To determine the effects of bilateral versus unilateral lower limb training on balance and gait parameters in stroke patients

The aim of this study is to compare the effects of bilateral versus unilateral lower limb training on balance and gait parameters in stroke patients. The randomized controlled trial will recruit the stroke patients will be selected and randomly divided into two groups: Group A (unilateral training group (UTG)) and Group B (bilateral training group (BTG)).

Patients in Group A will undergo approach-oriented training using the motor relearning program (MRP) and proprioceptive neuromuscular facilitation (PNF) for the affected side, while those in Group B underwent strength training for the lower-limb muscles using Delorme's principle for the unaffected side and approach-oriented training using the MRP and PNF for the affected side for a period of six weeks, five days per week. A strengthening regimen will designed for the unaffected side, considering the frequency, intensity, time, and type (FITTs) principle provided by the American College of Sports Medicine (ACSM). The static and dynamic balance along with gait parameters will measure using the functional reach test (FRT), one-leg stance test (OLST), Berg balance scale (BBS) Dynamic Gait Index (DGI), gait parameters (stride length, gait velocity, and cadence), and Brunnstrom recovery stages (BRS) at the baseline and post rehabilitation.

Inclusion Criteria:

• Medically stable patients (the diagnosis was made by neurologist).
• Cognitive level is greater than 25 on MMSE.
• Chronic stroke Patients (ischemic and hemorrhagic) (6 months to 2 years).

Exclusion Criteria:

• Transient ischemic attack.
• Patients with other neurological condition, orthopedic problems, and uncontrolled metabolic disease.
• Severe hearing and visual loss.
• Uncontrolled arterial hypertension.
• Recurrent Stroke.
• Patient diagnosed with brainstem stroke and middle cerebral artery stroke.
• Patient with any cardiovascular unstable condition.