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Body Awareness Therapy for People With Stroke

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StatusCompleted
Sponsors
Örebro County Council
Collaborators
Norrbacka-Eugenia Foundation

Keywords

Abstract

Affected balance capacity is common after a stroke due to paresis and sensory disturbances. The affected balance capacity may cause walking disturbances, falls and decreased mobility. Balance may be improved by physical therapy. A possible method for balance training is body awareness therapy, that was introduced in Sweden by Jacques Dropsy and Gertrud Roxendal. Earlier body awareness therapy was mostly used in psychiatric care but in the recent years the method has been used for people with long-tern pain, amputations and multiple sclerosis. Body awareness therapy includes exercises in lying, sitting and standing. Focus of the exercises are awareness of one´s movement behaviour, breathing patterns, resources and limitations. Postural control is an essential part in the exercises. Body awareness therapy could be used for people with stroke as a way to improve postural control. The aim of this study is to investigate if balance training using body awareness therapy can improve balance and walking in people after stroke. The interventions consists of body awareness therapy once a week for 8 weeks.

Dates

Last Verified: 04/30/2018
First Submitted: 04/15/2012
Estimated Enrollment Submitted: 06/03/2012
First Posted: 06/06/2012
Last Update Submitted: 05/06/2018
Last Update Posted: 06/27/2018
Date of first submitted results: 06/06/2013
Date of first submitted QC results: 12/03/2013
Date of first posted results: 12/29/2013
Actual Study Start Date: 09/30/2011
Estimated Primary Completion Date: 01/31/2013
Estimated Study Completion Date: 01/31/2013

Condition or disease

Stroke

Intervention/treatment

Other: Body awareness therapy

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Body awareness therapy
Other: Body awareness therapy
Once a week, 1 hour for 8 weeks.Body awareness training may be performed by physiotherapist. Exercises are performed in standing, sitting and lying. Example of exercises are weight-balancing in standing and relaxation exercises.
No Intervention: Control

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Diagnosed stroke more than 6 months ago. Walking capacity of 100 meter with or without assistive device.

Exclusion Criteria:

- Medical or cognitive impairment that prohibits participating in the intervention.

Outcome

Primary Outcome Measures

1. Bergs Balance Scale [Change from baseline in Bergs balance scale at 9 weeks]

Test of functional balance. Includes 14 items all graded 0-4 where 0 indicate larger impairment. Total score is used here, maximum 56 and minimum 0. The Berg balance scale was developed for older patients but is a much used meausure of dynamic and static functional balance.

Secondary Outcome Measures

1. Timed Up and Go Test [Change from baseline in Timed Up and Go test at 9 weeks]

test of functional mobility. Time is taken in seconds. The participants sits on a chair with armrests are then asked to rise, walk 3 meters, turn and walk back and sit down.

2. Activities-specific Balance Confidence Scale [Change from baseline in Activities-specific Balance confidence scale at 9 weeks]

16 item questionnaire that investigates balance self-efficacy. Each items is a question; How secure are you that you will not fall when you...sweep the floor? The participant are asked to grade his/hers feeling of secutiry from 0, 10, 20 and so on up to 100. 0 is regarded low balance self-efficacy. The item responses are summed and divided by 16.

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