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CompletedNCT06346652Updated Jul 23, 2024

Effects of Core Strengthening and PNF Pattern on Static Balance and Plantar Pressure in Chronic Stroke Patients

An interventional study of Routine Physical Therapy and Routine Physical Therapy+ PNF and Core Stregthening in Chronic Stroke, sponsored by University of Lahore. Completed at 1 site in Pakistan. Open to participants aged 45 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-07-23.

Sponsored by University of Lahore · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
73
Allocation
Randomized
Ages
45 Years to 60 Years
Sex
All
01

Study summary

Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

This study aims to compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Read the detailed description

Background: Stroke is a neurological disease characterized by neurological deficits caused by insufficiency of blood supply to brain. Disruption of blood supply to brain can be due to blockage of blood supply (ischemic) or leakage of blood in brain due to rupture of blood vessel (hemorrhagic). 90.5% of global occurrence of stroke was subjected to modifiable risk factors according to Global Burden of Disease study.

Objective: To compare the effects of core strengthening and proprioceptive neuromuscular facilitation on static standing balance and plantar pressure in chronic stroke patients.

Methodology: 73 patients were enrolled in this study, 37 patients were assigned into control group while 36 participants were assigned into experimental group. Control group received routine physical therapy while experimental group received core strengthening and proprioceptive neuromuscular technique. Static component of berg balance scale and PoData Stabiliometeric plate was used for plantar pressure and measurement of balance respectively.

02

Conditions studied

  • Chronic Stroke

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Keywords

  • core strengthening
  • plantar pressure
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.

This study's enrollment of 73 is above the median of 50 across 5,369 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

University of Lahore is the lead sponsor of 223 studies on the registry; 40 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age (45-60 years)
  • Score of 9 or Higher on static component of berg balance scale
  • Having score of equal or less than 2 on Modified Ashworth scale
  • Having score of greater than or equal to 24 on Mini Mental State Examination.
  • First ever episode of stroke
  • Duration of stroke greater than 6 months
  • Both genders

Exclusion criteria

Exclusion Criteria:

  • Concurrent orthopedic conditions that may hamper standing
  • Relevant psychiatric disorders that may prevent from following instructions.
  • Medical drugs that may influence intervention
  • Conditions contraindicating physical activity
  • Use of Cardiac pace maker.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
73 participants (actual)

Study arms

  • Active comparator
    Control Group

    Routine Physical Therapy

    Other: Routine Physical Therapy

  • Experimental
    Interventional Group

    Routine Physical Therapy + PNF + Core Strengthening

    Other: Routine Physical Therapy+ PNF and Core Stregthening

Interventions

  • OtherRoutine Physical Therapy

    Routine physical therapy involving muscle strengthening exercises, range of motion exercises and stretching exercises up to patient's tolerance. Other exercises were pelvic bridging, rolling, sitting and standing exercises, walking practice and balancing in parallel bars, wobble board exercises. Each session was of 60 minutes 5 times weekly for 6 weeks.

  • OtherRoutine Physical Therapy+ PNF and Core Stregthening

    Routine physical therapy for 20 minutes and additionally PNF technique (rhythmic initiation, and then agonistic reversals were performed in lower extremity in D1 flexion pattern and D1 extension pattern up to patient's tolerance and core strengthening for 20 minutes 5 times weekly for 6 weeks.

06

What researchers measure

Primary outcomes

  1. Static Standing Balance

    Measure using static component of berg balance scale. The items are scored from 0 to 4 with a score of 0 representing an inability to complete the task. Score of 4 representing independent item completion.

    Time frame: 6 weeks

Secondary outcomes

  1. Plantar Pressure

    Foot plantar pressure is the pressure field that acts between the foot and support surface during static standing. PoData Stabiliometric plate was used to measure it. Normal value is 16.67% of the body weight on 5th metatarsal.

    Time frame: 6 weeks

07

Study locations

1 site
  • The University of Lahore Teaching Hospital
    Lahore, 54000, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06346652
Lead sponsor
University of Lahore
Responsible party
Safa Saleem (Dr. Safa Saleem, University of Lahore) — Principal investigator
First posted
Apr 4, 2024
Start date
Mar 10, 2024
Primary completion
Apr 22, 2024
Completion
Apr 30, 2024
Last update
Jul 23, 2024

Study contacts

Safa Saleem, MSPTN
principal investigator · The University of Lahore

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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