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IRCT20210614051578N1 IRCT 2021-08-22 Chaudhry Muhammad Akram Teaching & Research Hospital EFFECT OF CORE STABILIZATION EXERCISES IN IMPROVING TRUNK MOBILITY, FUNCTION, AMBULATION AND QUALITY OF LIFE IN STROKE PATIENTS EFFECT OF CORE STABILIZATION EXERCISES IN IMPROVING TRUNK MOBILITY, FUNCTION, AMBULATION AND QUALITY OF LIFE IN STROKE PATIENTS 2018-03-17 anticipated 40 Complete https://irct.ir/trial/58089 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment, Randomization description: Participants fulfilling the inclusion criteria were selected consecutively and were then allocated randomly to conventional group and experiment groups. The process of allocation was concealed from the participants and the researcher. It was performed by a research assistant who was not involved in any further step of research. Patients were randomly divided through random number table, Blinding description: To take readings at pre-treatment and post-treatment levels, outcome assessors were recruited, who were blinded to the treatment group. N/A Stroke. Intervention 1: Intervention group: in experimental group core stability training was done with progression in training by increasing frequency of repetition from 10 to 20 repetitions according to patient condition .Core stability consisted of abdominal drawing in maneuver (ADIM) for contraction of transverses abdominis. After training of ADIM movements of pelvis with and without ADIM were performed. Pelvic control exercises comprise of anterior- posterior tilt, lateral shift and transverse rotation. Exercises are performed in upright posture. Bed exercises were bridging exercises. Progression were made from bridging with both legs to one leg and then side bridging. Curl up was done with progression from straight reaching, with diagonal reaching and with arms crossed. After one week multifidus exercises were performed.To activate multifidus patient was placed in quadruped position and was asked to raise his arms alternatively. Then he extended his legs alternatively. Side bridging was performed to activate internal, external obliques and quadratus lumborum. Patients performed curl ups for 15 degrees in crook lying position and maintained this position for 10 seconds. These activities were performed for 6 weeks, 5 times a week once in day. Intervention 2: Control group: in conventional group patients were given conventional physical therapy including basic activity like range of motion exercises, mobility exercises like transfers and gait training, stretching, tone reduction, task oriented training and compensatory approach. Task oriented training emphasized on hemiplegic side. Goals were set to enhance mobility. For upper limb, different objects were placed on table and patient was asked to use them. These activities were performed for ADL training. For example combing, brushing, eating activities were performed. Reaching and grasping activities were taught in sitting position. Mat activities were performed with special emphasis in sitting positing. These activities were performed for 6 weeks, 5 times a week once in day. Yes - There is a plan to make this available What will be shared: EFFECT OF CORE STABILIZATION EXERCISES IN IMPROVING TRUNK MOBILITY, FUNCTION, AMBULATION AND QUALITY OF LIFE IN STROKE PATIENTS When: 6 months after publication To whom: People in academic and clinical settings Conditions: Physiotherapy related persons can review Where to obtain: higheraimz@hotmail.com is the email address where any one can contactThey can acess through email address How to obtain: Through email Comments:
public Dr Hafiz Sheraz Arshad
17 km raiwind road, Lahore
Lahore Pakistan 40050 +92 42 38020205 higheraimz@hotmail.com Chaudhry Muhammad Akram Teaching & Research Hospital scientific Dr Hafiz Sheraz Arshad
17 km raiwind road, Lahore
Lahore Pakistan 40050 +92 42 38020205 higheraimz@hotmail.com Chaudhry Muhammad Akram Teaching & Research Hospital Pakistan Sitting achieved by patient for at least 10 seconds Chronic ischemic stroke patients(more than 6 months),not more than 1 year History of first time stroke Definite diagnosis of stroke confirmed through CT or MRI 45-65 years of age Both genders 45 years 65 years Both Severe cognitive and communication disorders that can effect interaction with patient. Any neurological and sensory disorders other than stroke that can affect postural control Any visual, sensory and hearing impairment that was not corrected through aids. Any metabolic and malignant disorder which can lead to emergency condition Z82.3 Family history of stroke Rehabilitation Rehabilitation Intervention group: in experimental group core stability training was done with progression in training by increasing frequency of repetition from 10 to 20 repetitions according to patient condition .Core stability consisted of abdominal drawing in maneuver (ADIM) for contraction of transverses abdominis. After training of ADIM movements of pelvis with and without ADIM were performed. Pelvic control exercises comprise of anterior- posterior tilt, lateral shift and transverse rotation. Exercises are performed in upright posture. Bed exercises were bridging exercises. Progression were made from bridging with both legs to one leg and then side bridging. Curl up was done with progression from straight reaching, with diagonal reaching and with arms crossed. After one week multifidus exercises were performed.To activate multifidus patient was placed in quadruped position and was asked to raise his arms alternatively. Then he extended his legs alternatively. Side bridging was performed to activate internal, external obliques and quadratus lumborum. Patients performed curl ups for 15 degrees in crook lying position and maintained this position for 10 seconds. These activities were performed for 6 weeks, 5 times a week once in day Control group: in conventional group patients were given conventional physical therapy including basic activity like range of motion exercises, mobility exercises like transfers and gait training, stretching, tone reduction, task oriented training and compensatory approach. Task oriented training emphasized on hemiplegic side. Goals were set to enhance mobility. For upper limb, different objects were placed on table and patient was asked to use them. These activities were performed for ADL training. For example combing, brushing, eating activities were performed. Reaching and grasping activities were taught in sitting position. Mat activities were performed with special emphasis in sitting positing. These activities were performed for 6 weeks, 5 times a week once in day Trunk function. Timepoint: 6 weeks. Method of measurement: trunk impairment scale. Functional ambulation. Timepoint: 6 weeks. Method of measurement: Functional ambulation categories. Quality of life. Timepoint: 6 weeks. Method of measurement: Stroke specific quality of life scale. Trunk range of motion. Timepoint: 6 weeks. Method of measurement: Goniometry. Chaudhry Muhammad Akram Teaching & Research Hospital Approved 2018-03-08 Riphah International University 13,14 c, civic center, Township, Lahore, Pakistan Lahore Punjab Pakistan