Stroke
Conditions
Keywords
Balance
Brief summary
The aim of the study is to investigate the effects of thoracic spinal manipulation on balance, fall risk, and thoracic mobility of the patients with chronic stroke.
Detailed description
The study, utilizing a randomized crossover design, is planned to be conducted on a minimum of 26 patients with stroke who meet the inclusion and exclusion criteria. Patients included in the study will be randomly assigned to receive both placebo thoracic spinal manipulation and thoracic spinal manipulation interventions.
Interventions
This technique is based on the application of a high-velocity, low-amplitude force to the thoracic spine with the aim of increasing thoracic mobility.
OTHERPlacebo Thoracic Spinal Manipulation
This intervention is a classic method used to evaluate the effect of thoracic spinal manipulation.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The evaluator and the researcher administering the intervention will be different. The interventions will be administered to participants randomly.
Intervention model description
The patients enrolled in the study will receive placebo thoracic spinal manipulation and thoracic spinal manipulation in a randomized sequence. The order of the interventions will be determined by flipping a coin.
Eligibility
Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Having chronic stroke, * A Mini-Mental State Examination score of 24 or higher, * Ability to stand independently for 20 seconds or more, * Ability to walk independently for 10 meters, using assistive devices or orthoses if necessary, * Being between 40 and 75 years of age, * Having a Brunnstrom stage of 4 or above
Exclusion criteria
* History of whiplash injury, * Diagnosis of fibromyalgia, * History of spinal manipulation treatment within the previous 2 months, * History of cervical or thoracic fracture or dislocation, * History of cervical or thoracic spine surgery, * Diagnosis of cervical radiculopathy or myelopathy, * Presence of serious spinal pathology, * Presence of any orthopedic or neurological disorder other than stroke, or an unstable cardiac condition, * Presence of a vestibular disorder, * The presence of lower extremity ulceration or amputation, * Alcohol consumption in the last 24 hours, * Posterior circulation stroke involving the basilar artery or cerebellum, * Having experienced an acute lower extremity injury in the last six weeks, * History of lower extremity surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Postural Stability Index Measurement | Change from baseline overall postural stability index immediately after the intervention | This index will be assessed by measuring deviations of the center of gravity in the anteroposterior and mediolateral directions. Lower scores indicate smaller deviations and better postural stability. The test will be performed on a stable platform with two trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system. |
| Fall Risk Assessment | Change from baseline overall postural stability index immediately after the intervention | Fall risk will be assessed by measuring the patient's ability to maintain balance on an unstable platform. Based on their ability to maintain balance, a fall risk score will be generated, with higher scores indicating a greater risk of falling. The test will be performed with two 30-second trials. The average of the three trials will be calculated automatically by the TechnoBody balance system. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anteroposterior Stability Index Measurement | Change from baseline overall postural stability index immediately after the intervention | The anteroposterior stability index will be assessed by measuring deviations of the center of gravity in the anteroposterior direction. Lower scores indicate smaller deviations and better anteroposterior postural stability. The test will be performed on a stable platform with two trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system. |
| Mediolateral Stability Index Measurement | Change from baseline mediolateral stability index immediately after the intervention | The mediolateral stability index will be assessed by measuring deviations of the center of gravity in the mediolateral direction. Lower scores indicate smaller deviations and better mediolateral postural stability. The test will be performed on a stable platform with two trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system. |
| Thoracic Mobility | Change from baseline mediolateral stability index immediately after the intervention | Thoracic mobility will be assessed by measuring trunk rotation and lateral flexion using a smartphone inclinometer positioned at the level of T2. |
Countries
Turkey (Türkiye)
Contacts
CONTACTömer dursun, Asst. Prof.
CONTACTburak mavuş, M.Sc.
PRINCIPAL_INVESTIGATORömer dursun, Asst. Prof.
Bitlis Eren University
PRINCIPAL_INVESTIGATORburak mavuş, M.Sc.
Bolu Abant İzzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital
PRINCIPAL_INVESTIGATORmerve tunçdemir, Asst. Prof.
Bitlis Eren University
Outcome results
None listed