Mansehra

Post-Stroke Fatigue (PSF) is a common and challenging condition affecting many stroke survivors, characterized by an overwhelming feeling of exhaustion unrelated to exertion that does not improve with rest. This research aims to evaluate how Graded Activity Training and Task-Oriented Training may influence fatigue levels in people aged 40 to 60 who have experienced ischemic or hemorrhagic stroke. By exploring these two physical activity approaches, the study hopes to improve fatigue management, enhance mobility and gait, and ultimately improve quality of life while reducing the burden on healthcare systems and caregivers. The study compares two types of physical therapy: Graded Activity Training and Task-Oriented Training. Graded Activity Training involves progressive activities including treadmill walking, floor walking, core muscle exercises, and home tasks performed twice a week in 2-hour sessions with 30-minute rest periods. Heart rate and muscle strength are monitored with portable devices and Borg's Scale to adjust exercise intensity. Task-Oriented Training includes four physical fitness tasks such as walking on flat and inclined surfaces, sit-to-stand exercises, and stair climbing, also delivered in 2-hour sessions twice weekly with warm-up and cool-down periods. The level of difficulty and frequency in Task-Oriented Training gradually increase over the 6-week program. Participants will be assessed before and after the 6-week intervention period, with fatigue measured using the Fatigue Assessment Scale (FAS). Researchers will monitor mobility, gait, and fatigue levels during and after treatment. The study involves stroke survivors who can walk independently for at least 10 meters and have had their stroke more than 4 months prior. Continuous monitoring during sessions ensures safety and adherence. The trial lasts 6 weeks, focusing on how these exercise programs impact fatigue and physical endurance post-stroke.