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NCT Number: NCT07139002

Combined Effect of Sensory Training With Bobath Therapy in Patients With Chronic Stroke

Chronic stroke causes moderate to severe impairments in proprioception, balance, and motor functions, which can impact upon an individual's ability to perform activities of daily living, leading to reduced quality of life and increased dependency. Proprioception, or detecting the body's position in open space, is important for balance and coordinated movement. One therapy uses traditional rehabilitation methods like Bobath theory to increase motor functions, aiming to utilize sensory and movement facilitation. Nonetheless, combining sensory and Bobath therapy could lead to superior outcomes by simultaneously addressing both the proprioceptive deficit and motor skills. The purpose of this project is to explore the combined effect of sensory training and Bobath therapy on proprioception, balance, andmotor function in chronic stroke survivors.

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Key information

Conditions

Chronic Stroke Patients

Age range

45 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ittefaq Hospital (Trust), Lahore

Lahore, Punjab Province, 54000, Pakistan

Location status: Recruiting

Location contact

Noshaba Dilshad, MSPT-NM

CONTACT

[email protected]

+923335826644

Noshaba Dilshad, MSPT-NM

PRINCIPAL_INVESTIGATOR

About this study

This randomized controlled trial study will take place at Ittefaq (Trust) Hospital, Lahore, with a sample size of 40 participants. Eligible participants will include individuals who are 6 months to 2 years old chronic stroke patients (age group 45 years to 60 years), possess a Mini-Mental State Examination (MMSE) score of 24 or higher, and can provide informed consent. Participants will be selected using nonprobability convenience sampling by using online randomizing tools. The participants will be randomly divided into groups (20 each). The study group will be subjected to combined sensory training and Bobath therapy. The duration of the intervention will be eight weeks, with three sessions per week aimed at improving proprioceptive awareness and motor function. Proprioception will be assessed using the proprioception assessment tool (PAT), joint position sense, and the Romberg test, while balance will be determined using the Berg Balance Scale. The Fugl-Meyer Assessment will be used to measure motor function. The first assessments will be the baseline assessments, done before the intervention, after which a follow-up will be done to measure the efficacy of the combined approach. Statistical analyses will be conducted to assess differences in outcomes between the two groups, helping to determine the effectiveness of combining sensory training with balance and motor function interventions in chronic stroke patients. The findings aim to contribute to the understanding of rehabilitation strategies for this population. Data analysis will be performed by using SPSS 26 software.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both male and female included.
  • Age group: 45 years to 60 years.
  • Participants diagnosed with chronic stroke 6 months to 2 years.
  • Mini-Mental State Examination (MMSE) score of 24 or higher.
  • Cannot maintain balance for 30 seconds.
  • Ambulate independently for 7 meters.

Exclusion criteria

  • Participants having conditions other than chronic stroke (Parkinson's disease, Alzheimer's disease, orthopedic pathological condition, etc.).
  • Participants having any visual, vestibular, or auditory impairment.
  • Participants having any muscular injuries in the previous 6 months.
  • Participants with a history of fracture in the previous 6 months.
  • Participants with a history of mental illness.
  • Participants with cardiovascular complications.

Treatment and study plan

Bobath therapy

Other

The group will repeat 10 exercises (facilitated rolling, sitting balance exercises, weight shifting in standing, functional sit-to-stand, stepping practice, reaching activities, wall slides, therapeutic ball exercises, stair climbing practice, and breathing and relaxation techniques) for 8 weeks.

Sensory Training

Other

The group will repeat 9 exercises (texture discrimination, shape, size, and discrimination, tactile recognition, proprioception training, temperature differentiation, tactile localization, sensory mapping, sensory training through functional activities, and tabletop sensory exercises) for 8 weeks.

Primary outcomes

  1. Romberg test

    Time frame: 4 weeks

    Romberg test is popular for assessing proprioception

  2. Joint Position Sense Test

    Time frame: 4 weeks

    Joint Position Sense Test is used for assessing proprioception

  3. Berg Balance scale

    Time frame: 4 weeks

    Berg Balance scale is popular for assessing balance

  4. Timed up and go test

    Time frame: 4 weeks

    Timed up and go test is popular for assessing balance

  5. Fugl-Meyer Assessment Tool

    Time frame: 4 weeks

    Fugl-Meyer Assessment Tool is specific tool that evaluates motor functioning, balance, sensation, and joint functioning in stroke patients

Study contacts

Contact information is provided by the study sponsor or research team.

Asrar Yousaf, M.phill

CONTACT

[email protected]

+923004099505

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Combined Effect of Sensory Training With Bobath Therapy on Proprioception, Balance, and Motor Function in Patients With Chronic Stroke

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Aug 24, 2025
Registry last updated
Aug 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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