Unlocking Trunk Potential After Stroke: A Novel Approach Combining Transcranial Direct Current Stimulation and Core Stability Exercise
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Beni-Suef University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Trunk Impairment Scale (TIS).
Study Overview
Brief Summary
To evaluate the effects of the combining transcranial direct current stimulation with core stability exercises on trunk performance in poststroke hemiparetic patients, the secondary outcome is to evaluate the balance and the functional performance of the participants.
Detailed Description
This study will conduct to 60 male and female patients with post stroke hemiparesis with age ranged between 55 to 70 years, the patients will be categorized to two equal groups.
- Group A (study group): will receive simultaneously a combination of transcranial direct current stimulation combined with core stability exercise.
- Group B (control group): will receive core stability exercise. All patients will be assessed for trunk performance, balance, and functional performance before and after interventions.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 55 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients will be included if they are ≥ 55 years old of both sex, had a first-time right or left stroke within the preceding six months that damaged the cerebral cortex verified by (computed tomography or MRI report, neurological examination, and medical chart).
- •Patients can stand and walk independently.
- •Modified Ashworth Scale (MAS) of upper limb muscle ≤ 1+.
- •All the patients received a conventional physiotherapy program in the acute stage and post-discharge from the hospital.
- •None of the patients participated in any other study or placebo
Exclusion Criteria
- •Patients with neurological or orthopedic problems, paralysis neglect, behavioral abnormalities, dementia any shoulder dysfunction before or post-stroke (dislocation or subluxation), or those who using upper limb splints.
- •Recurrent strokes or hemiparesis due to other neurological causes rather than stroke eg .(Brain tumor).
- •Obesity (BMI ≥ 30 kg/m2).
Arms & Interventions
Control group
will receive core stability exercise.
Intervention: core stability exercise. (Other)
Study Group
will receive simultaneously a combination of transcranial direct current stimulation combined with core stability exercise.
Intervention: transcranial direct current stimulation (Other)
Study Group
will receive simultaneously a combination of transcranial direct current stimulation combined with core stability exercise.
Intervention: core stability exercise. (Other)
Outcomes
Primary Outcomes
Trunk Impairment Scale (TIS).
Time Frame: up to 8 weeks
trunk performance will be assessed by Trunk Impairment Scale (TIS).
Berg Balance Scale
Time Frame: up to 8 weeks
Balance will be assessed by berg balance scale, the balance score ranges from 0 to 56, with lower scores indicating increased risk of balance loss and higher scores indicating improved functional mobility. Time up and go test (TUG)n Score \< 10 seconds = normal \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid
Secondary Outcomes
No secondary outcomes reported
Investigators
Mohammed Youssef Elhamrawy
Lecturer of Physical therapy
Beni-Suef University