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This study will compare the effects of Functional Electrical Stimulation (FES) and Whole Body Vibration Training (WBVT) on lower limb motor control, balance, and physical performance in post-stroke patients. It will be a single-blinded randomized clinical trial including 34 participants, who will be allocated into two groups. Both groups will receive their respective interventions 4 days per week for 8 weeks. Outcomes will be assessed at baseline and after 8 weeks using the Fugl-Meyer Assessment for lower extremity motor control, Berg Balance Scale for balance, and Barthel Index for physical performance.
Stroke is an acute focal injury of the central nervous system caused by a vascular source, which results in neurological deficits and can cause disability or death. Stroke can lead to motor weakness, sensory deficiency and loss of motor control. Patients who have had a stroke frequently experience issues with their balance, gait and physical performance. Whole-Body Vibration Training (WBVT) is a non-pharmacological intervention that transmits vibration stimulation throughout the body and has demonstrated promise in improving balance, mobility, and physical function in stroke rehabilitation. Functional Electrical Stimulation (FES) is a rehabilitation technique that helps stroke survivors regain motor skills by stimulating certain nerves with electrical impulses applied via the skin's surface, which causes paretic muscles to move. FES can be utilized to improve physical performance, muscle strength, and balance in stroke patients. Strokes frequently lead to poor physical performance, diminished balance, and impaired lower limb motor control, all of which have an adverse effect on daily functioning and quality of life. This study aims to compare the effects of Functional Electrical Stimulation and Whole Body Vibration Training on lower limb motor control, balance, and physical performance in post-stroke patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Functional Electrical Stimulation Group | Experimental | Participants in this arm will receive transcutaneous Functional Electrical Stimulation for lower limb rehabilitation for 8 weeks. Stimulation will be applied to selected lower limb muscles including tibialis anterior, quadriceps, hamstrings, and peroneal muscles. Treatment parameters will progress according to tolerance, including intensity, session duration, and functional movement integration. Outcomes will be assessed at baseline and after 8 weeks. |
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| Whole Body Vibration Training Group | Active Comparator | Participants in this arm will receive Whole Body Vibration Training using a vibration platform for 8 weeks. Training will include progressive activities such as standing, semi-squat, heel raises, dynamic squatting, side-to-side weight shifting, and one-leg stance. Vibration frequency, duration, and exercise difficulty will be gradually progressed according to tolerance. Outcomes will be assessed at baseline and after 8 weeks. After this, go to Interventions and add Functional Electrical Stimulation and Whole Body Vibration Training, then assign each intervention to its matching arm. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Functional Electrical Stimulation | Device | Functional Electrical Stimulation will be delivered transcutaneously to selected lower limb muscles for 8 weeks. Stimulation will target tibialis anterior, quadriceps, hamstrings, peroneal muscles, and other lower limb muscles according to patient need and tolerance. The intervention will use biphasic symmetrical pulsed current with progressive intensity, duration, and functional movement integration. Treatment will be supervised by a physiotherapist, and outcomes will be assessed at baseline and after 8 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| lower Limb Motor Control | Assessed using the Fugl-Meyer Assessment for Lower Extremity. | Baseline and 8 weeks post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Balance | Assessed using the Berg Balance Scale. | Baseline and 8 weeks post-intervention |
| Physical Performance | Assessed using the Barthel Index Scale. |
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Inclusion Criteria:
Exclusion Criteria:
patients suffering from unstable cardiac condition, severe hypertension, congestive heart failure, aphasia, or cognitive impairments for which exercises are contraindicated.
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| Name | Affiliation | Role |
|---|---|---|
| Ambreen Iqbal IQBAL | Riphah International University Role | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hafiz Physiotherapy Center | Gujrat | Punjab Province | 50700 | Pakistan |
The individual participant data sharing plan has not yet been finalized.
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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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| ID | Term |
|---|---|
| D004599 | Electric Stimulation Therapy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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Participants will be randomly allocated into two equal groups: Functional Electrical Stimulation group and Whole Body Vibration Training group.
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A single-blinded design will be implemented: the outcome assessor will remain blinded to group allocation to minimize measurement bias and enhance the reliability of results.
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| Whole Body Vibration Training | Device | Whole Body Vibration Training will be delivered using a vibration platform for 8 weeks. Participants will perform progressive lower limb activities including standing, semi-squat, heel raises, dynamic squatting, side-to-side weight shifting, and one-leg stance exercises. Frequency, duration, and difficulty will be progressed according to patient tolerance under physiotherapist supervision. |
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| Baseline and 8 weeks post-intervention |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |