Lumbar Spinal Manipulation in Stroke

ConditionStroke
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorBitlis Eren University

About this trial

The aim of the study is to investigate the effects of lumbar spinal manipulation on balance and fall risk of the patients with chronic stroke.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Having chronic stroke,

A Mini-Mental State Examination score of 24 or higher,

Ability to stand independently for 20 seconds or more,

Being between 18 and 75 years of age,

Disqualifiers

Presence of severe cardiac, pulmonary, hepatic, or renal dysfunction,

Presence of severe bone or joint disease, particularly affecting the spine,

Presence of risk factors for osteoporosis, especially involving the spine,

Orthopedic conditions limiting spinal rotation,

Trial design

Design model

Crossover

Treatments tested in this trial

  • Lumbar Spinal Manipulation

    Other intervention

    This technique is based on the application of a high-velocity, low-amplitude force to the lumbar spine with the aim of increasing mobility.

  • Placebo Lumbar Spinal Manipulation

    Other intervention

    This intervention is a classic method used to evaluate the effect of lumbar spinal manipulation.

Treatment groups

52 Participants
are divided into 2 treatment groups
Group A: Placebo Comparator: Placebo Lumbar Spinal Manipulation GroupPlacebo comparator 2 interventions
Group B: Active Comparator: Lumbar Spinal Manipulation GroupActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Overall Postural Stability Index Measurement

This index will be assessed by measuring deviations of the center of gravity in the anteroposterior and mediolateral directions. Lower scores indicate smaller deviations and better postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.

Time frame
Change from baseline overall postural stability index immediately after the intervention
2

Fall Risk Assessment

Fall risk will be assessed by measuring the patient's ability to maintain balance on an unstable platform. Based on their ability to maintain balance, a fall risk score will be generated, with higher scores indicating a greater risk of falling. The test will be performed with three 30-second trials. The average of the three trials will be calculated automatically by the TechnoBody balance system.

Time frame
Change from baseline fall risk immediately after the intervention

Secondary outcomes

1

Anteroposterior Stability Index Measurement

The anteroposterior stability index will be assessed by measuring deviations of the center of gravity in the anteroposterior direction. Lower scores indicate smaller deviations and better anteroposterior postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.

Time frame
Change from baseline anteroposterior postural stability index immediately after the intervention
2

Mediolateral Stability Index Measurement

The mediolateral stability index will be assessed by measuring deviations of the center of gravity in the mediolateral direction. Lower scores indicate smaller deviations and better mediolateral postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.

Time frame
Change from baseline mediolateral stability index immediately after the intervention

Other outcomes

Sponsors and contacts

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