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Sponsor study identifier
interventional
40
1 country
1
Study Start
August 15, 2026
Actual (reported)Primary Completion
December 30, 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
January 30, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
This study aims to compare the effects of contralateral gravity-eliminated gluteus medius strengthening and ipsilateral quadratus lumborum strengthening, both combined with conventional physiotherapy, on pelvic alignment, balance, and functional mobility in patients with subacute stroke. This single-blinded, two-arm, parallel-group randomized clinical trial will be conducted at the Department of Physical Therapy Rehabilitation, Alfalah Medical Center, Lahore, Pakistan. A total of 40 participants aged 45-60 years with a first-ever stroke occurring 1-6 months before enrollment will be recruited and randomly allocated to two groups. Group A will receive 30 minutes of conventional physiotherapy followed by 20 minutes of contralateral gravity-eliminated gluteus medius strengthening, while Group B will receive 30 minutes of conventional physiotherapy followed by 20 minutes of ipsilateral quadratus lumborum strengthening. Both groups will receive treatment three times per week for six weeks. The primary outcome measures will include pelvic alignment assessed using the Palpation Meter (PALM), balance assessed using the Berg Balance Scale (BBS), and functional mobility assessed using the Timed Up and Go (TUG) test. All outcome measures will be assessed at baseline, immediately after the six-week intervention, and at week 12 to evaluate changes following treatment and at follow-up. The study will compare outcomes between the two groups to determine the relative effectiveness of the two targeted strengthening approaches when combined with conventional physiotherapy in patients with subacute stroke.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 30, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
August 15, 2026
Actual (reported)October 21, 2026
Actual (reported)October 28, 2026
Actual (reported)December 30, 2026
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
January 30, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Pelvic Alignment (PALM)
Pelvic alignment will be assessed using the Palpation Meter (PALM), which measures pelvic inclination in degrees using standardized positioning and palpation of relevant pelvic landmarks. Changes in pelvic tilt will be evaluated to determine the effects of contralateral gravity-eliminated gluteus medius strengthening and ipsilateral quadratus lumborum strengthening combined with conventional physiotherapy.
Baseline, immediately after the 6-week intervention (Week 6), and at Week 12 follow-up.
Berg Balance Scale (BBS)
Functional balance will be assessed using the Berg Balance Scale (BBS), which consists of 14 functional tasks, each scored from 0 to 4, with a maximum total score of 56. Higher scores indicate better balance performance. Changes in total BBS scores will be compared between the two intervention groups to evaluate improvements in functional balance.
Baseline, immediately after the 6-week intervention (Week 6), and at Week 12 follow-up.
Timed Up and Go (TUG)
Functional mobility will be assessed using the Timed Up and Go (TUG) test. Participants will be instructed to stand up from a chair, walk 3 metres, turn around, return to the chair, and sit down. The time required to complete the test will be recorded in seconds. A shorter completion time indicates better functional mobility. Changes in TUG completion time will be compared between the two intervention groups.
Baseline, immediately after the 6-week intervention (Week 6), and at Week 12 follow-up.
Group A participants will receive conventional physiotherapy combined with contralateral gravity-eliminated gluteus medius strengthening for six weeks. Each session will include 30 minutes of conventional physiotherapy and 20 minutes of targeted gluteus medius strengthening. Sessions will be conducted three times per week for six weeks, for a total of 18 supervised sessions. The program will focus on improving gluteus medius activation, pelvic control, and lumbopelvic stability through supported gravity-eliminated exercises.
Group B participants will receive conventional physiotherapy combined with ipsilateral quadratus lumborum strengthening for six weeks. Each session will include 30 minutes of conventional physiotherapy and 20 minutes of targeted quadratus lumborum strengthening. Sessions will be conducted three times per week for six weeks, for a total of 18 supervised sessions. The program will focus on improving quadratus lumborum activation, trunk stability, and pelvic control.
Participants will receive 20 minutes of contralateral gravity-eliminated gluteus medius strengthening per session, three times per week for six weeks. Exercises will focus on selective gluteus medius activation, supported hip abduction in gravity-eliminated positions, and pelvic stabilization. Exercise difficulty will be adjusted according to participants' motor control and tolerance
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Protocol design
Quadratus Lumborum Strengthening Group
The registry names a study arm, cohort or protocol phase. This describes the study design and does not establish a chemical identity, product equivalence or actual exposure.
Registry study type: Interventional
View registry recordAlfalah Medical Center
Lahore, Punjab Province, Pakistan
First Submitted
October 21, 2026
First Posted
October 28, 2026
Study Start
August 15, 2026
Actual (reported)Primary Completion
December 30, 2026
EstimatedGroup B participants will receive conventional physiotherapy combined with ipsilateral quadratus lumborum strengthening for six weeks. Each session will include 30 minutes of conventional physiotherapy and 20 minutes of targeted quadratus lumborum strengthening. Sessions will be conducted three times per week for six weeks, for a total of 18 supervised sessions. The program will focus on improving quadratus lumborum activation, trunk stability, and pelvic control.
Participants will receive 30 minutes of conventional physiotherapy per session, three times per week for six weeks. Treatment will include range-of-motion exercises, trunk and pelvic control activities, weight shifting, balance training, and gait-related exercises based on the Bobath Concept, Brunnstrom Approach, and conventional physiotherapy principles.
Contact the study team to confirm eligibility.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
January 30, 2027
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
October 28, 2026
Record last verified: 2026-10
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Source: ClinicalTrials.gov.
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