The Effectiveness of Core Stability Exercises (CORE)
Brain Injury, Vascular, Sequelae, Stroke Syndrome
About this trial
This is an interventional treatment trial for Brain Injury, Vascular focused on measuring stroke, core stability, trunk control, sitting balance, gait, spasticity, falls, activities of daily living, standing balance
Eligibility Criteria
Inclusion Criteria:
- First ever stroke same and less than 30 days (diagnostic criteria according to the World Health Organization definition; corresponding to ICD-9 code 434) weather cortical or subcortical, and ischemic or haemorrhagic.
- Unilateral localization of the stroke verified by computed tomography (CT).
- More or equal than18 years.
- Ability to understand and execute simple instructions.
- Spanish Version of Trunk Impairment Scale.2.0 less than10 points.
- National institute of Health Stroke Scale (NIHSS) score > 4 points.
Exclusion Criteria:
- Rankin scale more or equal than 2 points before stroke.
- Orthopaedic and other neurological disorders that hamper sitting balance.
- Relevant psychiatric disorders that may prevent from following instructions.
- Other treatments that could influence the effects of the interventions.
- Contraindication to physical activity (e.g., heart failure).
- Using cardiac pacemakers.
- Moderate to severe cognitive impairments as indicated by Minimental test score < 24 points.
- Patients with haemorrhagic stroke that have undergone surgery.
Sites / Locations
- Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau.
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Core stability exercises
Conventional physiotherapy (CP)
This group will be divided in two: core stability exercises (CSE) plus conventional therapy (CP) and CSE with transcutaneous electrical nerve stimulation (TENS) plus CP.
CP consists in a variety (or combination) of multiple components such as tone normalization, exercises for maintain range of motion, passive mobilization of hemiparetic side, postural control, gait re-education to walking/standing between parallel bars or with a therapist, rehabilitation of the activity of daily living, etc.