RecruitingNot ApplicableNCT07063368

Effects of Otago Exercises and Systematic Desensitization on Balance,Fall Risk and Basophobia Among Post Stroke Patients

Combined Effects of Otago Exercises and Systematic Desensitization on Balance,Fall Risk and Basophobia Among Post Stroke Older Adults

Sponsor

Riphah International University

Enrollment

51 participants

Start Date

Jun 26, 2025

Study Type

INTERVENTIONAL

Conditions

Stroke

Summary

The aim of the study is to determine the combined effects of Otago exercises and systematic desensitization on balance, fall risk, and basophobia among post-stroke older adults.

Eligibility

Min Age: 40 YearsMax Age: 70 Years

Inclusion Criteria6

Both male and female patients
to 70 Years of age
sub-acute ischemic stroke
Ability to walk with or without a caregiver
No cognitive dysfunction that would hinder understanding of the instructions
MoCA score between 18-24

Exclusion Criteria5

Patients previous participation in studies similar to the present study.
Participants who have other medical conditions such as severe arthritis or joint injuries.
Participants who have a history of significant neurological or psychiatric disorders
Participants who have severe visual or hearing impairments
Participants who are currently participating in another clinical trial or research study

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Interventions

OTHEROtago exercises and systematic desensitization with routine physical therapy

Warm-up (5 minutes) Marching in place (assisted), arm swings, side steps Otago Balance Exercises (7 minutes) Knee bends (with support), heel-to-toe stand (with support), side hip abduction (with support) Otago Strength Exercises (8 minutes) Ankle dorsiflexion, seated knee extensions, seated marching Routine Physical Therapy - Strength and Mobility Exercises (15 minutes) Assisted squats or sit-to-stand exercises, standing calf raises (with support), seated bicep curls, seated shoulder press Routine Physical Therapy - Flexibility and Stretching (5 minutes) Hamstring, quadriceps, shoulder, and neck stretches Relaxation Training (7 minutes) Review goals, PMR, deep breathing exercises Gradual Exposure and Visualization (10 minutes) Visualization of safe environments, standing up, walking on flat surfaces, and mildly fear-inducing situations (with assistance) Discussion and Feedback (3 minutes) Share experiences, provide feedback, assign homework

OTHEROtago Exercises and Routine physical Therapy

Warm-up (10 minutes) Marching in place, arm swings, and side steps. Otago Balance Exercises (10 minutes) Knee bends, heel-to-toe stand, side hip abduction. Otago Strength Exercises (10 minutes) Ankle dorsiflexion, seated knee extensions, seated marching. Routine Physical Therapy - Strength and Mobility Exercises (20 minutes) Assisted squats or sit-to-stand exercises, standing calf raises with support, seated bicep curls, seated shoulder press. Routine Physical Therapy - Flexibility and Stretching (10 minutes) Hamstring stretch, quadriceps stretch, shoulder and neck stretches, seated torso twist.

OTHERSystematic desensitization and routine physical therapy

Warm-up (5 minutes) Marching in place, arm swings, and side steps. Routine Physical Therapy - Strength and Mobility Exercises (20 minutes) Assisted squats or sit-to-stand exercises, standing calf raises with support, seated bicep curls, seated shoulder press. Routine Physical Therapy - Flexibility and Stretching (5 minutes) Hamstring stretch, quadriceps stretch, shoulder and neck stretches. Relaxation Training (10 minutes) Review goals and expectations, PMR, deep breathing exercises. Gradual Exposure and Visualization (15 minutes) Visualization of safe environments, standing up, walking on flat surfaces, and mildly fear-inducing situations (with assistance). Discussion and Feedback (5 minutes) Share experiences, provide feedback, and assign homework.