Distal Versus Proximal Balance Training in Chronic Stroke

NCT05173389 | Completed

• 1 other identifier: ıstanbulıucnazıye
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Study will include two different intervention groups. Both groups will receive a standardized 50-minute multimodal rehabilitation program consisting of 30 minutes of Bobath-based exercises, 10 minutes of neuromuscular electrical stimulation (NMES) applied to the hemiparetic limb, and 10 minutes of bicycle ergometer training. In addition, both groups will receive 15 minutes of technology-assisted balance training, 5 days per week for 4 weeks. Group 1 will receive distal (ankle-strategy) balance training (DBT) using the Technobody Prokin system, including interactive "Game Pong" tasks with controlled anteroposterior and mediolateral platform displacement. Group 2 will receive proximal (hip-strategy) balance training (PBT) using the TheraTrainer Balo device. Study Aim: To investigate and compare the effects of technology-assisted distal (ankle-strategy) versus proximal (hip-strategy) balance training, each added to a standardized multimodal rehabilitation program, on balance, posture and functional outcomes in individuals with chronic stroke.

Conditions

Chronic Stroke

Keywords

Stroke rehabilitation; Balance training; Distal control; Postural stability; Neuroplasticity; Virtual assessment tools

Outcome Measures

Primary Outcomes (1)

• "Single Leg Stance Test (SLST)"

  For the test, volunteers were asked to lift one foot without touching the support leg, look steadily across, and maintain their balance for 30 seconds. The time they focused on the paretic limb for hemiparetic individuals and the time they focused on the dominant limbs for healthy individuals were recorded.

  Baseline and after 4 weeks of rehabilitation

Secondary Outcomes (5)

• Berg Balance Scale (BBS)

  Baseline and after 4 weeks of rehabilitation

• TechnoBody Balance Test

  Baseline and after 4 weeks of rehabilitation

• Functional Reach Test (FRT)

  Baseline and after 4 weeks of rehabilitation

• Trunk Impairment Scale (TIS)

  Baseline and after 4 weeks of rehabilitation

• 5-Repetition Sit-to-Stand Test (SST)

  Baseline and after 4 weeks of rehabilitation

Other Outcomes (3)

• "PostureScreen Mobile"

  Baseline and after 4 weeks of rehabilitation

• Timed Up and Go Test (TUG)

  Baseline and after 4 weeks of rehabilitation

• Functional Independence Measure (FIM)

  Baseline and after 4 weeks of rehabilitation

Study Arms (2)

Distal Balance Training (DBT) Group

EXPERIMENTAL

Distal (ankle-strategy) balance training using the Technobody Prokin system.

Device: TechnoBody intervention

Proximal Balance Training (PBT) Group

EXPERIMENTAL

Proximal (hip-strategy) balance training using the TheraTrainer Balo device.

Device: Thera-Trainer intervention

Interventions

TechnoBody intervention DEVICE

Participants will receive distal (ankle-strategy) balance training using the Technobody Prokin system for 15 minutes per session, 5 days per week for 4 weeks. In addition, participants will receive the standardized multimodal rehabilitation program consisting of 30 minutes of Bobath-based exercises, 10 minutes of neuromuscular electrical stimulation (NMES) applied to the hemiparetic limb, and 10 minutes of bicycle ergometer training.

Distal Balance Training (DBT) Group

Thera-Trainer intervention DEVICE

Participants will receive proximal (hip-strategy) balance training using the TheraTrainer Balo device for 15 minutes per session, 5 days per week for 4 weeks. In addition, participants will receive the standardized multimodal rehabilitation program consisting of 30 minutes of Bobath-based exercises, 10 minutes of neuromuscular electrical stimulation (NMES) applied to the hemiparetic limb, and 10 minutes of bicycle ergometer training.

Proximal Balance Training (PBT) Group

Eligibility Criteria

• Age: 65 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may not qualify if:

• Contractures in joints of the hemiparetic extremity Peripheral nerve lesions or lower motor neuron disease Other neurological conditions such as ataxia, dyskinesia, or dystonia Uncontrolled hypertension Cardiac instability Any condition that could pose a risk during physical rehabilitation

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Erenköy Physical Therapy and Rehabilitation Hospital

Istanbul, Merdivenkoy-Kadıköy, 34732, Turkey (Türkiye)

Location

Study Officials

• Naziye Şenyuva Ceyhan

  Istanbul University Cerrapasa

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Model Details: Prospective Paralel Group Comparison Study

Study Record Dates

• First Submitted: December 4, 2021
• First Posted: December 29, 2021
• Study Start: August 1, 2019
• Primary Completion: July 20, 2021
• Study Completion: July 20, 2021
• Last Updated: September 2, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)