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Post StrokeNCT07854067

Effects of Tai Chi and Dual Task Balance Training in Post Stroke Patients

A study testing Tai Chi and Dual Task Balance Training in people with Post Stroke and Stroke, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the study is to compare the effects of Tai Chi and Dual Task Balance Training on Balance and Fall Risk in Post Stroke Patients Read more about this study

Who is it for?
Ages 45 to 75 years
Conditions the study is for
Post Stroke, Stroke
What is being tested?
Tai Chi and Dual Task Balance Training
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
1 sitePakistan
Study dates
20 Apr 2026to 20 Jul 2026
Phase
Interventional
Are there results?
None posted in the registry

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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Aged 45 to 75 years.
  • Both male and female patients were included.
  • Stroke patients confirmed by CT or MRI.
  • First onset of stroke more than 3 months prior.
  • Balance dysfunction caused by than other Encephalopathies.
  • Ability to walk more than 6 m independently or assisted
  • Consciousness and stable vital signs.
  • Mini-Balance Evaluation System Test score ≤25.

Who cannot join

  • Having neurological conditions other than stroke e.g Multiple sclerosis.
  • No vestibular dysfunction.
  • Not community-dwelling before the stroke event.
  • Severe musculoskeletal conditions (e.g., advanced osteoarthritis)
  • that significantly affect mobility or balance.
  • Unstable heart or lung conditions preventing exercise.
  • Involved in similar rehab or studies within the last 3 months

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • DHQ Toba Tek Singh

    Toba Tek Singh, Punjab Province, 36050

Other trials in Pakistan

About this study

Official title: Effects of Tai Chi and Dual Task Balance Training on Balance and Fall Risk in Post Stroke Patients

The aim of the study is to compare the effects of Tai Chi and Dual Task Balance Training on Balance and Fall Risk in Post Stroke Patients

Read the detailed description

Stroke is a major neurological condition that can result in persistent impairments in balance, postural control, mobility, coordination, and functional independence, consequently increasing the risk of falls among post-stroke patients. Tai Chi is a mind-body exercise that involves controlled, slow, and coordinated movements, weight shifting, postural alignment, and relaxation, which may improve balance and functional mobility. In contrast, Dual Task Balance Training combines balance and mobility exercises with simultaneous cognitive or motor tasks to improve the ability to perform activities while managing competing demands. The aim of this study is to determine the comparative effects of Tai Chi and Dual Task Balance Training on balance and fall risk in post-stroke patients. This study will be conducted as a randomized clinical trial, in which eligible post-stroke patients will be randomly allocated into two groups. The study will be conducted at DHQ Toba Tek Singh, Ibrahim Riaz Ullah Medical Complex Pirmahal, Tanveer Hospital Pirmahal, Azaan Medical Complex Pirmahal, and National Hospital Pirmahal.. Group A will receive classical Yang-style 24-form Tai Chi, whereas Group B will receive Dual Task Balance Training. Both groups will receive their respective interventions three times per week for 12 weeks, with each session lasting approximately 60 minutes. Participants will be assessed before and after the intervention using the Berg Balance Scale (BBS), Timed Up and Go (TUG), and Mini-BESTest to evaluate balance and functional mobility. Data will be analyzed using SPSS version 27.

Conditions
Post Stroke, Stroke
Being tested
Tai Chi, Dual Task Balance Training
Keywords
stroke, balance, fall risk, tai chi, dual task balance training
Medical subject headings
Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tai ChiOther

    Participants will receive a classical 24-form Yang-style Tai Chi program. Sessions will be approximately 60 minutes, three times per week for 12 weeks. Each session will include a 5-10-minute warm-up, 40 minutes of Tai Chi practice, and a 5-10-minute cool-down/relaxation period. The program will emphasize controlled movements, weight shifting, postural alignment, balance, coordination, relaxation, and natural breathing.

  • Dual Task Balance TrainingOther

    Participants will receive Dual Task Balance Training consisting of supervised 60-minute sessions, three times per week for 12 weeks. Each session will include a 10-minute warm-up, 40 minutes of progressive balance training combined with cognitive or motor dual tasks, and a 10-minute relaxation period. Exercises will target proprioception, strengthening, postural sway, and reaction time, with progressive increases in difficulty according to participants' abilities.

Study groups in NCT07854067
Study groupRoleWhat they receive
Tai ChiExperimentalNot described
Receives: Other: Tai Chi
Dual Task Balance TrainingExperimentalNot described
Receives: Other: Dual Task Balance Training

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Berg Balance Scale (BBS)

    The Berg Balance Scale (BBS) is a widely recognized clinical tool used to measure balance performance in individuals with neurological conditions, including chronic stroke. It consists of 14 functional tasks, such as standing up from a sitting position, reaching forward, and standing on one foot. Each item is scored on a 5-point scale (0-4), with a maximum total score of 56. A lower score indicates a higher risk of falling. The BBS is both valid and reliable for assessing balance deficits in stroke survivors and is sensitive to change over time, making it suitable for evaluating intervention outcomes.

    Measured: 12 weeks

Secondary outcomes (1)
  1. Mini-BESTest

    The Mini-BESTest is a clinical tool used to assess dynamic balance across four domains: anticipatory postural adjustments, reactive postural control, sensory orientation, and dynamic gait. It consists of 14 items, each scored from 0 to 2, with a maximum total score of 28. Higher scores indicate better balance performance. The test is sensitive to changes in individuals with neurological conditions, including stroke, and is highly reliable with ICC.

    Measured: 12 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Oct 2026
  2. Study start20 Apr 2026
  3. Primary completion5 Jul 2026
  4. Study completion20 Jul 2026

Resources

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
Double blind
Who is masked
Participant, Investigator
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07854067
Sponsor's protocol ID
REC/RCR & AHS/25/0232
Status last verified
Sep 2026
First submitted
27 Sep 2026
Last updated
2 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Feng F, Luo XC, Chen YJ, Li JJ, Kang H, Yan BH. Effects of Tai Chi Yunshou on upper-limb function and balance in stroke survivors: A systematic review and meta-analysis. Complement Ther Clin Pract. 2023 May;51:101741. doi: 10.1016/j.ctcp.2023.101741. Epub 2023 Feb 20.

    PubMed 36868000
  • Zhang L, Zhang L, Yu X, Zhou H, Ding Y, Wang J. Effect of Tai Chi Yunshou training on the balance and motor functions of stroke patients: a systematic review and meta-analysis of randomized controlled trials. Front Neurol. 2023 May 12;14:1178234. doi: 10.3389/fneur.2023.1178234. eCollection 2023.

    PubMed 37251239
  • Ahmed U, Karimi H, Amir S, Ahmed A. Effects of intensive multiplanar trunk training coupled with dual-task exercises on balance, mobility, and fall risk in patients with stroke: a randomized controlled trial. J Int Med Res. 2021 Nov;49(11):3000605211059413. doi: 10.1177/03000605211059413.

    PubMed 34812070
  • Jattanond W, Sutalangka C, Namkorn P, Sitthipornvorakul E, Atsawakaewmongkhon S, Suwannakul B, Ganogpichayagrai A, Kongkratoke S, Taniguchi R, Chaiut W. Integrating Cognitive and Motor Dual-task Training to Prevent Fall Risk Among Community-dwelling Elderly in Thailand: A Randomized Controlled Study. J Prev Med Public Health. 2025 Nov;58(6):609-619. doi: 10.3961/jpmph.25.165. Epub 2025 Aug 19.

    PubMed 41367047
  • Khan MJ, Fong KNK, Wong TW, Tsang WW, Chen CH, Chan WC, Winser S. Self-administered dual-task training reduces balance deficits and falls among community-dwelling older adults: a multicentre parallel-group randomised controlled trial with economic evaluation protocol. BMJ Open. 2025 Jun 24;15(6):e089915. doi: 10.1136/bmjopen-2024-089915.

    PubMed 40555445
  • Law NY, Li JX, Zhu Q, Nantel J. Effects of a biomechanical-based Tai Chi program on gait and posture in people with Parkinson's disease: study protocol for a randomized controlled trial. Trials. 2023 Jun 30;24(1):241. doi: 10.1186/s13063-023-07146-x.

    PubMed 37386473
  • Taylor-Piliae RE, Haskell WL. Tai Chi exercise and stroke rehabilitation. Top Stroke Rehabil. 2007 Jul-Aug;14(4):9-22. doi: 10.1310/tsr1404-9.

    PubMed 17698454
  • Li F, Harmer P, Fisher KJ, McAuley E, Chaumeton N, Eckstrom E, Wilson NL. Tai Chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2005 Feb;60(2):187-94. doi: 10.1093/gerona/60.2.187.

    PubMed 15814861
  • Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014 Feb 1;14:14. doi: 10.1186/1471-2318-14-14.

    PubMed 24484314
  • Salavati M, Negahban H, Mazaheri M, Soleimanifar M, Hadadi M, Sefiddashti L, Zahraee MH, Davatgaran K, Feizi A. The Persian version of the Berg Balance Scale: inter and intra-rater reliability and construct validity in elderly adults. Disabil Rehabil. 2012;34(20):1695-8. doi: 10.3109/09638288.2012.660604. Epub 2012 Mar 2.

    PubMed 22380626
  • Loro A, Borg MB, Battaglia M, Amico AP, Antenucci R, Benanti P, Bertoni M, Bissolotti L, Boldrini P, Bonaiuti D, Bowman T, Capecci M, Castelli E, Cavalli L, Cinone N, Cosenza L, Di Censo R, Di Stefano G, Draicchio F, Falabella V, Filippetti M, Galeri S, Gimigliano F, Grigioni M, Invernizzi M, Jonsdottir J, Lentino C, Massai P, Mazzoleni S, Mazzon S, Molteni F, Morelli S, Morone G, Nardone A, Panzeri D, Petrarca M, Posteraro F, Santamato A, Scotti L, Senatore M, Spina S, Taglione E, Turchetti G, Varalta V, Picelli A, Baricich A. Balance Rehabilitation through Robot-Assisted Gait Training in Post-Stroke Patients: A Systematic Review and Meta-Analysis. Brain Sci. 2023 Jan 3;13(1):92. doi: 10.3390/brainsci13010092.

    PubMed 36672074
  • Zhang M, Liang Z, Li Y, Meng J, Jiang X, Xu B, Li H, Liu T. The effect of balance and gait training on specific balance abilities of survivors with stroke: a systematic review and network meta-analysis. Front Neurol. 2023 Nov 2;14:1234017. doi: 10.3389/fneur.2023.1234017. eCollection 2023.

    PubMed 38020595
  • Yang L, Lam FM, Huang M, He C, Pang MY. Dual-task mobility among individuals with chronic stroke: changes in cognitive-motor interference patterns and relationship to difficulty level of mobility and cognitive tasks. Eur J Phys Rehabil Med. 2018 Aug;54(4):526-535. doi: 10.23736/S1973-9087.17.04773-6. Epub 2017 Sep 25.

    PubMed 28949119
  • Xie G, Rao T, Lin L, Lin Z, Xiao T, Yang M, Xu Y, Fan J, Lin S, Wu J, Feng X, Li L, Tao J, Chen L. Effects of Tai Chi Yunshou exercise on community-based stroke patients: a cluster randomized controlled trial. Eur Rev Aging Phys Act. 2018 Dec 12;15:17. doi: 10.1186/s11556-018-0206-x. eCollection 2018.

    PubMed 30564291
  • Chan WN, Tsang WW. The effect of Tai Chi training on the dual-tasking performance of stroke survivors: a randomized controlled trial. Clin Rehabil. 2018 Aug;32(8):1076-1085. doi: 10.1177/0269215518777872. Epub 2018 May 21.

    PubMed 29783899

Questions about this trial

What is this clinical trial studying?

A study testing Tai Chi and Dual Task Balance Training in people with Post Stroke and Stroke, 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 8 inclusion and 7 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: finished, as of the sponsor's last update on 2 Oct 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 (BBS) (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07854067, which also lists 48 linked publications.

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 2 Oct 2026.

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