Effect of Pelvic Control Exercises in Stroke

Effect of Pelvic and Trunk Control Exercises on Function Outcome of Affected Upper Extremity in Stroke Patients

The purpose of the study is to investigate the combined effect of pelvic and trunk control exercises on muscle performance of affected upper extremity in stroke patients.

Study Overview

• Status: Recruiting
• Conditions: Stroke
• Intervention / Treatment: Other: Pelvic and trunk control exercises

Detailed Description

The study conducted on forty stroke patients. They assessed by Biodex System 3 Pro Isokinetic, Modified Ashworth Scale(MAS), Fugel Meyer Assessment scale (FMAS), Box and block test and hand grip dynamometer. Patients divided into control group and study group. The control group treated by a traditional physical therapy program.The study group treated by the traditional physical therap program in addition to pelvic and trunk control exercises for 40 min.

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Rowida Abdelgleel, Assistant lecturer; Phone Number: 01152322678; Email: rowidaabdelglel@gmail.com
• Study Contact Backup: Name: Nahed Salem, Professor; Phone Number: +201224297063; Email: nahedsalem960@gmail.com

Study Locations

• Egypt
  • Giza, Egypt, 12612
    • Recruiting
    • Faculty of Physical Therapy labs at Cairo University
    • Contact: Rowida Abdelgleel, Assistant lecturer; Phone Number: 01152322677; Email: rowidaabdelglel@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patient's age will range from 45 - 60 years.
• Muscle tone grade will range from 1 to 1+ according to modified Ashworth scale.
• Duration of illness will range from 6 to 18 months after stroke onset.
• Ability of the patient to stand without assistive devices.

Exclusion Criteria:

• • Other neurological or musculoskeletal disorders that might affect pelvic alignment such as severe arthritis, knee surgery, total hip joint replacement, lower limb fractures, contractures of fixed deformity or leg length discrepancy.

  • Severe chronic back and/or knee pain that might affected standing posture.
  • Recurrent stroke
  • Shoulder or upper limb injury that might affect the recovery.
  • Perceptual or cognitive dysfunctions.
  • BMI > 30

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Pelvic and trunk control exercises; Twenty Egyptian male stroke patients will receive 40 minutes of pelvic and trunk control exercises for six weeks after a 30 minutes of traditional physical therapy program.	Other: Pelvic and trunk control exercises; Patients in this group will be treated by the traditional physical therapy program in addition to a 18 sessions of pelvic and trunk control exercises for 40 min included abdominal drawing in maneuver for contraction of transversus abdominis pelvic tilting exercises and pelvic stabilization exercises from different positions. Pelvic tilting exercises included; anterior, posterior, lateral pelvic tilting and pelvic rotation on a therapeutic ball. Pelvic stabilization exercises include bridging, half bridging, clamshell from supine and side lying, quadribed exercises, weight shifting on the affected limb from standing by forward and diagonal reach out, ball bridging and rhythmic stabilization exercises
Sham Comparator: Traditional physical therapy; Twenty Egyptian male stroke patients will receive 30 minutes of sham traditional physical therapy program for six weeks.	Other: Pelvic and trunk control exercises; Patients in this group will be treated by the traditional physical therapy program in addition to a 18 sessions of pelvic and trunk control exercises for 40 min included abdominal drawing in maneuver for contraction of transversus abdominis pelvic tilting exercises and pelvic stabilization exercises from different positions. Pelvic tilting exercises included; anterior, posterior, lateral pelvic tilting and pelvic rotation on a therapeutic ball. Pelvic stabilization exercises include bridging, half bridging, clamshell from supine and side lying, quadribed exercises, weight shifting on the affected limb from standing by forward and diagonal reach out, ball bridging and rhythmic stabilization exercises

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Biodex System 3 Pro Isokinetic	Changes in peak muscle torque of upper limb muscles from baseline to four weeks after the beginning of intervention	Six weeks after the beginning of the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Fugl-Meyer Assessment for upper extremity	Changes in upper limb function from baseline to four weeks after the beginning of intervention	Six weeks after the beginning of the intervention
Box and block test	Changes in gross hand function from baseline to four weeks after the beginning of intervention	Six weeks after the beginning of the intervention
Hand grip dynamometer	. Changes in hand grip strength from baseline to four weeks after the beginning of intervention	Six weeks after the beginning of the intervention

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): May 20, 2023
• Primary Completion (Estimated): April 1, 2024
• Study Completion (Estimated): April 7, 2024

Study Registration Dates

• First Submitted: September 28, 2023
• First Submitted That Met QC Criteria: September 28, 2023
• First Posted (Actual): October 5, 2023

Study Record Updates

• Last Update Posted (Actual): April 8, 2024
• Last Update Submitted That Met QC Criteria: April 5, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: Pelvic control in stroke

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No