An interventional study of Trunk Training Exercises and Lateral Truncal Tilt Balance Training in Stroke, sponsored by Riphah International University. Recruiting at 1 site in Pakistan. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-11-25.
Sponsored by Riphah International University · Not applicable, Interventional, and Treatment
To compare the effects of trunk training exercises and lateral truncal tilt balance training on trunk control, balance and activities of daily living in stroke patients.The primary outcome measures used to evaluate the efficacy of each training approach will include the Timed Up and Go (TUG) test, assessing mobility and fall risk; the Berg Balance Scale (BBS), which measures functional balance; and the Trunk Impairment Scale (TIS), evaluating trunk control and coordination.
Stroke is a significant cause of disability globally, affecting millions each year. Stroke patients frequently experience impairments in trunk control and balance, critical factors for independence in activities of daily living (ADLs). Two promising therapeutic approaches include Trunk Training Exercises (TTE) focusing on core stability and Lateral Truncal Tilt Balance Training (LTT), which targets balance and postural alignment through controlled lateral movements. This study aims to compare the effectiveness of these two interventions in improving trunk control, balance, and ADLs in stroke patients, potentially leading to optimized rehabilitation practices. A randomized clinical trial will be conducted at Jinnah Hospital, Lahore. Participants aged 40 75, diagnosed with sub-acute stroke, will be randomly assigned to one of two groups: Group A, which will undergo trunk training exercises (TTE), and Group B, which will receive lateral truncal tilt balance training (LTT). Each intervention will last for eight weeks and thrice a week, with a session of 45 minutes including warm-up exercises, main exercises and cool down period during which participants will engage in their respective training regimens. To assess the impact of these interventions, baseline measurements will be taken prior to the intervention and compared to post-intervention results. The primary outcome measures used to evaluate the efficacy of each training approach will include the Timed Up and Go (TUG) test, assessing mobility and fall risk; the Berg Balance Scale (BBS), which measures functional balance; and the Trunk Impairment Scale (TIS), evaluating trunk control and coordination. Data analysis will be conducted using SPSS software (version 25). To determine the distribution of data, the Shapiro-Wilk Test will be performed. If the data is not normally distributed, the Wilcoxon Signed Rank Test will be used to analyze within-group differences, while the Mann-Whitney U Test will assess differences between groups at each interval. For normally distributed data, Paired Sample T-tests will compare pre- and post-intervention scores within each group, and Independent Sample T-tests will evaluate changes between groups.
Inclusion criteria is:
Patients with ischemic stroke Both male and females Age 40-75 years Patients diagnosed with sub-acute stroke after six months to 1.5 years of diagnosis Patients able to walk 10 meters independently Score less than 21 on trunk impairment scale Patients with score 24 or more on MMSE
Exclusion criteria is:
Patients with score more than 2 on modified Ashworth scale will be excluded Chronic patients will not be included in the study.
7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.
This study's planned enrollment of 44 is below the median of 50 across 5,369 interventional studies indexed under Stroke.
Browse Stroke studies →Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.
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Exclusion Criteria:
Core Stabilization Exercises, dynamic trunk exercises, bridging exercises
Other: Trunk Training Exercises
Seated lateral tilts, Standing Lateral Weight Shifts, balance board tilts, Stability Ball Exercises, lateral Reaches on Unstable Surface
Other: Lateral Truncal Tilt Balance Training
Group A will undergo a structured trunk training exercise program focused on strengthening the core muscles involved in trunk control. This program will include both dynamic and static exercises targeting trunk flexion, extension, and rotation, which are critical for improving postural stability and overall trunk coordination. Frequency: Sessions will be conducted three times per week for the duration of 8 weeks. Session Duration: Each session will last approximately 45 minutes, including a warm-up, main exercises, and a cool-down period.
Group B will follow a lateral truncal tilt balance training program focusing on balance improvement through lateral stability exercises. This training emphasizes body tilts and weight shifts to encourage trunk control and postural alignment, particularly targeting the common lateral asymmetries observed in stroke patients. Frequency: Sessions will be conducted three times per week for 8 weeks. Session Duration: Each session will last approximately 45 minutes, including warm-up, main exercises, and a cool-down period.
Timed up and go test (TUG)
The Timed Up and Go (TUG) test is a simple and widely used assessment to evaluate a person's mobility, balance, and risk of falling, particularly in older adults and individuals with neurological conditions like stroke. A time of under 10 seconds is typically considered normal for healthy adults, while times over 12-14 seconds may indicate a higher risk of falls and impaired mobility. It has good validity and reliability ranging from 0.80-0.83
Time frame: 1-2 min
Berg balance scale (BBS)
. The scale consists of 14 functional tasks, such as standing from a seated position, reaching forward, standing with eyes closed, and turning 360 degrees. Each task is scored on a 5-point scale from 0 (unable to perform) to 4 (normal performance), yielding a maximum score of 56, with lower scores indicating a greater risk of falling (20).
Time frame: 15 to 20 min
Trunk impairment scale (TIS)
. It includes three subscales: static sitting balance, dynamic sitting balance, and trunk coordination, with scores ranging from 0 to 23 points, where higher scores indicate better trunk stability and coordination
Time frame: upto 20 min
Plan to share: No
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