Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT01864382 |
| Other study ID # |
UIC-FIS-2012-04 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
October 2012 |
| Est. completion date |
September 2014 |
Study information
| Verified date |
May 2021 |
| Source |
Universitat Internacional de Catalunya |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
The stroke as cerebrovascular disease is the leading cause of permanent neurological
disability and the third death in the Western world. Their affected often have motor and
sensory disturbances in the form of hemiparesis with a possible influence on the balance be
altered trunk muscles, important components of postural control. The treatment of stroke,
covers a wide range of different strategies and approaches physiotherapy, including, specific
exercises on the trunk called "core stability", performed by the patient with the help and
supervision of a physiotherapist specializing in neurology, that are based on coordination,
motor and proprioceptive work, especially the lumbar-pelvic. The effectiveness of these last
years has been demonstrated empirically, but until now there is no sufficient evidence of the
effects of these exercises on sitting balance in respect, and standing up in the subacute
phase post-stroke patients. To prove the evidence raises a randomized, multicenter, blinded
and where the evaluator will not participate in the analysis and processing is done by
intention to treat. Patients will be divided into two groups: control (usual physiotherapy
center made ) and experimental (made also 15 minutes workout "core stability"). The
intervention will have a frequency of 5 days a week for 5 weeks and up to 12 weeks. The
expected effect is that the experimental group patients develop better postural control at
the trunk and this influences the balance in sitting, standing and walking.
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)
