RECRUITINGINTERVENTIONAL

Graded Activity Training and Task- Oriented Training on Post-Stroke Fatigue

Effects Of Graded Activity Training and Task-Oriented Training on Fatigue in Post-Stroke Patients

About This Trial

The aim of this randomized controlled trial is to determine the effects of Graded Activity Training and Task Oriented Training on Fatigue in Post-Stroke Patients. Until now there is very limited work found on fatigue so this will increase quality of life in stroke patients and potentially reduce burden on healthcare system.

Who May Be Eligible (Plain English)

Who May Qualify: - Both male and female of age 40 to 60 years. - Patient with both ischemic or hemorrhagic stroke. - Patient with both right and left hemiplegia. - Checklist Individual (CIS-F) fatigue score of 40 or more. - Patients who had sustained a stroke more than 4 months before recruitment. - Patients who can independently walk for 10 meters (about 33 feets) Who Should NOT Join This Trial: - Patients with severe comorbid health conditions (such as cardiac diseases, pulmonary diseases like COPD, Orthopedic Conditions Arthritis, joint replacements). - Patients with uncontrolled diabetes, hypertension, Depression and Anxiety. - Patients who are not willing to participate. - Patient with any medications that can affect their ability to engage in physical training program like Antidepressants, Beta-Blockers, corticosteroids etc. - Pregnant women. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Both male and female of age 40 to 60 years. * Patient with both ischemic or hemorrhagic stroke. * Patient with both right and left hemiplegia. * Checklist Individual (CIS-F) fatigue score of 40 or more. * Patients who had sustained a stroke more than 4 months before recruitment. * Patients who can independently walk for 10 meters (about 33 feets) Exclusion Criteria: * Patients with severe comorbid health conditions (such as cardiac diseases, pulmonary diseases like COPD, Orthopedic Conditions Arthritis, joint replacements). * Patients with uncontrolled diabetes, hypertension, Depression and Anxiety. * Patients who are not willing to participate. * Patient with any medications that can affect their ability to engage in physical training program like Antidepressants, Beta-Blockers, corticosteroids etc. * Pregnant women.

Treatments Being Tested

OTHER

Graded Activity Training

4 types of progressive activities of 2 hour session two times/week with resting periods of 30 mins. Activities consist of treadmill walk ,walk on floor, core muscles exercises ,home tasks . To ensure the proper heart rate and loads during the exercises, measurements of individual heart rate and muscle strength are taken during the first session (baseline) with HR Tracking portable device and also during the session to continuously monitor HR of the Patient. To withdraw or adjust the training intensity for each patient Borg's Scale of Perceived Exertion is used throughout the session for monitoring Training intensity of endurance, muscle training, individual's effort and exertion level.

OTHER

Task-Oriented Training

4 task oriented physical fitness activities which include walk on floor, walk on inclined surface using treadmill ,sit to stand , stair climbing and descending for duration of 2 hour session with frequent breaks. Each treatment session began with 10 minutes of warm-up exercise, which consisted of passive stretching of the calf muscles, hamstring, and hip adductors. The level of difficulty and frequency for each task were gradually increased during the 6 weeks with the patients consent.10 minutes of cool down at the end of each treatment session.

Locations (1)

Helping Hand Institute of Rehabilitation Sciences

Mansehra, KPK, Pakistan