Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback in Post Stroke Patients

Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback on Lower Limb on Balance, Gait and Sensation in Post Stroke Patients

This study will be a single blinded randomized controlled trail. Non probability convenience sampling will be used to recruit the patients of either gender, aged 40-65 years, patients with the subacute phase (>3months post stroke) and able to follow the instructions. This study will be carried out in Gulab Devi Hospital and Sahet Medical Complex Lahore. These participants will be randomly allocated to Group A will receive bilateral task specific training with visual feedback, whereas Group B will receive unilateral task specific training with visual feedback. Both group will perform their respective exercises 40 minutes, five days a week for 6weeks. The Participants will be evaluated at the start and end of the exercise program through Berg Balance scale to assess balance, 10 Meter Walk Test to assess gait and Fugl Meyer Assessment of lower extremity to assess sensation. Data will be analyzed by SPSS version 27.

Stroke is a neurological deficit due to vascular lesion. It occur due to blood flow obstruction and by the rupture of blood vessels. It causes neurological damage such as weakness, numbness, impaired balance, gait and loss of proprioception. These impairment lead to decrease mobility, increase risk of fall and reduce the quality of life. Task specific training focus on repetitive practice with meaningful, goal directed task to facilitate motor relearning. Visual feedback promote motor recovery and brain plasticity. Task specific training with visual feedback has been shown to enhance motor relearning and sensory integration. However most rehabilitation program focus only the affected limb. The aim of this study is to determine effects of unilateral versus bilateral task specific training with visual feedback on lower limb on balance, gait and sensation in post stroke patients.

Inclusion Criteria:

• Age 40-65 years
• Both gender male and female
• Pre diagnose with the Stroke
• Patient with a subacute phase (>3months post stroke)
• Ability to understand and follow the instructions (8)
• Berg Balance Scale (BBS) score between 21-40
• 10 meter walk test (0.4-0.8m/s)

Exclusion Criteria:

• Severe cognitive Impairment
• Visual and vestibular Impairment
• Other orthopedic or neurological disorder
• unilateral neglect