The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (Core-Trial)
Study Protocol for a Randomized Controlled Trial
Bibliographic Data
Trunk impairment produces disorders of motor control, balance and gait. Core stability exercises (CSE) are a good strategy to improve local strength of trunk, balance and gait. Methods and analysis: This is a single-blind multicenter randomized controlled trial. Two parallel groups are compared, and both perform the same type of therapy. A control group (CG) ( n = 110) performs conventional physiotherapy (CP) (1 h per session) focused on improving balance. An experimental group (EG) ( n = 110) performs CSE (30 min) in addition to CP (30 min) (1 h/session in total). EG is divided in two subgroups, in which only half of patients ( n = 55) perform CSE plus transcutaneous electrical nerve stimulation (TENS). Primary outcome measures are dynamic sitting, assessed by a Spanish version of Trunk Impairment Scale and stepping, assessed by Brunel Balance Assessment. Secondary outcomes are postural control, assessed by Postural Assessment Scale for Stroke patients; standing balance and risk of fall assessed by Berg Balance Scale; gait speed by BTS G-Walk (accelerometer); rate of falls, lower-limb spasticity by Modified Ashworth Scale; activities of daily living by Barthel Index; and quality of life by EQ-5D-5L. These are evaluated at baseline (T0), at three weeks (T1), at five weeks (end of the intervention) (T2), at 17 weeks (T3) and at 29 weeks (T4). Study duration per patient is 29 weeks (a five-week intervention, followed by a 24-week post-intervention)
Alternative medicine · Balance (ability · Center of pressure (fluid mechanics · Core (optical fiber · Core stability · Dynamic balance · Gait · Physical medicine and rehabilitation · Physical therapy · Protocol (science · Randomized controlled trial · Sitting · Stroke (engine · Balance, Gait, and Falls Prevention · Cerebral Palsy and Movement Disorders · Computer Science · Engineering · Medicine · Stroke Rehabilitation and Recovery · Rehabilitation · Surgery
SPIRIT 2013 Statement
Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (Iana) Task Force
Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010
Validity of the EQ–5D–5L and reference norms for the Spanish population
Validity of EQ-5D-5L in stroke
Validity, responsiveness, and minimal clinically important difference of EQ-5D-5L in stroke patients undergoing rehabilitation
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| Highly cited | No |