- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01864382
"Core Stability" Exercises to Improve Sitting Balance in Stroke Patients (Fisionet)
Effects of the Inclusion of Exercises "Core Stability" in the Treatment of Inpatient Physiotherapy to Improve Balance in Post-stroke Patients Sitting in Subacute Phase. Randomized Clinical Trial.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The deterioration in the balance sitting and poor sitting ability, clinical problems are common after stroke. These patients show a significant decrease in the performance level of the trunk, compared to healthy individuals of the same age and sex and present asymmetry of the trunk and pelvis.
Sitting involves the ability to achieve a variety of objects that are in and out of arm's length, as personal daily activities, showering, going to the bathroom and dressing. These arm movements, triggering postural adjustments in the muscles of the trunk and lower extremities, which anticipated the movement always precede the active movement. This anticipative control can be altered in subjects with stroke.
The trunk seems particularly important for balance, as stabilizes the pelvis and spine. Dean et al, (1997; 2007) and Ibrahimi (2010) showed a beneficial effect on functional scope of practice tasks, sitting in variables dynamic sitting balance, load weight of the affected side and standing. Also in the studies of Howe (2005); Verheyden (2009); Saeys (2011);Karthikbabu (2011) and Kumar (2011) with specific exercises for the trunk, favorable outcomes were obtained compared with standard treatment. However, these studies with few patients and without any monitoring, it needs to be confirmed (what is this study intended)
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Catalonia
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Barcelona, Catalonia, Spain, 08023
- Parc Sanitari Pere Virgili
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Sabadell Barcelona, Catalonia, Spain, 08208
- Consorci Hospitalari Parc Tauli
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Adults of either sex
- > 18 years with a diagnosis of stroke, ischemic or hemorrhagic origin <3 months of evolution
- Orthopedic problems not present to keep sitting. Ability to understand instructions
- The Index Barthel ˂ 70 points and Trunk Impairment Scale ˂ 16 points.
Exclusion Criteria:
- Patients with cognitive problems, Mini mental state examination ˂ 24
- Patients with a second stroke confirmed by Neurology services or previous motor disability that altered the balance, or a Rankin value not superior to 3
- The patients with stroke hemorrhagic origin with surgical treatment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Standard Physiotherapy Exercises
Standard Physiotherapy Exercises 5 days a week during 5 weeks
|
Standard Physiotherapy Exercises is a conventional treatment program 5 days a week during 5 weeks
Other Names:
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Experimental: Core stability
Core stability.5
days a week during 5 weeks
|
Standard Physiotherapy Exercises is a conventional treatment program 5 days a week during 5 weeks
Other Names:
Core stability 5 days a week during 5 weeks
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dynamic sitting balance
Time Frame: Baseline, up to 25 sessions and follow up to 24 weeks
|
Trunk Impairment Scales:Is a tool to measure the motor impairment of the trunk after stroke, This scale evaluates dynamic sitting balance as well as co-ordination of trunk movement.
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Baseline, up to 25 sessions and follow up to 24 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Standing balance
Time Frame: Baseline, up to 25 sessions and follow up to 24 weeks
|
Berg Balance Scale (BBS)assesses standing balance.
This scale includes 14 common tasks of ability to maintain positions or movements of increasing difficulty by decreasing base of support from sit, to stand, to single-limb support.Each of the 14 tasks is scored on a scale from 0 (worst) to 4 (best) for a total score of 56.
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Baseline, up to 25 sessions and follow up to 24 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mobility and degree of disability
Time Frame: Baseline, up to 25 sessions and follow up to 24 weeks
|
The Barthel index is a valid scale for studying function in stroke patients.The initial Barthel score is an important prognostic factor for both recovery of function and for survival.
The scale consists 10 items.
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Baseline, up to 25 sessions and follow up to 24 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Rosa Mª Cabanas-Valdes, Kinesiology, Universitat Internacional de Catalunya
- Study Director: Caritat Bagur-Calafat, Universitat Internacional de Catalunya
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- UIC-FIS-2012-04
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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