Effects of Task Oriented Gait Training With Core Stablization Excercises on 3 Parameters

Effects of Task-Oriented Gait Training With Core Stabilization Exercises on Mobility, Gait, and Balance in Patients With Stroke

This randomized controlled trial aims to compare the effects of task-oriented gait training and core stabilization exercises on mobility, balance, and gait in 54 stroke patients (aged 45-75 years, 6 months to 2 years post-ischemic stroke). Participants with left hemiplegia and MMSE ≥24 will be randomly assigned to either intervention for 8 weeks (3 sessions/week). Outcome measures include the 6-Minute Walk Test, Berg Balance Scale, GAIT, Timed Up and Go Test, and a Patient Satisfaction Survey. Data will be analyzed using SPSS version 25 to determine intervention effectiveness.

Stroke is defined as a medical emergency that occurs when blood flow to a part of the brain is interrupted or reduced, preventing brain tissue from receiving essential oxygen and nutrients. This interruption can result from either a blockage (ischemic stroke) or the rupture of a blood vessel (hemorrhagic stroke). The immediate effects of a stroke can lead to significant motor impairments, long-term disability, and profound impacts on mobility, gait, and balance, posing substantial challenges to rehabilitation and overall quality of life. Effective rehabilitation strategies, such as task-oriented gait training and core stabilization exercises, are crucial for improving functional outcomes in stroke patients. Task-oriented gait training emphasizes specific walking tasks to enhance functional mobility, while core stabilization exercises aim to strengthen trunk muscles, thereby improving balance.

This randomized controlled trial (RCT) will involve 54 stroke patients aged 45 to 75 years, determined through OpenEpi, Version 3 sample size calculations. Eligible participants will include individuals who are 6 months to 2 years post-ischemic stroke, have left hemiplegia, possess a Mini-Mental State Examination (MMSE) score of 24 or higher, are able to ambulate independently, and can provide informed consent. Participants will be randomly assigned to one of two groups: Group A will receive task-oriented gait training, while Group B will engage in core stabilization exercises, both administered over an 8-week period with three sessions per week. Outcome measures will include the 6-Minute Walk Test (6MWT) for assessing functional mobility and endurance, the Berg Balance Scale (BBS) for evaluating balance and fall risk, the Gait Assessment and Intervention Tool (GAIT) for gait evaluation, and the Timed Up and Go Test (TUG) for mobility assessment and Patient Satisfaction Survey. Pre- and post-intervention data will be systematically collected to analyze the relative effectiveness of these interventions in post-stroke rehabilitation. Data will be analyzed by SPSS version 25.

Inclusion Criteria:

• Adults aged 45 to 75 years
• Diagnosed with ischemic stroke
• Onset of stroke at least 6 months and no more than 2 years prior to enrollment
• Able to ambulate with or without assistive devices
• Mini-Mental State Examination (MMSE) score of 24 or higher
• Experiencing left hemiplegia
• Able to provide informed consent

Exclusion Criteria:

• Other neurological disorders affecting mobility
• Severe musculoskeletal conditions impacting gait or balance
• Uncontrolled medical conditions (e.g., severe cardiovascular issues)
• Major surgery within the last 6 months
• Current participation in other rehabilitation programs
• Contraindications to exercise as determined by a healthcare provider