Effects of Task-Oriented Training With and Without Rhythmic Auditory Stimulation in Post-Stroke Patients

It will be a single blinded randomized controlled trial. Non-probability convenience sampling technique will be used to recruit 38 participants aged 40 to 60 years, subacute stage post-stroke from hospitals of Daska and NLH Physio Clinic. Sealed opaque method will be used to randomly divide into two groups. Group A will receive TOT along with RAS, while Group B will receive only TOT. Both groups will participate in supervised 30-minute exercise sessions, including a 10-minute warm-up and cool-down period, five days a week for eight weeks, in addition to 30 minutes of baseline conventional physiotherapy program. The interventions will focus on lower limb function, balance, proprioceptive training, and motivational engagement. Tools used for outcome assessment include the Lower Extremity Functional Scale (LEFS) for motor function, Timed Up and Go (TUG) test for dynamic balance, Joint Position Sense (JPS) test for proprioception, Stroke Rehabilitation Motivation Scale (SRMS) for motivation, and the Rehabilitation Adherence Questionnaire (RAQ) for adherence. Data will be analyzed using SPSS version 25 to compare pre- and post-intervention effects. . After assessing the normality, if the p-value is greater than 0.05, a parametric test will be applied. If the p-value is less than 0.05 then a non-parametric test will be applied.

Inclusion criteria

• • Age 40-60 years

• First-time ischemic or hemorrhagic stroke
• Subacute stroke (<6 months)
• Brunnstrom stage ≥ 3 (lower limb)
• Able to walk 10 meters independently or with minimal support
• Able to follow simple commands

Exclusion criteria

• • Severe aphasia

• Other neurological disorders (Parkinson's, TBI)
• Uncontrolled cardiovascular issues (BP > 180 mmHg, arrhythmias)
• Severe visual, auditory, or orthopedic impairments
• Musculoskeletal injuries or medical conditions limiting participation
• Diabetes, hypertension, fractures, surgeries, OA, RA