Transcranial Direct Current Stimulation vs Pilates Core Training in Stroke
Trial Parameters
Brief Summary
The goal of this clinical trial is to compare the effects of transcranial direct current stimulation and pilates based core stability training on gait and balance in stroke patients. The main question\[s\] it aims to answer are: * is there an effect of transcranial direct current stimulation and pilates based core training on gait and balance * Is there a significant effect of tDCS over Pilates-based core training Participants will be assigned to three groups: * Group 1: will receive 18 sessions(3 sessions/week 20 minutes each) of anodal tDCS in addition to conventional physical therapy exercises * Group 2: Will receive 18 Pilates exercise sessions over a period of 6 weeks (3 sessions / week) in addition to conventional physical therapy exercises. * Group 3: Will receive conventional physiotherapy program Researchers will compare the transcranial direct current stimulation group with the pilates exercise group to see if one of them is superior to the other on balance and gait.
Eligibility Criteria
Inclusion Criteria: * Patients diagnosed with either hemorrhagic or ischemic stroke for the first time, with an onset of more than eight weeks * Their age should be 50-60 years old. * Patients of a minor (1-4) to moderate (5-15) national institutes of health stroke scale (NIHSS) score. * Sufficient cognitive ability to participate, as indicated by Mini-mental state examination score of 21 or higher. * ambulatory before stroke * ability to stand or walk with or without assistance * mild to moderate spasticity (MAS scale less than grade 3) * hemodynamically stable Exclusion Criteria: * History of seizures. * Patients with Any medical metal devices incompatible with transcranial direct current stimulation (e.g. pacemaker). * Bi-hemispheric or multifocal stroke. * any other neurological pathology affecting balance (cerebellar or brain stem lesions, impaired vision, visual field defect or hemineglect) * Premorbid neurological impairment prior to onset of stroke. * Co-morbidities impairing t