Stroke
Conditions
Keywords
Balance
Brief summary
The aim of the study is to investigate the effects of lumbar spinal manipulation on balance and fall risk 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 lumbar spinal manipulation and lumbar spinal manipulation interventions.
Interventions
This technique is based on the application of a high-velocity, low-amplitude force to the lumbar spine with the aim of increasing mobility.
OTHERPlacebo Lumbar Spinal Manipulation
This intervention is a classic method used to evaluate the effect of lumbar 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 lumbar spinal manipulation and lumbar spinal manipulation in a randomized sequence. The order of the interventions will be determined by flipping a coin.
Eligibility
Sex/Gender
ALL
Age
18 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, * Being between 18 and 75 years of age, * Ability to walk independently for 10 meters, using assistive devices or orthoses if necessary, * Daily blood pressure not exceeding 140/90 mmHg (or controlled with antihypertensive medication)
Exclusion criteria
* Presence of severe cardiac, pulmonary, hepatic, or renal dysfunction, * Presence of severe bone or joint disease, particularly affecting the spine, * Presence of risk factors for osteoporosis, especially involving the spine, * Orthopedic conditions limiting spinal rotation, * History of cancer or diabetic neuropathy, * Presence of vestibular disorders, * Presence of lower extremity ulceration or amputation, * Alcohol consumption within the last 24 hours, * Hemodynamic instability, * Diagnosis of posterior circulation stroke involving the basilar artery and cerebellum, * Presence of neurological diseases such as multiple sclerosis or Parkinson's disease, * History of acute lower extremity injury within the last 6 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 three 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 fall risk 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 three 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 anteroposterior 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 three 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 three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system. |
Countries
Turkey (Türkiye)
Contacts
CONTACTÖmer Dursun, Assoc. Prof.
CONTACTBurak Mavuş, M.Sc.
PRINCIPAL_INVESTIGATORÖmer Dursun, Assoc. Prof.
Bitlis Eren University
PRINCIPAL_INVESTIGATORMerve Tunçdemir, Asst. Prof.
Bitlis Eren University
PRINCIPAL_INVESTIGATORBurak Mavuş, M.Sc.
Bolu Abant İzzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital
Outcome results
None listed