Stroke
Conditions
Brief summary
To evaluate the effects of the combining transcranial direct current stimulation with core stability exercises on trunk performance in poststroke hemiparetic patients, the secondary outcome is to evaluate the balance and the functional performance of the participants.
Detailed description
This study will conduct to 60 male and female patients with post stroke hemiparesis with age ranged between 55 to 70 years, the patients will be categorized to two equal groups. * Group A (study group): will receive simultaneously a combination of transcranial direct current stimulation combined with core stability exercise. * Group B (control group): will receive core stability exercise. All patients will be assessed for trunk performance, balance, and functional performance before and after interventions.
Interventions
OTHERtranscranial direct current stimulation
transcranial direct current stimulation
OTHERcore stability exercise.
core stability exercise.
Sponsors
Beni-Suef University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
55 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Patients will be included if they are ≥ 55 years old of both sex, had a first-time right or left stroke within the preceding six months that damaged the cerebral cortex verified by (computed tomography or MRI report, neurological examination, and medical chart). * Patients can stand and walk independently. * Modified Ashworth Scale (MAS) of upper limb muscle ≤ 1+. * All the patients received a conventional physiotherapy program in the acute stage and post-discharge from the hospital. * None of the patients participated in any other study or placebo
Exclusion criteria
* Patients with neurological or orthopedic problems, paralysis neglect, behavioral abnormalities, dementia any shoulder dysfunction before or post-stroke (dislocation or subluxation), or those who using upper limb splints. * Recurrent strokes or hemiparesis due to other neurological causes rather than stroke eg .(Brain tumor). * Obesity (BMI ≥ 30 kg/m2).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk Impairment Scale (TIS). | up to 8 weeks | trunk performance will be assessed by Trunk Impairment Scale (TIS). |
| Berg Balance Scale | up to 8 weeks | Balance will be assessed by berg balance scale, the balance score ranges from 0 to 56, with lower scores indicating increased risk of balance loss and higher scores indicating improved functional mobility. Time up and go test (TUG)n Score \< 10 seconds = normal \< 20 seconds = good mobility; can walk outside alone; does not require a walking aid \< 30 seconds = walking and balance problems; cannot walk outside alone; requires walking aid |
Countries
Egypt
Outcome results
None listed