The aim of this study is to determine the comparative effects of sensorimotor training and dual-task training on propriocetion, balance, functional mobility and fall risk in stroke patients.
Stroke is one of the leading causes of long-term disability worldwide and commonly results in impaired proprioception, balance deficits, reduced functional mobility, gait disturbances, and increased fall risk, particularly in chronic stroke patients. Stroke survivors often experience decreased sensory-motor integration, impaired postural control, reduced coordination, and difficulty performing dual tasks during daily activities, all of which negatively affect independence and quality of life. Sensorimotor training focuses on improving proprioception, neuromuscular control, balance, and postural stability through sensory and motor integration exercises, whereas dual-task training emphasizes simultaneous performance of motor and cognitive tasks to improve cognitive-motor coordination, gait performance, dynamic balance, and functional mobility. The aim of this study is to determine the comparative effects of sensorimotor training and dual-task training on proprioception, balance, functional mobility, and fall risk in chronic stroke patients. This study will be a randomized clinical trial. A non-probability convenience sampling technique will be used to recruit 54 participants diagnosed with chronic stroke. This study will be conducted at Nishtar Hospital, Multan and District Headquarter Hospital, Rajnapur. Participants will be randomly allocated into three groups through sealed opaque envelope method. Group A will receive sensorimotor training, Group B will receive dual-task training, while Group C will receive conventional physical therapy exercises. All groups will perform their respective exercise protocols for 30 minutes, three times a week for 8 weeks. Participants will be evaluated before and after the intervention through Joint Position Sense Test (JPS), Berg Balance Scale (BBS), Mini-BESTest, 6-Minute Walk Test (6MWT), Functional Independence Measure (FIM), and Falls Efficacy Scale-International (FES-I) to assess the effects of interventions on proprioception, balance, functional mobility, and fall risk. Data will be analyzed using SPSS version 26.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
54
Somatosensory Training(SMT), for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
Dual-Task Training, for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
Conventional Physical Therapy, for 30 minutes, thrice a week for 8 weeks. Warm-up and cool down will be given.
DHQ Rajanpur
Rajanpur, Punjab Province, Pakistan
RECRUITINGMini-BESTest Scale
It is a tool to assess dynamic balance across four domains: anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. It consists of 14 items, each scored from 0 to 2, with a maximum total score of 28. Higher scores indicate better balance performance. The test is sensitive to changes in individuals with neurological conditions, including stroke.
Time frame: 8th week
6-minute Walk Test(6MWT)
It is a standardized assessment used to measure functional mobility and endurance by recording the total distance an individual can walk on a flat, hard surface in six minutes. It reflects the ability to perform daily physical activities and is commonly used in patients with neurological and cardiopulmonary conditions, including stroke.
Time frame: 8th week
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