StrokeNCT07576153
Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback in Post Stroke Patients
A study testing bilateral task specific training with visual feedback on lower limb and unilateral task specific training with visual feedback on lower limb in people with Stroke and Rehabilitation, run by Riphah International University at 1 site in Pakistan.
Trial summary
This study will be a single blinded randomized controlled trail. Non probability convenience sampling will be used to recruit the patients of either gender, aged 40-65 years, patients with the subacute phase (>3months post stroke) and able to follow the instructions. Read more about this study
- Who is it for?
- Ages 45 to 65 years
- Conditions the study is for
- Stroke, Rehabilitation, Gait Balance
- What is being tested?
- bilateral task specific training with visual feedback on lower limb and unilateral task specific training with visual feedback on lower limb
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Jul 2025to 1 Jul 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 40-65 years
- Both gender male and female
- Pre diagnose with the Stroke
- Patient with a subacute phase (>3months post stroke)
- Ability to understand and follow the instructions (8)
- Berg Balance Scale (BBS) score between 21-40
- 10 meter walk test (0.4-0.8m/s)
Who cannot join
- Severe cognitive Impairment
- Visual and vestibular Impairment
- Other orthopedic or neurological disorder
- unilateral neglect
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Department of Physical Therapy, Sahet Medical complex Lahore
Lahore, 54000
About this study
Official title: Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback on Lower Limb on Balance, Gait and Sensation in Post Stroke Patients
This study will be a single blinded randomized controlled trail. Non probability convenience sampling will be used to recruit the patients of either gender, aged 40-65 years, patients with the subacute phase (>3months post stroke) and able to follow the instructions. This study will be carried out in Gulab Devi Hospital and Sahet Medical Complex Lahore. These participants will be randomly allocated to Group A will receive bilateral task specific training with visual feedback, whereas Group B will receive unilateral task specific training with visual feedback. Both group will perform their respective exercises 40 minutes, five days a week for 6weeks. The Participants will be evaluated at the start and end of the exercise program through Berg Balance scale to assess balance, 10 Meter Walk Test to assess gait and Fugl Meyer Assessment of lower extremity to assess sensation. Data will be analyzed by SPSS version 27.
Read the detailed description
Stroke is a neurological deficit due to vascular lesion. It occur due to blood flow obstruction and by the rupture of blood vessels. It causes neurological damage such as weakness, numbness, impaired balance, gait and loss of proprioception. These impairment lead to decrease mobility, increase risk of fall and reduce the quality of life. Task specific training focus on repetitive practice with meaningful, goal directed task to facilitate motor relearning. Visual feedback promote motor recovery and brain plasticity. Task specific training with visual feedback has been shown to enhance motor relearning and sensory integration. However most rehabilitation program focus only the affected limb. The aim of this study is to determine effects of unilateral versus bilateral task specific training with visual feedback on lower limb on balance, gait and sensation in post stroke patients.
- Conditions
- Stroke, Rehabilitation, Gait Balance
- Being tested
- bilateral task specific training with visual feedback on lower limb, unilateral task specific training with visual feedback on lower limb
- Keywords
- Sensation, Gait, Balance, Visual feedback,, Task specific training,, Bilateral and Unilateral training,, Stroke rehabilitation,
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
bilateral task specific training with visual feedback on lower limbOther
The group will received bilateral task specific training along with visual feedback on lower limb. Bilateral training is used in rehabilitation to promote functional recovery of impaired limbs by engaging both affected and non-affected sides. Task specific training include weight shifting, sit to stand, stepping forward / lateral and bilateral walking over uneven surfaces. Visual feedback will be given by mirrors and visual targets place on the floor. Visual feedback helping patients to improve balance and body awareness, particularly for individuals with sensory or motor impairments following a stroke. Bilateral task specific training with visual feedback will perform for five days per week for six weeks. The participants in this group underwent 40 minutes of bilateral lower limb training. Pre and post intervention values will be recorded to assess the effectiveness
unilateral task specific training with visual feedback on lower limbOther
This group received unilateral task specific training with visual feedback on affected limb. Task specific training include weight shifting, seated marching, stepping forward / lateral, and walk on uneven surface. Unilateral task specific training with visual feedback will perform for five days per week for six weeks. The participants in this group underwent 40 minutes of unilateral lower limb training. Pre and post intervention values will be recorded to assess the effectiveness.
| Study group | Role | What they receive |
|---|---|---|
| bilateral task specific training with visual feedback | Experimental | Not described Receives: Other: bilateral task specific training with visual feedback on lower limb |
| unilateral task specific training with visual feedback | Experimental | Not described Receives: Other: unilateral task specific training with visual feedback on lower limb |
What is being measured
The primary outcome is the main question the study is designed to answer.
Berg Balance Scale
Berg balance (BBG) is a widely used clinical test to assess a person's static and dynamic balance abilities. It consist of 14 performance based tasks each scored on a 5 point scale from 0 to 4 for a maximum total score of 56. It used for individuals with balance impairments such as post stroke patients.
In scoring criteria 4 score perform task independently and safely, 3 score perform with supervision or slight assistance, 2 score perform with moderate assistance or deviation, 1score perform with major assistance and 0 score unable to perform The scoring range 41-56 low risk balance impairment, 21-40 moderate risk balance impairment and 0-20 high risk balance impairment Test retest (ICC =0.96; 95% CI, 0.93-0.98) and inter-rater (ICC=0.93; 95% CI, 0.87=0.97) reliability was excellent
Measured: 6 weeks
Meter Walk Test (TMWT)
10 meter walk test is use to assess the gait and gait speed over a short distance. It is an important predictor of functional independence, fall risk and community mobility. It is perform by the patient to walk a total 14 meter at a comfortable speed, only the middle 10 meter are timed to eliminate acceleration and deceleration bias. First 2 meter acceleration, middle 10 meter time walking and last 2 meter deceleration. Repeat the test twice. The Scoring of 10 meter walk test have predicted values, gait speed < 0.4 m/ s functional status (household ambulation), 0.4 - 0.8 m/s limited community ambulation, > 0.8 m/s community ambulation and > 1.2 m/s safe for crossing the street
Measured: 6 weeks
Fugl- Meyer Assessment - Lower Extremity
Fugl Meyer Assessment Lower Extremity is widely used outcome tool to measure in rehabilitation, particularly for stroke patients.
To measure the sensation, it include light touch sensation and proprioception. The scoring criteria each item is on a 3 point scale; 0 unable to perform the task, 1 impaired and 2 normal. The total score ranges from 0 to 10. Light touch 2 sites and 2 points total score 4. Proprioception 3 joints 2 points total score 6
Measured: 06 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 May 2026
- Study start1 Jul 2025
- Primary completionMay 2026 (estimated)
- Study completion1 Jul 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Zain Ul Abbas, Ms, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07576153
- Sponsor's protocol ID
- REC/RCR & AHS/25/0223
- Status last verified
- May 2026
- First submitted
- 4 May 2026
- Last updated
- 8 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Unilateral Versus Bilateral Task Specific Training With Visual Feedback on Lower Limb on Balance, Gait and Sensation in Post Stroke Patients
- ClinicalTrials.gov ID
- NCT07576153
- Acronym / sponsor ID
- REC/RCR & AHS/25/0223
- Conditions
- Stroke, Rehabilitation, Gait Balance
- Keywords
- Sensation, Gait, Balance, Visual feedback,, Task specific training,, Bilateral and Unilateral training,, Stroke rehabilitation,
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Jul 2025 (actual)
- Primary completion
- May 2026 (estimated)
- Study completion
- 1 Jul 2026 (estimated)
- First posted
- 8 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will be a single blinded randomized controlled trail. Non probability convenience sampling will be used to recruit the patients of either gender, aged 40-65 years, patients with the subacute phase (>3months post stroke) and able to follow the instructions. This study will be carried out in Gulab Devi Hospital and Sahet Medical Complex Lahore. These participants will be randomly allocated to Group A will receive bilateral task specific training with visual feedback, whereas Group B will receive unilateral task specific training with visual feedback. Both group will perform their respective exercises 40 minutes, five days a week for 6weeks. The Participants will be evaluated at the start and end of the exercise program through Berg Balance scale to assess balance, 10 Meter Walk Test to assess gait and Fugl Meyer Assessment of lower extremity to assess sensation. Data will be analyzed by SPSS version 27.
Detailed description
Stroke is a neurological deficit due to vascular lesion. It occur due to blood flow obstruction and by the rupture of blood vessels. It causes neurological damage such as weakness, numbness, impaired balance, gait and loss of proprioception. These impairment lead to decrease mobility, increase risk of fall and reduce the quality of life. Task specific training focus on repetitive practice with meaningful, goal directed task to facilitate motor relearning. Visual feedback promote motor recovery and brain plasticity. Task specific training with visual feedback has been shown to enhance motor relearning and sensory integration. However most rehabilitation program focus only the affected limb. The aim of this study is to determine effects of unilateral versus bilateral task specific training with visual feedback on lower limb on balance, gait and sensation in post stroke patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| bilateral task specific training with visual feedback | Experimental | Other: bilateral task specific training with visual feedback on lower limb |
| unilateral task specific training with visual feedback | Experimental | Other: unilateral task specific training with visual feedback on lower limb |
Who may qualify
- Ages
- 45 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Age 40-65 years
- Both gender male and female
- Pre diagnose with the Stroke
- Patient with a subacute phase (>3months post stroke)
- Ability to understand and follow the instructions (8)
Key exclusion criteria (4 listed)
- Severe cognitive Impairment
- Visual and vestibular Impairment
- Other orthopedic or neurological disorder
- unilateral neglect
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| bilateral task specific training with visual feedback on lower limbThe group will received bilateral task specific training along with visual feedback on lower limb. Bilateral training is used in rehabilitation to promote functional recovery of impaired limbs by engaging both affected and non-affected sides. Task specific training include weight shifting, sit to stand, stepping forward / lateral and bilateral walking over uneven surfaces. Visual feedback will be given by mirrors and visual targets place on the floor. Visual feedback helping patients to improve balance and body awareness, particularly for individuals with sensory or motor impairments following a stroke. Bilateral task specific training with visual feedback will perform for five days per week for six weeks. The participants in this group underwent 40 minutes of bilateral lower limb training. Pre and post intervention values will be recorded to assess the effectiveness | Other | bilateral task specific training with visual feedback |
| unilateral task specific training with visual feedback on lower limbThis group received unilateral task specific training with visual feedback on affected limb. Task specific training include weight shifting, seated marching, stepping forward / lateral, and walk on uneven surface. Unilateral task specific training with visual feedback will perform for five days per week for six weeks. The participants in this group underwent 40 minutes of unilateral lower limb training. Pre and post intervention values will be recorded to assess the effectiveness. | Other | unilateral task specific training with visual feedback |
Primary outcome
Berg Balance Scale
Time frame: 6 weeks
Berg balance (BBG) is a widely used clinical test to assess a person's static and dynamic balance abilities. It consist of 14 performance based tasks each scored on a 5 point scale from 0 to 4 for a maximum total score of 56. It used for individuals with balance impairments such as post stroke patients. In scoring criteria 4 score perform task independently and safely, 3 score perform with supervision or slight assistance, 2 score perform with moderate assistance or deviation, 1score perform with major assistance and 0 score unable to perform The scoring range 41-56 low risk balance impairment, 21-40 moderate risk balance impairment and 0-20 high risk balance impairment Test retest (ICC =0.96; 95% CI, 0.93-0.98) and inter-rater (ICC=0.93; 95% CI, 0.87=0.97) reliability was excellent
Meter Walk Test (TMWT)
Time frame: 6 weeks
10 meter walk test is use to assess the gait and gait speed over a short distance. It is an important predictor of functional independence, fall risk and community mobility. It is perform by the patient to walk a total 14 meter at a comfortable speed, only the middle 10 meter are timed to eliminate acceleration and deceleration bias. First 2 meter acceleration, middle 10 meter time walking and last 2 meter deceleration. Repeat the test twice. The Scoring of 10 meter walk test have predicted values, gait speed < 0.4 m/ s functional status (household ambulation), 0.4 - 0.8 m/s limited community ambulation, > 0.8 m/s community ambulation and > 1.2 m/s safe for crossing the street
Fugl- Meyer Assessment - Lower Extremity
Time frame: 06 weeks
Fugl Meyer Assessment Lower Extremity is widely used outcome tool to measure in rehabilitation, particularly for stroke patients. To measure the sensation, it include light touch sensation and proprioception. The scoring criteria each item is on a 3 point scale; 0 unable to perform the task, 1 impaired and 2 normal. The total score ranges from 0 to 10. Light touch 2 sites and 2 points total score 4. Proprioception 3 joints 2 points total score 6
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 May 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Zain Ul Abbas, Ms principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing bilateral task specific training with visual feedback on lower limb and unilateral task specific training with visual feedback on lower limb in people with Stroke and Rehabilitation, run by Riphah International University at 1 site in Pakistan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 8 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Berg Balance Scale (time frame: 6 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 May 2026.