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Cawthorne-Cooksey Exercises and Frenkel Exercises on Balance and Coordination in Stroke
Sponsor: Riphah International University
Summary
Stroke, often caused by cerebral circulation disruption can lead to transient or permanent brain function deficit it is a leading cause of disability and death globally, with a particularly high burden in low- and middle-income countries like Pakistan. Balance and coordination impairments are common post-stroke, severely impacting patients' mobility and quality of life. While Cawthorne-Cooksey and Frenkel exercises are low-cost rehabilitation techniques known to aid balance and coordination, there is limited evidence comparing their effectiveness in stroke patients. This study aims to evaluate and compare the effects of Cawthorne-Cooksey and Frenkel exercises on improving balance and coordination in post-stroke patients. Specific goals include determining which protocol leads to faster and more sustained improvements and providing evidence-based recommendations for stroke rehabilitation.
Official title: Comparing the Effect of Cawthorne-Cooksey Exercises and Frenkel Exercises on Balance and Coordination in Patients With Stroke
Key Details
Gender
All
Age Range
40 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
22
Start Date
2025-07-01
Completion Date
2026-06-01
Last Updated
2026-07-24
Healthy Volunteers
No
Interventions
Cawthorne-Cooksey Exercises
Warm up like ankle pumping and circles will be performed before starting the session for 5- 10 minutes. Cool down exercises like deep breathing will be performed for 5-10 minutes after intervention. A. In Supine Lying 1. Eye movements: at first slow, then quick. * Up and down. * From side to side. * Focus on finger moving from 3ft to 1ft away from face. 15 2. Head movements: at first slow, then quick. Later with eyes closed. * Bend backwards and forwards. * Turn from side to side. B. Sitting * 1 and 2 - as above * Shoulder shrugging and circling * Bend forward and pick up objects from the ground C. Standing As A1, A2 and B3 * Change from sitting to standing with eyes open, then eyes closed. * Throw a small ball from hand to hand (above eye level). * Throw a ball from hand to hand under the knee. * Change from sitting to standing and turn round in between. * Weight shifting on alternate legs
Frenkel Exercises
Warm-up, such as ankle pumping and circles, will be performed before starting the session for 5-10 minutes. Cool-down exercises like deep breathing will be performed for 5-10 minutes after the intervention. A. Lying (Supine) Exercises: Typically performed with the head raised, limbs fully supported: * Hip and knee flexion/extension: slide heel to therapist's hand or along a marked path. * Hip abduction/adduction: leg moves sideways along the plinth surface. Targeted placement practice: placing the heel on the therapist's hand or on a mark. B. Sitting Exercises Patient sits (may use support) and: * Heel-to-mark sliding: extend and lift heel or toe to visual guide Alternate heel/toe lifts: enhancing proprioceptive control * Stride sitting: stand, then sit, shifting trunk forward, possibly using wall bars for support. * Upper limb tasks: reaching loops, placing objects, hand-mouth coordination. 16 C. Standing Exercises Focus on balance and coordination: • Stride standing: weight transfer
Locations (1)
Sehat Medical Complex
Lahore, Punjab Province, Pakistan