Stroke is also known as a brain attack, happens when a blood vessel in the brain breaks or when something stops the flow of blood to a specific area of the brain. Parts of the brain undergo damage or die in either case. Stroke victims may experience permanent brain damage, long-term disability or even death. The main objective of this study is to evaluate the impact of combined auditory and visual rhythmical cueing on lower limb sensorimotor recovery and gait parameters in patients with hemiplegia. It will be a randomized controlled trial. In this study 28 patients will be recruited through non probability convenience sampling technique. The patients fulfilling inclusion and exclusion criteria will be randomly divided into experimental group (n=14) and control group (n=14) by using computer engendered in blocks by using a basic number generator. Distribution will be concealed by the sealed envelope method. Baseline treatment will be given to both groups. Baseline treatment includes a range of motion exercises for the lower extremity, passive stretching of tight muscles and conventional march exercises including marching, forward, backward and sideways walking. Conventional training will be given for 15 minutes, 3 sessions per week for 4 weeks. Experimental group (n=14) will be treated with auditory stimulation and visual cues. All participants will undergo the training for 45 minutes per session, 3 days per week for 4 weeks. The control group (n=14) will be treated with auditory stimulation only. All participants will undergo the training for 45 minutes per session, 3 days per week for 4 weeks. Subjective tool for sensory assessment includes Fugl-Meyer Assessment (FMA) for the lower extremity (LE) tool. For gait, it includes Dynamic Gait Index (DGI) tool. Objective tools will include cadence, gait velocity/walking speed, stride length, step length, step width, stride length symmetry ratio and step length symmetry ratio. Data will be analyzed by using SPSS (Statistical Package for Social Sciences) 23 version.
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Fugl-Meyer Assessment FMA (LE)
Timeframe: Changes from baseline Fugl-Meyer Assessment FMA (LE) at 3rd week and after 6 weeks
Dynamic Gait Index (DGI)
Timeframe: Changes from baseline Dynamic Gait Index (DGI) at 3rd week and after 6 weeks
Cadence
Timeframe: Changes from baseline Cadence at 3rd week and after 6 weeks
Gait velocity/Walking speed
Timeframe: Changes from baseline Gait velocity/Walking speed at 3rd week and after 6 weeks
Stride length
Timeframe: Changes from baseline Stride length at 3rd week and after 6 weeks
Step length
Timeframe: Changes from baseline Step length at 3rd week and after 6 weeks
Step width
Timeframe: Changes from baseline Step width at 3rd week and after 6 weeks
Step length symmetry ratio
Timeframe: Changes from baseline Step length symmetry ratio at 3rd week and after 6 weeks
Stride length symmetry ratio
Timeframe: Changes from baseline Stride length symmetry ratio at 3rd week and after 6 weeks