The Effect Of Multifidus And Transversus Abdominis Muscle Activation On Balance In Hemiplegic Patients

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

36 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-01

Study Completion Date

2023-10-31

Brief Summary

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Patients with post-stroke hemiplegia may develop balance disorder and limitation in ambulation ability due to multiple mechanisms.

The effects of core muscles on maintaining normal posture, balance and ambulation ability are known. The positive effects of core stabilisation exercises on balance in hemiplegic patients have been shown in previous studies. In this study, we planned to investigate the effects of bilateral transversus abdominis and bilateral lumbar multifidus muscles on balance in patients with stroke-related hemiplegia.

Detailed Description

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Loss of function in the trunk muscles of stroke patients leads to both balance problems and excessive effort to maintain balance. While ambulation ability of some patients is completely lost due to stroke, in others, impaired balance and increased postural oscillation lead to fear of falling and increased risk of falling.

In previous studies, it has been shown that there is a significant relationship between static balance and duration of hospital stay and functional abilities after stroke. In another study, it was shown that the control ability of the trunk muscles in the early post-stroke period was a strong factor affecting general life activities in the first six months after stroke.

Trunk muscles are innervated by both hemispheres unlike the extremities. Therefore, unilateral stroke may impair the function of trunk muscles on both the contralateral and ipsilateral sides. Several studies have shown dysfunction of bilateral trunk flexor, extensor and rotator muscles in patients with unilateral stroke.

Many studies have proven that core stabilisation exercises are effective on both balance and gait function and general life activities in hemiplegic patients.

The aim of this cross-sectional study was to investigate the effect of ultrasound-guided bilateral transversus abdominis and bilateral lumbar multifidus muscle activations on balance in hemiplegic patients.

Conditions

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Hemiplegia

Keywords

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hemiplegia transversus abdominis multifidus balance stroke

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Hemiplegic Patients

Patients with hemiplegia after stroke

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18-65 years
* Time after stroke must be at least 1 month
* Unilateral stroke
* Must be cognitively compatible in terms of cooperation
* Standing balance with/without support and/or sitting balance without support
* BMI\<30

Exclusion Criteria

* Patients with a history of hemiplegia in the opposite half of the body
* Patients with extruded or sequestered lumbar hernia and/or history of lumbar operation
* Patients with a history of lumbar vertebral fracture
* Patients with traumatic brain injury
* Patients with neuromuscular muscle disease that may lead to muscle atrophy
* Patients with sensory defects
* Patients with cerebellar defects
* Patients with vestibular balance disorders (vertigo, etc.)
* Patients with Parkinson's disease
* Patients with balance problems due to visual impairment
* Patients with pre-stroke balance problems

Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Nazlı Derya Bugdayci

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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NAZLI DERYA BUGDAYCI, MD

Role: PRINCIPAL_INVESTIGATOR

Istanbul Physical Therapy Rehabilitation Training & Research Hospital

Locations

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Istanbul Physical Medicine Rehabilitation Training & Research Hospital

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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ELMTRAMABHP

Identifier Type: -

Identifier Source: org_study_id