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Efficacy of Swiss Ball Exercises Versus Kinesthetic Training for Improving Balance and Functional Mobility in Chronic Stroke Patients. (Not any)

2026年5月16日 更新者：Nisha Fazal

Efficacy of Swiss Ball Exercises Versus Kinesthetic Training for Improving Balance and Functional Mobility in Chronic Stroke Patients

Stroke is one of the leading causes of long-term disability and commonly results in impaired balance, reduced trunk control, and difficulty in functional mobility. Chronic stroke patients often experience limitations in daily activities due to poor postural stability and decreased motor coordination. Various rehabilitation approaches are used to improve balance and mobility, among which Swiss ball exercises and kinesthetic training are considered beneficial interventions.

The purpose of this randomized controlled trial is to compare the effectiveness of Swiss ball exercises versus kinesthetic training in improving balance and functional mobility in patients with chronic stroke. A total of 36 participants diagnosed with chronic stroke for more than six months will be recruited and randomly allocated into two groups. Group A will receive Swiss ball exercises focusing on trunk stability, coordination, and balance control, while Group B will receive kinesthetic training aimed at improving proprioception, sensory feedback, and motor control.

The intervention program will continue for 8 weeks under the supervision of qualified physiotherapists in the Physiotherapy Department of Shalimar Health Centre. Balance and functional mobility will be assessed before and after the intervention using the Berg Balance Scale (BBS) and Timed Up and Go (TUG) test.

This study aims to determine which intervention is more effective in enhancing balance and mobility in chronic stroke patients and may help improve rehabilitation strategies for stroke recovery.

研究概览

地位

招聘中

条件

干预/治疗

详细说明

Stroke commonly leads to long-term physical impairments including poor balance, impaired proprioception, decreased trunk stability, and reduced functional mobility. These deficits negatively affect independence in activities of daily living and increase the risk of falls in chronic stroke patients. Rehabilitation strategies focusing on balance retraining and motor control are essential for improving functional outcomes and quality of life.

Swiss ball exercises are widely used in neurorehabilitation to improve trunk control, postural stability, coordination, and balance through unstable surface training. These exercises stimulate core muscle activation and enhance neuromuscular control during functional movements. On the other hand, kinesthetic training focuses on proprioceptive input, sensory feedback, motor relearning, and coordinated movement patterns to improve postural control and mobility.

Although both treatment approaches have shown beneficial effects in stroke rehabilitation, limited evidence is available comparing their effectiveness specifically in chronic stroke patients. Therefore, this randomized controlled trial aims to compare the efficacy of Swiss ball exercises and kinesthetic training in improving balance and functional mobility among individuals with chronic stroke.

A total of 36 participants meeting the eligibility criteria will be recruited from the Physiotherapy Department of Shalimar Health Centre. Participants will be randomly allocated into two equal groups using computerized randomization. Group A will receive a structured Swiss ball exercise program, while Group B will receive kinesthetic training exercises. Both intervention protocols will be supervised by qualified physiotherapists and conducted for 8 weeks.

Outcome measures will include the Berg Balance Scale (BBS) for assessment of balance and the Timed Up and Go (TUG) test for assessment of functional mobility. Measurements will be recorded at baseline and after completion of the intervention period. Data collection will be performed by an assessor blinded to group allocation to minimize assessment bias.

The findings of this study may provide evidence regarding the comparative effectiveness of Swiss ball exercises and kinesthetic training and may assist physiotherapists in selecting appropriate rehabilitation interventions for chronic stroke patients.

研究类型

介入性

注册 (估计的)

36

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

  • 巴基斯坦
    • Punjab Province
      • Lahore、Punjab Province、巴基斯坦、54000

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

Inclusion Criteria:

Patients diagnosed with stroke for past 6 or more then 6 months both sides (R, L).

Age: 45-65 years . Absence of cognitive impairment ( Mini Mental State Examination Score >23). Able to follow 3 step command. Medically stable. Both genders. Who can manage to come to the medical centre. Who score 21-50 on berg balance scale (BBS). Able to participate in the exercise program. Who don't have any cardiovascular or musculoskeletal problem.

Exclusion Criteria:

Cognitive impairment hindering performance. Other neurological problems. Acute or subacute stroke. Impair vision without correction. Other health problem ( cardiovascular, DM etc). Pain during standing or walking. Lake the ability to participate.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
实验性的：group A Swiss Ball Exercise Group
Participants in this group will receive a structured Swiss ball exercise program designed to improve balance, trunk control, coordination, and functional mobility in chronic stroke patients. The intervention will include progressive sitting, standing, weight-shifting, bridging, and dynamic balance exercises performed using a Swiss ball under physiotherapist supervision for 8 weeks.
行为的：Swiss Ball Exercise Training
Participants assigned to this intervention will perform a progressive Swiss ball exercise program aimed at improving trunk stability, postural control, balance, coordination, and functional mobility in chronic stroke patients. The intervention includes sitting balance activities, pelvic tilts, bridging exercises, dynamic reaching tasks, weight-shifting activities, wall squats, and gait-related exercises using a Swiss ball. Exercises will be supervised by qualified physiotherapists and performed over an 8-week treatment period with gradual progression in difficulty.
有源比较器：Kinesthetic Training Group
Participants in this group will receive kinesthetic training focused on proprioception, postural control, sensory feedback, balance retraining, and functional mobility enhancement. The intervention will include weight-shifting activities, balance exercises, gait training, and motor control exercises supervised by physiotherapists for 8 weeks.
行为的：Kinesthetic Training
Participants assigned to this intervention will receive kinesthetic training focused on improving proprioception, sensory feedback, postural stability, motor control, and functional mobility. The program includes static and dynamic balance activities, weight-shifting exercises, tandem standing, gait training, obstacle navigation, dual-task activities, and proprioceptive exercises performed under physiotherapist supervision. The intervention will be conducted progressively over 8 weeks according to participant performance and tolerance.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Berg Balance Scale (BBS)
大体时间：Baseline (Week 0) and post-intervention after 6 weeks of treatment
The Berg Balance Scale (BBS) will be used to assess static and dynamic balance in chronic stroke patients. It consists of 14 functional tasks such as sitting, standing, turning, and reaching activities. Each item is scored from 0 to 4, with a maximum total score of 56. Higher scores indicate better balance and lower risk of falls. The BBS is a reliable and validated tool widely used in stroke rehabilitation to evaluate postural control and functional balance.
Baseline (Week 0) and post-intervention after 6 weeks of treatment

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Nisha Fazal

调查人员

  • 首席研究员：Nisha Fazal, MSPTN、The University of Lahore, Lahore

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年5月7日

初级完成 (估计的)

2026年6月27日

研究完成 (估计的)

2026年6月30日

研究注册日期

首次提交

2026年5月7日

首先提交符合 QC 标准的

2026年5月7日

首次发布 (实际的)

2026年5月14日

研究记录更新

最后更新发布 (实际的)

2026年5月20日

上次提交的符合 QC 标准的更新

2026年5月16日

最后验证

2026年5月1日

更多信息

与本研究相关的术语

关键字

其他研究编号

  • 70177165

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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