Effects of Core Strengthening With Pelvic Proprioceptive Neuromuscular Facilitation on Trunk Control and Balance in Patients With Sub-acute Stroke
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- Trunk Impairment Scale
研究概览
简要总结
Purpose of this study was to investigate the effectiveness of core stabilization with pelvic proprioceptive neuromuscular facilitation on trunk control and balance which will be provided an evidence-based selection of the best possible intervention to improve trunk function and balance as compared to the trunk control exercises such as Rhythmic stabilization, Bridging, Side-Lying Trunk Lifts, Quadruped, Kneeling and modified plantigrade positioning, which one can provide the better balance and trunk control in sub-acute stroke patients.
详细描述
Interventions FITT Principle Intervention was given for 60 min per session (30 + 30 mins for each group), including 3 sets with10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise (this FITT principle for core stabilization and trunk control exercises). For PNF technique each technique was applied for 3 sets of 2 min duration each with 30 sec between each set and 2 min rest after each technique.
Once a day, 5 times per week for 6 weeks for both groups. Groups There were two groups Groups 1 (interventional group) Groups 2 (control group) Groups 1 (interventional group) Participants who were included in this group got Pelvic Proprioceptive neuromuscular facilitation techniques + core strengthening group + Trunk control exercises (Conventional treatment).
Core stabilization exercises techniques Core activated by Bio Feedback apparatus and participants were given instructions to do trunk curls in crook lying position. Asked to lift their upper trunk slightly (15 degree) from the plinth. 3 sets with 10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise.
Proprioceptive neuromuscular facilitation techniques The sequence was rhythmic initiation, slow reversal then agonistic reversals. each technique was applied for 3 sets of 2 min duration each with 30 sec between each set and 2 min rest after each technique. A stopwatch was used to measure the time.
Trunk control exercises Different trunk exercises were performed by the participants to develop trunk control and balance. Rhythmic stabilization, Side-Lying Trunk Lifts, Bridging, Quadruped, Kneeling and modified plantigrade positioning, are the trunk exercises which were used conventionally to develop trunk control. 3 sets with 10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
This single-blind randomized controlled study evaluated the effectiveness of core stabilization combined with pelvic PNF on trunk control and balance in post-stroke individuals. Participants were blinded to group allocation to reduce expectation bias, while therapists and assessors were unblinded due to intervention requirements. The study aimed to address a gap in evidence regarding this combined approach and to support evidence-based stroke rehabilitation practices that enhance trunk function, balance, and functional independence.
入排标准
- 年龄范围
- 45 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants between the ages of 45 and 60 years.
- •Sub-acute phase of unilateral ischemic stroke.
- •More than two weeks but no more than six months were included.
- •Participants should be able to walk with or without support for 2-4 min.
- •Participants with modified Ashworth scale grade 1 or grade
- •Participants should be able to understand and follow simple verbal instructions (Mini-Mental Status Examination [MMSE]≥24).
排除标准
- •Participants with recurrent stroke; brainstem or cerebellar stroke or hemorrhagic stroke.
- •Participants with modified Ashworth scale grade ≥3 (severe spasticity).
研究组 & 干预措施
Experimental Group
Participants who were included in this group got Pelvic Proprioceptive neuromuscular facilitation techniques + core strengthening group + Trunk control exercises (Conventional treatment).
干预措施: Core stabilization exercises (Other)
Experimental Group
Participants who were included in this group got Pelvic Proprioceptive neuromuscular facilitation techniques + core strengthening group + Trunk control exercises (Conventional treatment).
干预措施: PNF (Other)
Experimental Group
Participants who were included in this group got Pelvic Proprioceptive neuromuscular facilitation techniques + core strengthening group + Trunk control exercises (Conventional treatment).
干预措施: Trunk control exercises (Other)
Control Group
Participants in group 2 received Core stabilization exercises + Conventional trunk control exercises (Rhythmic stabilization, Bridging, Side-Lying Trunk Lifts, Quadruped, Kneeling and modified plantigrade positioning) exercises. 3 sets with 10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise.
干预措施: Core stabilization exercises (Other)
Control Group
Participants in group 2 received Core stabilization exercises + Conventional trunk control exercises (Rhythmic stabilization, Bridging, Side-Lying Trunk Lifts, Quadruped, Kneeling and modified plantigrade positioning) exercises. 3 sets with 10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise.
干预措施: Trunk control exercises (Other)
结局指标
主要结局
Trunk Impairment Scale
时间窗: • Baseline • After 6 weeks
The Trunk Impairment Scale (TIS) is a 17-item clinical tool assessing stroke patients across three subscales-static sitting balance (0-7 points), dynamic sitting balance (0--10points), and trunk coordination (0-6 points)-totaling a maximum score of 23. Higher scores indicate better, more controlled, and coordinated trunk function, with evaluations performed in a seated position.
Berg Balance Scale
时间窗: • Baseline • After 6 weeks
Berg Balance Scale (BBS) is identified as the most commonly used as an evaluation tool in the stroke rehabilitation. We used the pre- and post-intervention scores of Berg Balance Scale (BBS) to evaluate the balance. Total score of berg balance scale is 56.Highest score shows the low fall risk and the lowest score shows the high fall risk.
次要结局
未报告次要终点