The Effect Of Multifidus And Transversus Abdominis Muscle Activation On Balance In Hemiplegic Patients

NCT06181877 | Completed

• 1 other identifier: ELMTRAMABHP
• Study Type: observational
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Patients with post-stroke hemiplegia may develop balance disorder and limitation in ambulation ability due to multiple mechanisms. The effects of core muscles on maintaining normal posture, balance and ambulation ability are known. The positive effects of core stabilisation exercises on balance in hemiplegic patients have been shown in previous studies. In this study, we planned to investigate the effects of bilateral transversus abdominis and bilateral lumbar multifidus muscles on balance in patients with stroke-related hemiplegia.

Conditions

Hemiplegia

Keywords

hemiplegia; transversus abdominis; multifidus; balance; stroke

Outcome Measures

Primary Outcomes (3)

• Berg Balance Scale (BBS)

  Patients' balance was evaluated using the Berg Balance Scale.

  Same day with ultrasound-guided muscle measurement

• Postural Assessment Scale For Stroke Patients (PASS)

  Posture change and posture maintenance scores of the patients were evaluated using PASS.

  Same day with ultrasound-guided muscle measurement

• Functional Ambulation Category (FAC)

  Ambulation ability of the patients was evaluated using FAC.

  Same day with ultrasound-guided muscle measurement

Secondary Outcomes (3)

• Brunnstrom Stages

  Same day with ultrasound-guided muscle measurement

• Transversus Abdominis Muscle Activation

  BBS, PASS, FAC and Brunnstrom stages were measured immediately after recording.

• Multifidus Muscle Activation

  BBS, PASS, FAC and Brunnstrom stages were measured immediately after recording.

Study Arms (1)

Hemiplegic Patients

Patients with hemiplegia after stroke

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

36 hemiplegic patients who met the inclusion criteria and did not meet the exclusion criteria

You may qualify if:

• Patients aged 18-65 years
• Time after stroke must be at least 1 month
• Unilateral stroke
• Must be cognitively compatible in terms of cooperation
• Standing balance with/without support and/or sitting balance without support
• BMI\<30

You may not qualify if:

• Patients with a history of hemiplegia in the opposite half of the body
• Patients with extruded or sequestered lumbar hernia and/or history of lumbar operation
• Patients with a history of lumbar vertebral fracture
• Patients with traumatic brain injury
• Patients with neuromuscular muscle disease that may lead to muscle atrophy
• Patients with sensory defects
• Patients with cerebellar defects
• Patients with vestibular balance disorders (vertigo, etc.)
• Patients with Parkinson's disease
• Patients with balance problems due to visual impairment
• Patients with pre-stroke balance problems

Sponsors & Collaborators

• Istanbul Physical Medicine Rehabilitation Training and Research Hospital: lead

Study Sites (1)

Istanbul Physical Medicine Rehabilitation Training & Research Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Hemiplegia; Stroke

Condition Hierarchy (Ancestors)

Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• NAZLI DERYA BUGDAYCI, MD

  Istanbul Physical Therapy Rehabilitation Training & Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 13, 2023
• First Posted: December 26, 2023
• Study Start: February 1, 2023
• Primary Completion: September 1, 2023
• Study Completion: October 31, 2023
• Last Updated: December 26, 2023

Record last verified: 2023-12

Locations

TU (1)