Visual Reaction Time Training for Balance and Walking in People with Chronic Stroke

INTERVENTION: Intervention1: conventional balance exercise with visual reaction time: Conventional balance training with visual reaction time training Conventional balance Exercises with visual reaction time training Safety measures harness LED lights used as a visual stimulus lights pods are used Arranged in a circle of 150cm diameter The distance between the each light is78 cm The distance between the participant and lights is 75 cm Progression will be done increasing the cm between participant and light and inter light distance. A cross mark in the center where patients stand Patient position Patient stand at the center of the circle Barefoot during training Maintains central position while reaching to lights Task given When a light turns on patient must identify the light quickly and lift the leg and press the light Duration 10 reps per set 1 min rest between each set 6 week 3 session per week Session time 30 min Control Intervention1: Conventional balance training: Only Conventional Balance Training Will be done conventional balance training 1 Sitting to standing 2 Stepping forward and sideways 3 Balancing on rigid and soft surfaces 4 Standing on one leg Duration 10 repetition/sets 6 weeks 3 session per week Session time 30 min CONDITION: Health Condition 1: G811‐ Spastic hemiplegia PRIMARY OUTCOME: Berg Balance Balance ; Dynamic Gait IndexTimepoint: At baseline and after 6 weeks SECONDARY OUTCOME: Not applicableTimepoint: Not applicable INCLUSION CRITERIA: a Patient diagnosed with Chronic MCA Ischemic Stroke greater than 6months b Both male and Female participants cAbility to walk independently with or without assistive devices at least 10 meters dPatients who can understand and follow instructions e Age group 40 to 70 years fHip flexion range 25 to 30 degree