Transcranial Direct Current Stimulation vs Pilates Core Training in Stroke

Summary

The goal of this clinical trial is to compare the effects of transcranial direct current stimulation and pilates based core stability training on gait and balance in stroke patients. The main question\[s\] it aims to answer are:

* is there an effect of transcranial direct current stimulation and pilates based core training on gait and balance
* Is there a significant effect of tDCS over Pilates-based core training

Participants will be assigned to three groups:

* Group 1: will receive 18 sessions(3 sessions/week 20 minutes each) of anodal tDCS in addition to conventional physical therapy exercises
* Group 2: Will receive 18 Pilates exercise sessions over a period of 6 weeks (3 sessions / week) in addition to conventional physical therapy exercises.
* Group 3: Will receive conventional physiotherapy program

Researchers will compare the transcranial direct current stimulation group with the pilates exercise group to see if one of them is superior to the other on balance and gait.

Conditions

• Stroke
• Cerebrovascular Accident

Interventions

DEVICE

transcranial direct current stimulation

Anodal tDCS applied using a direct current stimulator and two saline-soaked electrodes. The anode electrodes will be positioned approximately 2 cm anterior to Cz according to the International 10/20 EEG System. The cathode will be positioned over the inion. Stimulation intensity will be at 2.0 milliampere (as suggested to achieve excitation in the lower limb motor cortex areas)

OTHER

Pilates based core training

The Pilates training program will last 30 min per session, Each action in the training will be repeated eight times these actions are at beginner level, considering the characteristics of stroke patients. The selected exercises will be given to all patients and progressed week-wise.

OTHER

conventional physiotherapy program

Conventional physiotherapy program: * Stretching Slow sustained stretching of spastic muscles (generally hip flexors and adductors, knee extensors or flexors and ankle plantar flexors) * Strengthening Abdominals, lumbar spine extensors, hip flexors, extensors and abductors, knee extensors and flexors and ankle dorsi flexors * Gait training In level surface and in stairs

Sponsors & Collaborators

• Cairo University

  lead OTHER

Principal Investigators

• Aisha Saleh · Cairo University

• Hussein Shaker, Professor · cairo univeristy

• Ebtesam Fahmy, Professor · Cairo University

• Mohamed Helayel, lecturer · cairo univeristy

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

50 Years

Max Age

60 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2024-02-25

Primary Completion

2024-08-31

Completion

2024-09-30

Countries

• Egypt

Study Locations