An interventional study of vestibular rehabilitation With conventional PT and vestibular rehabilitation and cervical proprioception training with Conventional Pt in Stroke, sponsored by University of Management and Technology Lahore. Active, not recruiting at 1 site in Pakistan. Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-11-03.
Sponsored by University of Management and Technology Lahore · Not applicable, Interventional, and Treatment
Stroke is a neurological disorder that often causes long-term disability and affects an individual's quality of life. Patients suffering from stroke commonly experience difficulties with balance, gait, and sensory integration due to disturbances in proprioception, postural control, and vestibular function, leading to decreased functional mobility and increased risk of falls. Sensory integration is an essential element of postural stability as it involves vestibular, visual, and somatosensory inputs to maintain orientation and balance. The cervical joint position sense is essential for maintaining balance and spatial perception by providing proprioceptive feedback from the neck region. Vestibular rehabilitation is frequently used to improve balance, gaze stability, and gait disturbance in stroke patients. Although vestibular rehabilitation has shown improvement in stroke survivors, limited evidence is available regarding the combined effects of cervical joint position sense training and vestibular rehabilitation on sensory integration, balance, and gait in subacute stroke patients. The objective of this study will be to compare the effects of vestibular rehabilitation with and without cervical joint position sense training on sensory integration, balance, and gait in stroke patients. The study design will be a randomized controlled trial. Evaluation will be done by using outcome measures for sensory integration, balance, proprioception, and gait, which include the Berg Balance Scale, Timed Up and Go Test, Joint position error, and CTSIB/mCTSIB. The non-probability convenience sampling method will be used, and participants will be randomly assigned to two groups. Group A will receive vestibular rehabilitation in conjunction with cervical joint position sense training and conventional physiotherapy, while Group B will only receive vestibular rehabilitation and conventional physiotherapy. Both groups will receive intervention for 6 weeks, three sessions per week. All outcome variable measurements will be recorded at baseline and once the intervention is completed. The result will be analyzed by using SPSS 27.
8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.
This study's enrollment of 50 is close to the median of 49 across 6,024 interventional studies indexed under Stroke.
Browse Stroke studies →University of Management and Technology Lahore is the lead sponsor of 39 studies on the registry; 20 are open to participants now.
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The criteria were revised on the registry on Nov 3, 2026. See what changed
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.
MMSE and MoCA
Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
gaze stabilization exercises Patient will be seated in a stable position. Ask patient to focus your eye on a fixed target in front of you. Now move your head slowly side to side for 1 minutes without losing focus.3 sets, rest 30 seconds between sets. same procedure will be repeated for up and down head movement. Habituation exercises Patient will be instructed performed slow repeated movements that provoke mild dizziness and continue until symptoms reduced. For example, head turns, sitting to lying, bending forward. Duration 30-60 seconds per movement with repetition of 2-3 sets Balance training Patient is instructed to stand straight with feet together and try to maintain balance without moving Duration :30 seconds hold 3 trials with rest of 30-60 seconds. Postural control training Maintain upright posture while shifting weight slowly from side to side Duration :1 minute with 3 sets.
Other: vestibular rehabilitation With conventional PT
Ask patient to sit straight and focus your eye on target A laser pointer device will be attached on the patient head Head repositioning exercises Instruct patient to move head to right and slowly bring it back to the center point where the laser point will be. Hold 5 seconds at target Repeat for: Flexion (down→center) Extension (up→center) Left rortation (center) Right rotation (center) Each movement →10 repetitions per direction 3 sets Rest 30 -60 seconds between sets. WITH VESTIBULAR MENTION ABOVE
Other: vestibular rehabilitation and cervical proprioception training with Conventional Pt
gaze stabilization exercises Patient will be seated in a stable position. Ask patient to focus your eye on a fixed target in front of you. Now move your head slowly side to side for 1 minutes without losing focus.3 sets, rest 30 seconds between sets. same procedure will be repeated for up and down head movement. Habituation exercises Patient will be instructed performed slow repeated movements that provoke mild dizziness and continue until symptoms reduced. For example, head turns, sitting to lying, bending forward. Duration 30-60 seconds per movement with repetition of 2-3 sets Balance training Patient is instructed to stand straight with feet together and try to maintain balance without moving Duration :30 seconds hold 3 trials with rest of 30-60 seconds. Postural control training Maintain upright posture while shifting weight slowly from side to side Duration :1 minute with 3 sets.
Ask patient to sit straight and focus your eye on target A laser pointer device will be attached on the patient head Head repositioning exercises Instruct patient to move head to right and slowly bring it back to the center point where the laser point will be. Hold 5 seconds at target Repeat for: Flexion (down→center) Extension (up→center) Left rortation (center) Right rotation (center) Each movement →10 repetitions per direction 3 sets Rest 30 -60 seconds between sets. with vestibular rehabilitation
Modified Clinical Test of Sensory Integration on Balance (mCTSIB)
The assessment will be conducted under six sensory conditions by modifying visual inputs and support surfaces, such as standing with the eye open, eye closed, and on firm/foam surfaces. The duration for maintaining stability in each condition will be recorded. Difficulty in maintaining balance with the eye closed on a firm surface indicates increased visual dependence, while difficulty on a foam surface indicates loss of somatosensory input. Loss of balance on a foam surface indicates vestibular dysfunction and impaired sensory integration. The time for maintaining balance will be recorded with a maximum score of 30 seconds for each condition. Lower scores will indicate impaired sensory integration and balance deficits
Time frame: at baseline and after 6 weeks
Balance for Berg Balance scale (BBS)
The Berg balance scale (BBS) will be used to evaluate balance and functional mobility in stroke patients. The scale consists of 14 functional tasks such as sitting, standing, reaching, turning, and transferring. Every task will be analyzed using a 5-point scale from 0 to 4, with the highest possible score of 56. Higher scores indicate balance improvement and reduced fall risk, while lower scores show balance impairment and decreased functional mobility. A score of 41-56 will indicate low fall risk , 21 to 40 indicates moderate fall risk, and 0-20 indicates higher fall risk. Quantitative measurement will be taken between pre and post-treatment scores to evaluate balance improvement after the intervention
Time frame: at baseline and after 6 weeks
Functional mobility by 10-Meter walk test
The 10-Meter walk test (10MWT) is used to assess gait speed and functional mobility in stroke survivors. In this test, the participants walk a total distance of 10 meters at a normal speed, and the time taken to cover the central 6 meters is noted to exclude the effects of acceleration and deceleration. Gait velocity is measured in meters per second (m/s) by dividing distance by time. Greater values significantly enhanced functional mobility and gait speed, while smaller values indicate increased fall risk and reduced walking ability. The scores are analyzed quantitatively, and pre- and post-measurements are compared to assess changes in gait speed and functional recovery
Time frame: at baseline and after 6 weeks
CERVICAL JOINT POSITION ERROR (CJPE)
The cervical joint position error (JPE)is used to measure cervical proprioception and joint position error in patients surviving with stroke. Head-mounted device is used. The patient is seated with a laser pointer fixed on the head and asked to return the head to neutral position while performing specific neck movement flexion, extension, rotation, or side flexion. The deviation from the original neutral position is measured in centimeters (cm)or degrees (˚) on a target grid. Each movement is usually performed three times, and the mean value of repositioning error is calculated. Calculation is done by using the formula CJPE= trial 1 + trial 2 + trial ÷ 3. A smaller error indicates better cervical proprioception and accurate joint position sense, while a larger error indicates impaired proprioceptive input. The pre- and post-intervention scores will be compared quantitatively to determine improvement in cervical joint position sense.
Time frame: at baseline and after 6 weeks
Plan to share: Yes — The results data collected , de-identified individual participant data will be shared.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: 6 months after the publication of the manuscript.
Access criteria: The data can be requested from the corresponding author.
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University of Management and Technology Lahore