Comparative Effects of Dual Task and PNF on Balance ,Cognition and Motor Function in Chronic Stroke Patients .

Comparative Effects of Dual Task and Proprioceptive Neuromuscular Facilitation on Balance ,Cognition and Motor Function in Chronic Stroke Patients

The aim of this study is to compare the effect of dual tasking and proprioceptive neuromuscular facilitation on balance, cognition and motor function in chronic stroke patients. It will be randomized clinical trial.

Stroke is the major cause of disability and mortality worldwide. A stroke is defined as an abrupt neurological outburst caused by impaired perfusion through the blood vessels to the brain. Every year the number of patients affected by stroke is rising thereby putting extra pressure on socioeconomic conditions in developing countries. Major complications of stroke include hemiplegia leading to upper limb dysfunction along with gait abnormalities. This study will be conducted to determine the effects of proprioceptive neuromuscular facilitation exercises versus dual-task training on balance, cognition, and motor function in chronic stroke patients. The randomized clinical trial will be conducted, participants will be selected through Non-probability convenience sampling technique and then randomly allocated into two treatment groups.

Inclusion Criteria:

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• Both male and female
• Age 50-70 years.
• Person should be able to walk 10meter distance with or without assistance.
• Patient should be Cognitively able to perform required task.
• Chronic Stroke patients with strength >2 on manual muscle testing.

Exclusion Criteria:

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• Any Gait impairment .
• Patients with comorbidities like cardiac pathologies.
• Patients with dementia .
• History of fall in last 6 months.
• History of Severe Freezing episodes.
• History of Camptocormia (axial deformity.
• Central or peripheral paresis.