeatedly 5 rep 1.Tandem Walk one foot directly in front of the other.2 sets 5 steps forward and backward 2.Patientwalk forward cross an obstacle, continue walk. Walk Lateral Walk Backward 2 sets 1. Stand and slowly move head side to side and up down 10 repetition 2. Fix gaze and move head side to side or up and down 10 repetitions 1\. Stand on one leg for 10 seconds hold on. Repeat 5 times on each leg. 2\. Stand and rotate body to right and left 10 rotations 1. Walk on straight line , zigzag pattern, walk while looking your shoulder 5 rep 2. Sit and swing your legs back and forth 5rep 3. Play catch in standing. 2 sets 5-8 catches. Static stretching 30 sec hold 5 times
Vestibular exercise 1\. Stand with feet hip -width apart and slowly move head side to side and up down.10 repetitions for each direction. 2 .Fix your gaze on object while moving your head side to side or up and down. 10 repetitions for each movement. 1.Patient will stand on one leg for 10 second. Hold onto a stable support if needed. 5 times on each leg. 2\. Stand with feet hip-width apart and rotate body to the right and left. 10 rotations in each direction. 1. Walk on a straight line or in a zigzag pattern or walk while looking over your shoulder. (5 rep) 2. Sit on a stable chair and swing your legs back and forth, similar to a pendulum. (5rep) 3. Catch and Throw play catch with a partner while standing. 2 sets of 5-8 catches. Routine Physical Therapu Static stretching exercises for 30 sec hold with 30 sec rest. 5 times for each muscle group
Riphah Rehab Center
Lahore, Punjab Province, Pakistan
RECRUITINGCombined Effects Of Sensory Integration And Vestibular Exercises On Post-Stroke Patients
DHI assesses Dizziness Consists 25 items three answers yes sometimes no. Highest disability 100 ,lowest one be 0.The SS-QOL, disease-specific consist 49 items 12 domains, social role (five questions), mobility (six questions), energy (three questions), language (five questions), self-care (five questions), mood (five questions), personality (three questions), thinking (three questions), upper extremity function (five questions), family role (three questions), vision (three questions),work/productivity (three questions). Each item ranked five-point level one means completely agreed while level five means completely disagree. Total score ranges from 49 to 245.Time up and go test Duration of ≥13.5 s associate increased fall risk with vestibular dysfunction. STRATIFY tool comprises five items risk factors past history falling, patient agitation, visual impairment, incontinence, transfer and mobility score range from 0 to 5 points and risk of falling is a score ≥ 2 points.
Time frame: 6 weeks
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