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The primary goal of this randomized clinical trial is to investigate the efficacy of multimodal gait training, with and without rhythmic auditory stimulation, in improving gait, coordination and reducing fall risk in individuals with chronic stroke This clinical trial features two distinct groups 42 participants were randomly divided into two groups of 21. Group A will receive Multimodal gait training along with rhythmic auditory stimulation while Group B will receive only multimodal gait training
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Group A received Multimodal gait training with Rhythmic auditory stimulation |
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| Group B | Experimental | Group B Multimodal Gait training without rhythmic auditory stimulation |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mutimodal gait training includes unilateral step training, inclined treadmill training, over ground training with rhythmic auditory stimulation | Other | Unilateral step training, inclined treadmill training, over ground training, repetitive isochronous pulses via metronome |
| Measure | Description | Time Frame |
|---|---|---|
| LOWER EXTREMITY MOTOR COORDINATON TEST (LEMCOT) | The Lower Extremity Motor Coordination test (LEMCOT) is a clinically useful performance-based test to assess coordination improvements of lower limb in post-stroke individuals | 6 weeks |
| Dynamic gait index (DGI) | The dynamic gait index is a comprehensive clinical assessment performance based tool used designed to evaluate gait-related task such as dynamic balance, gait and risk of fall in older adults with various neurological conditions | 6 weeks |
| Fall Efficacy Scale-International (FES-I) | Fall efficacy scale-international (FES- I) is a standardized, short and easy to administer tool evaluates fear of falling and measures concerns about falling | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Binish Afzal, MS-NMPT | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Allama Iqbal Memorial Hospital, Islam teaching hospital, National Bone joint Hospital, Amra Medical Center | Sialkot | Punjab Province | 51040 | Pakistan |
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| Multimodal gait training | Other | Unilateral step training, inclined treadmill training, over ground training, |
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