Comparative Effects of Task Oriented Progressive Resistance Training and Modified Otago Exercise on Balance and Lower Limb Motor Function Among Stroke Patients.

Stroke is a clinical syndrome marked by the sudden onset of localized neurological indications that persist longer than 24 hours or result in death. This definition includes stroke both due to infarction and due to hemorrhage. Stroke is the second or third most common cause of death, one of the main causes of adult disability worldwide, and a global health problem. The remaining 80% are due to ischemic stroke which itself has a number of different subtypes, including large artery disease, cardio embolism, and small vessel disease. This study aims to evaluate the effects of Task Related Progressive Resistance Training and Modified Otago Exercises on balance and lower limb motor function in stroke patients.

A randomized controlled trial will be conducted over eleven months. Fifty-two stroke patients aged 45 to 65 years will be selected using non-probability convenient sampling technique. Participants will be randomly allocated into two groups using a lottery method. Group A will receive Task-Oriented Progressive Resistance Training which includes functional strengthening activities targeting lower limb muscles, while Group B will undergo Modified Otago Exercise Program which involves balance and strength exercises used to prevent fall in stroke. Interventions will be carried out over eight weeks, with assessments conducted pre- and post-intervention using the Berg Balance Scale (for balance), Fugl-Meyer Assessment (for lower limb motor function) and Mini Mental State Examination (for cognitive function). Data will be analysed using SPSS version 26, applying parametric or non-parametric tests based on data normality.

Inclusion Criteria:

• Adults aged 45 to 65 years. (9)
• Both genders male and female.
• Clinically diagnosed with ischemic stroke.
• Chronic stroke patients 6 to 10 months.
• Presence of hemiparesis with mild to moderate motor deficits FMA-LE score 34.
• Cognitive impairment MMSE score more than 26.
• Ability to walk at least 10 meters with or without an assistive device

Exclusion Criteria:

• Dementia or major neurocognitive disorder. (6)
• Complete paralysis or unable to participate in active exercise. (11)
• Patients with severe joint pain or arthritis are excluded due to reduce risk of injury and avoid confounding factors.
• Recent fractures, or other musculoskeletal issues limiting exercise participation.
• Suffering from physical diseases that prevent full participation in training.