Core Stability Exercises Versus Tai Chi Exercises on Dynamic Balance After Colo-rectal Surgeries.

Forty patients from both genders, who have undergone colorectal surgeries. Their ages ranged from 25 to 40 years. The participants was selected from El Mataria teaching hospital and randomly distributed into two equal groups.

Group A (study group)This group includes 20 patients who performed Tai chi exercises. These exercises started 10 days post-operative, in addition to normal physiotherapy.

Group B (control group) includes 20 patients who performed core stability exercises starting 10 days post-operative, in addition to normal physiotherapy exercises.

Study Overview

• Status: Completed
• Conditions: Post-Op Complication; Post Colo- Rectal Surgeries; Colo -Rectal Surgeries
• Intervention / Treatment: Other: Exercise; Other: Exercise

Detailed Description

sixty patients from both genders, who have undergone colorectal surgeries. Their ages ranged from 25 to 40 years. The participants was selected from El Mataria teaching hospital and randomly distributed into two equal groups.

1.1 Design of the study:

In this study the patients will be randomly assigned into two equal groups (30 patients for each group):

1.1(a) Group A:This group includes 30 patients who performed performed core stability exercises in form of drawing in maneuvers along with lifting bent leg to 90 degrees hip flexion slide heel to extend knee and straight leg raise to 45 degrees 5 days a week each exercise was performed 15 repetitions. [25]for 8 weeks starting 10 days post-operative, in addition all participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks [26,27], each exercise was performed 15 repetitions. Exercises were taught to the patients to be performed as home program after discharge from the hospital.

1.1(b) Group: This group includes Tai chi exercise program starting 10 days post-operative, Yang style Tai Chi, Participants assigned to the TC (Tai Chi) group practiced 1-hour 3 times a week for 8 weeks [28], in addition to All participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks, each exercise was performed 15 repetitions. Exercises were taught to the patients to be performed as home program after discharge from the hospital.

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Cairo Governorate
    • Cairo, Cairo Governorate, Egypt
      • Cairo University . Mataria teaching Hospital

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• Age ranged between 25-40 years.
• All patients had undergone colorectal surgeries.
• All patients had no previous neurological impairments.
• All patients had not suffered from low back pain before.
• All patients had no balance problems.
• All patients enrolled to the study had their informed consent.

Exclusion Criteria:

• • Balance problems.

  • Neurological impairments.
  • Patients who suffered before from low back pain.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A; This group includes 30 patients Each patient performed core stability exercises in form of drawing in maneuvers along with lifting bent leg to 90 degrees hip flexion slide heel to extend knee and straight leg raise to 45 degrees 5 days a week each exercise was performed 15 repetitions. for 8 weeks starting 10 days post-operative, in addition all participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks each exercise was performed 15 repetitions. Exercises were taught to the patients to be performed as home program after discharge from the hospital.	Other: Exercise; Group A Each patient performed core stability exercises in form of drawing in maneuvers along with lifting bent leg to 90 degrees hip flexion slide heel to extend knee and straight leg raise to 45 degrees 5 days a week each exercise was performed 15 repetitions. [25] for 8 weeks starting 10 days post-operative, in addition all participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks [26,27], each exercise was performed 15 repetitions. Exercises were taught to the patients to be performed as home program after discharge from the hospital.; Other: Exercise; Group B Each patient performed Tai chi exercise program starting 10 days post-operative, Yang style Tai Chi, Participants assigned to the TC (Tai Chi) group practiced 1-hour 3 times a week for 8 weeks [28], in addition to All participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks,. Exercises were taught to the patients to be performed as home program after discharge from the hospital.
Experimental: Group B; This group includes 30 patients who performed Tai chi exercise program starting 10 days post-operative, Yang style Tai Chi, Participants assigned to the TC (Tai Chi) group practiced 1-hour 3 times a week for 8 weeks [28], in addition to All participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks,. Exercises were taught to the patients to be performed as home program after discharge from the hospital.	Other: Exercise; Group A Each patient performed core stability exercises in form of drawing in maneuvers along with lifting bent leg to 90 degrees hip flexion slide heel to extend knee and straight leg raise to 45 degrees 5 days a week each exercise was performed 15 repetitions. [25] for 8 weeks starting 10 days post-operative, in addition all participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks [26,27], each exercise was performed 15 repetitions. Exercises were taught to the patients to be performed as home program after discharge from the hospital.; Other: Exercise; Group B Each patient performed Tai chi exercise program starting 10 days post-operative, Yang style Tai Chi, Participants assigned to the TC (Tai Chi) group practiced 1-hour 3 times a week for 8 weeks [28], in addition to All participants followed a conventional physical therapy program consisting of stretching exercises for the calf and hamstring muscles, and strengthening exercises for lower limb muscles. These sessions lasted 60 minutes each and were conducted once per day, three days per week (on alternate days) for eight weeks,. Exercises were taught to the patients to be performed as home program after discharge from the hospital.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Star Excursion Balance Test (SEBT).	The Star Excursion Balance Test (SEBT): is a dynamic test that requires strength, flexibility, and proprioception. The goal of the SEBT is to maintain single leg stance on one leg while reaching as far as possible with the contralateral leg.	2 months
Berg Balance Scale	The BBS is extensively utilized for evaluating balance and is recognized for its validity and reliability . The Berg Balance Scale was developed in 1989 via health professional and patient interviews that explored the various methods used to assess balance. Initially, 38 balance tests were selected as potential components of the score and then refined through further interviews and trials to 14 items. Each of these items is scored from 0 to 4, which are summed to make a total score between 0 and 56, with a higher score indicating better balance. Although the Berg Balance Scale was originally developed to measure balance in the elderly, it has since been used to measure balance in a wide variety of patients. The Berg Balance Scale rates balance from 0 (very poor) to 56 (normal) and is widely used in many clinical populations.	2 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual analogue scale	Visual analogue scale: The findings suggested that 100-mm VAS ratings of 0 to 4 mm can be considered no pain; 5 to 44 mm, mild pain; 45 to 74 mm, moderate pain; and 75 to 100 mm, severe pain.	2 months

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): February 15, 2025
• Primary Completion (Actual): February 15, 2025
• Study Completion (Actual): February 15, 2025

Study Registration Dates

• First Submitted: February 28, 2026
• First Submitted That Met QC Criteria: February 28, 2026
• First Posted (Actual): March 5, 2026

Study Record Updates

• Last Update Posted (Actual): March 5, 2026
• Last Update Submitted That Met QC Criteria: February 28, 2026
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Pathological Conditions, Signs and Symptoms; Postoperative Complications; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Exercise
• Other Study ID Numbers: 004061

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Yes after 6 months we will share the study protocol and informed consent.
• IPD Sharing Time Frame: After 6 months of study
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; ICF

Drug and device information, study documents

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