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PURPOSE: to investigate the effect of vibroacoustic therapy device with laser motion guidance affect balance sensory integration in patients with stroke BACKGROUND: Following stroke, motor recovery can be dictated by the degree of sensory disruption, The application of vibroacoustic therapy device with laser motion guidance could improve balance and sensory integration functions.
Forty-four patients post vascular stroke, from both sexes were participated in this study. The patients were randomly divided into four equal groups; Group (I) will receive vibroacoustic therapy and a selected physical therapy program. Group (II) will receive laser motion guidance therapy and a selected physical therapy program. Group (III) will receive vibroacoustic therapy, laser motion guidance and a selected physical therapy program. Group (IV) will receive the selected physical therapy program. The evaluation methods by Biodex balance system using Clinical Test of Sensory Integration and Balance (CTSIB), Time up and go test, and The Functional Independence Measure
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group (I) | Experimental | will receive vibroacoustic therapy and a selected physical therapy program. |
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| Group (II) | Experimental | laser motion guidance therapy and a selected physical therapy program |
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| Group (III) | Experimental | vibroacoustic therapy, laser motion guidance and a selected physical therapy program |
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| Group (IV) | Experimental | the selected physical therapy program |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| vibro-acoustic therapy | Device | Vibroacoustic therapy (VAT) is a type of sound therapy that involves passing low frequency sine wave vibrations into the body via a device with embedded speakers |
| Measure | Description | Time Frame |
|---|---|---|
| Biodex balance system | Clinical Test of Sensory Integration and Balance (CTSIB) The Biodex Balance System provides objective, computer-based measurements for the Clinical Test of Sensory Integration and Balance (CTSIB), also known as the Sensory Organization Test (SOT), by quantifying postural sway under various sensory conditions. | four weeks |
| Time up and go test (TUG) | The TUG is a general physical performance test used to assess mobility, balance, and locomotor performance in elderly people | four weeks |
| Biodex balance system Overall Stability Index (OSI) | The Biodex Overall Stability Index (OSI) is a composite measure of postural stability provided by the Biodex Balance System (BBS). It quantifies how well a person can maintain balance by measuring the total deviation of the foot platform from level in both anterior-posterior (front-to-back) and medial-lateral (side-to-side) directions | four weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The Functional Independence Measure (FIM) scale | The Functional Independence Measure (FIM) is a standardized assessment tool used in rehabilitation to measure a patient's functional ability and level of disability across 18 items, scored on a 1-7 scale, to track progress and guide care plans The FIM assesses a total of 18 items across six categories-self-care, sphincter control, mobility, locomotion, communication, and social cognition-each focusing on essential daily activities. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lama Saad El-Din Mahmoud | Al Jīzah | Select State | 0020 | Egypt |
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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 |
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| Motion Guidance Laser | Device | Motion Guidance Laser is a tool used to improve the curative progression by leading to excessive participation of the subject, helping to facilitate motor skills, postural stability |
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| selected physical therapy exercises program | Other |
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| four weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |