Effects of Cognitive Versus Task Oriented Training on Balance, Gait and Daily Activity in Chronic Stroke Patients

Effects of Cognitive Sensorimotor Exercises Versus Task Oriented Training on Balance ,Gait and Activities of Daily Living in Chronic Stroke Patients.

To determine effects of cognitive sensorimotor exercises versus task oriented training on balance, gait and activities of daily living in chronic stroke patients.

This study will be randomized clinical trial with total of 40 participants with chronic stroke. Patients will be recruited from Riphah rehabilitation centre and National Hospital Lahore. The sampling technique will be non probability convenience sampling technique. The patients will be randomized by lottery method and allocated into two intervention groups.

Patients in group A will receive cognitive sensorimotor exercises for 30 minutes, sessions for 5 days per week for 8 weeks. Patients in group B will receive task-oriented training for 30 minutes, sessions for 5 days per week for 8 weeks. Intervention will be applied for 8 weeks it includes taking reading 1st at baseline, 2nd reading at 4th week and 3rd reading at 8th week and follow up after 12 weeks. The assessment tools used will be berg balance test for balance, Dynamic gait index for gait and Modified Barthel index to assess activities of daily livings. Data will be analysed by using SPSS 25 version.

Inclusion Criteria:

• Patients diagnosed with chronic stroke (6 months to 2 years)
• Patients with the ability to walk independently using aids or orthotics with or without supervision.
• Ability to communicate and follow instructions.
• No problem walking due to ankle contracture.
• No sensory deficiencies of the lower extremities.
• Patients cognition level on MMSE ≥ 24

Exclusion Criteria:

• Recent injuries- Patients having musculoskeletal or surgical problems of lower extremity.
• Co-morbid conditions- Cardiovascular (uncontrolled high blood pressure, diabetes), respiratory problems like dyspnoea.
• Neurological conditions- like brain tumour, demyelinating disease, Parkinson's disease, multiple sclerosis).
• Subjects with auditory and vestibular disorders.
• Cerebellar related problems.