The Effects of Core Stabilization Exercises With Swisball in Stroke Patients
Stroke, Cardiovascular
About this trial
This is an interventional treatment trial for Stroke, Cardiovascular
Eligibility Criteria
Inclusion Criteria:
- Unilateral and first time stroke
- Ability to understand and follow verbal instructions
- Brunnstrom healing phase being above 3 for lower limbs;
- Ability to walk 10 m distance independently, with or without a mobility assistant.
- Patients who can sit on a stable surface for 30 seconds
- Patients without respiratory diseases or injuries
Exclusion Criteria:
- Neurological disorders other than stroke that could potentially affect balance and ambulation;
- Body failure scale score below 10 points
- Apraxia and hemineglect
- 80 years and older
- Orthopedic disorders or rib fracture
- Patients with neglect syndrome
- A history of seizures or a family history of epilepsy
Sites / Locations
- Istanbul University Cerrahpasa
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Group 1, core stabilization exercises group
Group 2, electrical stimulation
group 3, kinesiotape
core stabilization exercises will be performed using swissball. Program: Sitting on the ball will include (weight shifts, forward, backward and lateral sides), (pelvic bridge), (curl-up), (curlsup with diagonal reaching), (bird-dog exercise), (push-up) exercises. The application will be carried out for 6 weeks, 3 days a week for 30-45 minutes daily.
An adaptation of a pre-designed protocol will be used for the application of the Normocular Electrical Stimulation in the diaphragm. Current to be applied; Synchronous impulse at 30 Hz frequency, 1 sec beat increase time, 1 sec "on" (muscle contraction), 1 sec beat reduction time and 20 sec "off" (no warning) time. Two channels, each with two electrodes, will be placed in the seventh and eighth anterior intercostal space above and below the right and left sides of the xiphoid protrusion. The other two channels, each with two electrodes, will be placed on the right and left midaxillary line of the seventh and eighth anterior intercostal space. The application will be carried out for 6 weeks, 3 days a week, for 30 minutes daily.
For anterior diaphragm banding, the patient will stand with arms raised. Next, the central part of the tape will be applied to the xiphoid protrusion with a tension of 50% to 70% after the maximum inhalation. While the patient is breathing, the ends of the tape will be pulled with 10 to 15% tension towards the lower ribs. To tape the rear diaphragm, the patient's body will bend forward, and the arms will be joined crosswise over the chest. After the maximum inhalation, the central part of the tape will be applied over the T10 with a tension of 50% to 70%. As the patient exhales and stretches the trunk, the ends of the tape will be attached to the lower ribs with a tension of 10 to 15%. The supine position will be used in the Kinesiological taping of the right and left external oblique and internal oblique muscles. The application will be carried out for 6 weeks, 3 days a week, for 30 minutes daily.