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 volunteersQualifiers
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
Crossover
Treatments tested in this trial
Lumbar Spinal Manipulation
Other interventionThis 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 interventionThis intervention is a classic method used to evaluate the effect of lumbar spinal manipulation.
Treatment groups
Trial outcomes
Primary outcomes
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.
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.
Secondary outcomes
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.
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.
Sponsors and contacts
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