Effects of Trunk Exercise on Trunk Control and Balance in Persons With Stroke

NCT04434443 | Completed Phase 1

• 1 other identifier: B-ER-106-428
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

This study examined the effects of trunk exercise on unstable surfaces on trunk control and balance for persons in the sub-acute stage of stroke. The hypothesis was that, compared to upper limb exercises in well supported sitting position, this exercise would lead to better trunk control and sitting and standing balance. The results supported the hypothesis.

Conditions

Cerebrovascular Accident; Balance Impairment

Keywords

stroke; balance; Trunk exercise; Trunk control; standing

Outcome Measures

Primary Outcomes (2)

• Center of pressure

  range of displacement (cm)

  6 weeks

• Angular velocity of the non-affected arm raising

  mean velocity

  6 weeks

Secondary Outcomes (2)

• Trunk Impairment Scale

  6 weeks

• 6-meter walking tests

  6 weeks

Study Arms (2)

trunk exercise on unstable surface

EXPERIMENTAL

trunk exercise training in supine and sitting positions, with unstable surfaces

Other: trunk exercise on unstable exercise

upper limb range of motion exercise

SHAM COMPARATOR

upper limb range of motion exercise in sitting with back fully supported

Other: Upper limb range of motion exercise

Interventions

trunk exercise on unstable exercise OTHER

Participants would receive exercises on unstable surface. Started from supine position, participants had abdominal drawer-in maneuver with soft foam under the pelvic. Lower trunk rotation, bridging and abdominal muscles isometric contraction exercises were also used in this exercise during supine position, with different unstable surfaces used. Including soft foam under the feet, then progressed to BOSU ball under the feet, then progressed to the a BOSU ball under the feet combined with pelvic on soft foam. During sitting, BOSU ball and Swiss ball were used as unstable surface. Pelvic anterior-posterior tilt, lateral tilting, rotation, lifting, and stepping with arm swing were used in this position.

trunk exercise on unstable surface

Upper limb range of motion exercise OTHER

Upper limb range of motion exercise with trunk fully supported

upper limb range of motion exercise

Eligibility Criteria

• Age: 20 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age: between 20-80 years old
• first time stroke
• could sit without back support at least 20 seconds
• could understand and follow experimental instructions

You may not qualify if:

• medically unstable
• other neuromuscular/musculoskeletal problems that would affect balance

Sponsors & Collaborators

• National Cheng Kung University: lead
• Tainan Hospital, Ministry of Health and Welfare: collaborator

Study Sites (1)

National Cheng Kung University

Tainan, 701, Taiwan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessor not aware of group assignment
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Department of Physical Therapy, National Cheng Kung University

Study Record Dates

• First Submitted: June 11, 2020
• First Posted: June 16, 2020
• Study Start: August 9, 2018
• Primary Completion: October 6, 2019
• Study Completion: October 6, 2019
• Last Updated: June 16, 2020

Record last verified: 2020-06

Locations

TW (1)