This randomized controlled trial investigates the effect of Cognitive Postural Training (CPT) on postural stability and cognitive function in patients with hemispatial neglect following stroke. Participants will be randomly assigned to receive either Cognitive Postural Training combined with conventional balance training or conventional balance training alone. Training will be provided three times per week for four weeks. The effects of the intervention on cognitive function, hemispatial neglect, postural stability, balance, and functional independence will be evaluated.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
42
CPT consisted of simultaneous performance of cognitive tasks and postural control activities to challenge cognitive-motor integration and postural stability. Cognitive tasks included verbal fluency (e.g., naming animals), mental sequencing (e.g., reciting the months of the year in reverse order), and route-description tasks. Training was progressively performed in different postural positions, including supine, sitting, sit-to-stand, and standing, according to the participant's abilities and level of postural control.
conventional balance training focuses on improving postural control, balance, and functional mobility. Training included static and dynamic balance exercises performed in different postural positions, including sitting, sit-to-stand, and standing. Exercises were progressed according to the participant's functional ability and balance performance and included weight-shifting activities, maintaining and changing the base of support, and functional balance activities.
The out patient clinic Faculty of physicaltherapy Cairo university
Giza, Egypt
Overall Stability Index (OSI) - Biodex Balance System
Time frame: Once at enrollment once at the end of treatment that will last 4 weeks
Psotural stability- Berg Balance Score
Time frame: Once at enrollment once at end of treatment that will last for 4 weeks
Cognitive Function - Montreal Cognitive Assessment (MoCA)
Time frame: Once at enrollment once at end of treatment that will last for 4 weeks
Global Cognitive Function - Mini-Mental State Examination (MMSE)
Time frame: Once at enrollment once at end of treatment that will last for 4 weeks
Hemispatial Neglect - Star Cancellation Test
Time frame: Once at enrollment once at the end of treatment that will last 4 weeks
Hemispatial Neglect - Catherine Bergego Scale (CBS)
Time frame: Once at enrollment once at the end of treatment that will last 4 weeks
Functional Independence - Barthel Index (BI)
Time frame: Once at enrollment once at the end of treatment that will last 4 weeks
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