Efficacy of Swiss Ball Exercises Versus Kinesthetic Training for Improving Balance and Functional Mobility in Chronic Stroke Patients.

NCT07587463 | Recruiting DMC

• 1 other identifier: 70177165
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Stroke is one of the leading causes of long-term disability and commonly results in impaired balance, reduced trunk control, and difficulty in functional mobility. Chronic stroke patients often experience limitations in daily activities due to poor postural stability and decreased motor coordination. Various rehabilitation approaches are used to improve balance and mobility, among which Swiss ball exercises and kinesthetic training are considered beneficial interventions. The purpose of this randomized controlled trial is to compare the effectiveness of Swiss ball exercises versus kinesthetic training in improving balance and functional mobility in patients with chronic stroke. A total of 36 participants diagnosed with chronic stroke for more than six months will be recruited and randomly allocated into two groups. Group A will receive Swiss ball exercises focusing on trunk stability, coordination, and balance control, while Group B will receive kinesthetic training aimed at improving proprioception, sensory feedback, and motor control. The intervention program will continue for 8 weeks under the supervision of qualified physiotherapists in the Physiotherapy Department of Shalimar Health Centre. Balance and functional mobility will be assessed before and after the intervention using the Berg Balance Scale (BBS) and Timed Up and Go (TUG) test. This study aims to determine which intervention is more effective in enhancing balance and mobility in chronic stroke patients and may help improve rehabilitation strategies for stroke recovery.

Conditions

Chronic Stroke Patient

Keywords

Chronic Stroke; Swiss Ball Exercises; Kinesthetic Training; Balance Training

Outcome Measures

Primary Outcomes (1)

• Berg Balance Scale (BBS)

  The Berg Balance Scale (BBS) will be used to assess static and dynamic balance in chronic stroke patients. It consists of 14 functional tasks such as sitting, standing, turning, and reaching activities. Each item is scored from 0 to 4, with a maximum total score of 56. Higher scores indicate better balance and lower risk of falls. The BBS is a reliable and validated tool widely used in stroke rehabilitation to evaluate postural control and functional balance.

  Baseline (Week 0) and post-intervention after 6 weeks of treatment

Study Arms (2)

group A Swiss Ball Exercise Group

EXPERIMENTAL

Participants in this group will receive a structured Swiss ball exercise program designed to improve balance, trunk control, coordination, and functional mobility in chronic stroke patients. The intervention will include progressive sitting, standing, weight-shifting, bridging, and dynamic balance exercises performed using a Swiss ball under physiotherapist supervision for 8 weeks.

Behavioral: Swiss Ball Exercise Training

Kinesthetic Training Group

ACTIVE COMPARATOR

Participants in this group will receive kinesthetic training focused on proprioception, postural control, sensory feedback, balance retraining, and functional mobility enhancement. The intervention will include weight-shifting activities, balance exercises, gait training, and motor control exercises supervised by physiotherapists for 8 weeks.

Behavioral: Kinesthetic Training

Interventions

Swiss Ball Exercise Training BEHAVIORAL

Participants assigned to this intervention will perform a progressive Swiss ball exercise program aimed at improving trunk stability, postural control, balance, coordination, and functional mobility in chronic stroke patients. The intervention includes sitting balance activities, pelvic tilts, bridging exercises, dynamic reaching tasks, weight-shifting activities, wall squats, and gait-related exercises using a Swiss ball. Exercises will be supervised by qualified physiotherapists and performed over an 8-week treatment period with gradual progression in difficulty.

group A Swiss Ball Exercise Group

Kinesthetic Training BEHAVIORAL

Participants assigned to this intervention will receive kinesthetic training focused on improving proprioception, sensory feedback, postural stability, motor control, and functional mobility. The program includes static and dynamic balance activities, weight-shifting exercises, tandem standing, gait training, obstacle navigation, dual-task activities, and proprioceptive exercises performed under physiotherapist supervision. The intervention will be conducted progressively over 8 weeks according to participant performance and tolerance.

Kinesthetic Training Group

Eligibility Criteria

• Age: 45 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with stroke for past 6 or more then 6 months both sides (R, L).
• Age: 45-65 years . Absence of cognitive impairment ( Mini Mental State Examination Score \>23). Able to follow 3 step command. Medically stable. Both genders. Who can manage to come to the medical centre. Who score 21-50 on berg balance scale (BBS). Able to participate in the exercise program. Who don't have any cardiovascular or musculoskeletal problem.

You may not qualify if:

• Cognitive impairment hindering performance. Other neurological problems. Acute or subacute stroke. Impair vision without correction. Other health problem ( cardiovascular, DM etc). Pain during standing or walking. Lake the ability to participate.

Sponsors & Collaborators

• Nisha Fazal: lead

Study Sites (1)

Shadman Medical Center

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Study Officials

• Nisha Fazal, MSPTN

  The University of Lahore, Lahore

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nisha Fazal, MSPTN

CONTACT

03220000138; nishafazal38@gmail.com

Montiha Azeem, MSPTN

CONTACT

03479717317; muntahaazeem9@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: May 7, 2026
• First Posted: May 14, 2026
• Study Start: May 7, 2026
• Primary Completion (Estimated): June 27, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: May 20, 2026

Record last verified: 2026-05

Locations

PA (1)