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One of the leading causes of disability among the elderly is stroke. After a stroke, it is highly usual for lower extremity function, balance and trunk control to be compromised. After a stroke, trunk control is a crucial early predictor of functional recovery. Following a stroke, proximal trunk control is necessary for distal limb movement control, balance, and functional capacity.
Forty-five chronic stroke patients, ages 45 to 55, were divided into three equal groups for this randomized controlled study: GA consisted of 15 patients, GB of 15 patients, and GC of 15 patients each. Group A (the study group) received dual motor task training in addition to the selected physiotherapy program, Group B (the study group) received task-oriented training in addition to the selected physiotherapy program, and Group C only received the selected physiotherapy program for 12 weeks. All groups received treatment three times a week for twelve weeks, with each session lasting sixty minutes. The Trunk Impairment Scale (TIS), Functional Reach Test (FRT), Biodex Balance System (BBS), and Fugl Meyer Lower Extremity (FM-LE) were used to evaluate each of the three groups pre and post treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | received dual motor task training in addition to the selected physiotherapy program, three times a week for twelve weeks, with each session lasting sixty minutes. |
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| Group B | Experimental | received task-oriented training in addition to the selected physiotherapy program, three times a week for twelve weeks, with each session lasting sixty minutes. |
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| Group C | Other | only received the selected physiotherapy program, three times a week for twelve weeks, with each session lasting sixty minutes. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dual task training | Other | Dual motor task training for 30 minutes. The dual motor training was divided into two phases. The first part involved a single task condition in which the stroke patient was instructed to stand up from a seated position at a self-selected speed without the use of upper limb assistance. Cognitive and physical tasks, is the second part of training. In addition to a 30-minute selected physiotherapy program. |
| Measure | Description | Time Frame |
|---|---|---|
| Trunk impairment scale | It assesses trunk coordination skills as well as static and dynamic balance while seated | 4 weeks |
| Functional Reach test | This one-item exam is intended to serve as a rapid screening tool for balance issues | 4 weeks |
| Biodex Balance System | Used to evaluate balance | 4 weeks |
| Fugl-Meyer lower extremity | This test is designed to evaluate lower extremity motor and sensory impairment after a stroke | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Ryada University for Science and Technology | Sadat | Menoufia | Egypt |
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| Task-specific training | Other | Began with a highchair before switching to a low one. In addition to a 30-minute selected physiotherapy program. |
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| Selected physiotherapy program | Other | Consisting of trunk control, trunk stabilization, balance training and lower extremity strengthening exercises (primarily for the hip adductors and abductors) for 60 minutes. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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