ClinicalTrials.gg
Not yet recruitingNCT07898579Updated Oct 27, 2026

Beren Vibration Insole in Stroke Rehabilitation

An interventional study of Conventional Physiotherapy and Plantar Vibration in Stroke, sponsored by Bitlis Eren University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Bitlis Eren University · Not applicable, Interventional, and Treatment

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
01

Study summary

The aim of this study is to investigate the effects of a custom-made vibration insole on gait, balance, and fall risk in patients with stroke.

Read the detailed description

The study, utilizing a randomized controlled design, is planned to be conducted in a minimum of 34 patients with stroke who meet the inclusion and exclusion criteria. Participants will be randomly assigned to either the intervention group, receiving a custom-made vibration insole in addition to conventional physiotherapy, or the control group, receiving conventional physiotherapy alone.

02

Conditions studied

  • Stroke

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Keywords

  • Balance
  • Gait
  • Fall risk
03

In context

Stroke

7,448 studies on the registry are indexed under Stroke; 2,013 are open to participants now.

This study's planned enrollment of 34 is below the median of 50 across 5,482 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Bitlis Eren University is the lead sponsor of 50 studies on the registry; 18 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • At least 2 months since stroke onset
  • A Mini-Mental State Examination (MMSE) score of 24 or higher and no communication difficulties
  • Ability to stand independently for at least 20 seconds
  • Ability to walk 10 meters independently, with walking aids or orthoses if needed
  • Age between 45 and 70 years
  • Spasticity of the gastrocnemius and soleus muscles graded no higher than 2 on the Modified Ashworth Scale
  • A Brunnstrom lower-extremity motor recovery stage of 4 or higher

Exclusion criteria

Exclusion Criteria:

  • Rigidity of the ankle plantar flexor muscles
  • Severe osteoarthritis of the lower extremity
  • Presence of cancer or diabetic neuropathy
  • Presence of a vestibular disorder
  • Lower-extremity ulceration or amputation
  • History of vertigo
  • Alcohol consumption within the previous 24 hours
  • Hemodynamic instability
  • Posterior circulation stroke involving the basilar artery or cerebellum
  • Presence of other neurological disorders, such as multiple sclerosis or Parkinson's disease
  • Acute lower-extremity injury within the previous 6 weeks
  • History of lower-extremity surgery
  • Presence of foot deformity
05

Study design

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

Study arms

  • Active comparator
    Conventional Physiotherapy

    Participants in this group will receive conventional physiotherapy five days per week, including therapeutic exercises and functional electrical stimulation to support lower-extremity function, gait, and balance rehabilitation.

    Other: Conventional Physiotherapy

  • Experimental
    Custom-Made Vibration Insole + Conventional Physiotherapy

    Participants in this group will receive conventional physiotherapy five days per week, including therapeutic exercises and functional electrical stimulation to support lower-extremity function, gait, and balance rehabilitation, in addition to plantar vibration delivered using the custom-made vibration insole for 30 minutes per day over three consecutive days.

    Other: Conventional Physiotherapy · Other: Plantar Vibration

Interventions

  • OtherConventional Physiotherapy

    Participants in this group will receive conventional physiotherapy every weekday throughout the study period, including therapeutic exercises and functional electrical stimulation aimed at improving lower-extremity muscle strength and gait.

  • OtherPlantar Vibration

    Participants in this group will receive plantar vibration using a custom-made vibration insole for 30 minutes per day over three consecutive days, in addition to conventional physiotherapy throughout the study period.

06

What researchers measure

Primary outcomes

  1. Overall Postural Stability Index Measurement

    This index will be assessed by measuring deviations of the center of gravity in the anteroposterior and mediolateral directions. Lower scores indicate smaller deviations and better postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.

    Time frame: Change from baseline overall postural stability index immediately and one week after the intervention

Secondary outcomes

  1. Fall Risk Assessment

    Fall risk will be assessed by measuring the patient's ability to maintain balance on an unstable platform. Based on their ability to maintain balance, a fall risk score will be generated, with higher scores indicating a greater risk of falling. The test will be performed with three 30-second trials. The average of the three trials will be calculated automatically by the TechnoBody balance system.

    Time frame: Change from baseline fall risk immediately and one week after the intervention

  2. Anteroposterior Stability Index Measurement

    The anteroposterior stability index will be assessed by measuring deviations of the center of gravity in the anteroposterior direction. Lower scores indicate smaller deviations and better anteroposterior postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.

    Time frame: Change from baseline anteroposterior stability index immediately and one week after the intervention

  3. Mediolateral Stability Index Measurement

    The mediolateral stability index will be assessed by measuring deviations of the center of gravity in the mediolateral direction. Lower scores indicate smaller deviations and better mediolateral postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.

    Time frame: Change from baseline mediolateral stability index immediately and one week after the intervention

  4. Timed Up and Go Test

    The Timed Up and Go test will be used to assess dynamic balance and functional mobility. Participants will be instructed to stand up from a chair, walk 3 meters, turn around, walk back, and sit down again. The time required to complete the task will be recorded in seconds. Shorter completion times indicate better functional mobility and dynamic balance.

    Time frame: Change from baseline Timed Up and Go test performance immediately and one week after the intervention

  5. 10-Meter Walk Test

    Walking speed will be assessed using the 10-Meter Walk Test. Participants will be instructed to walk a 10-meter distance at their usual walking speed, and the time required to complete the test will be recorded. Walking speed will be calculated in meters per second (m/s), with higher speeds indicating better walking performance.

    Time frame: Change from baseline walking speed immediately and one week after the intervention

07

Study locations

1 site
  • Bolu İzzet Baysal Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi
    Bolu, Merkez 14280, Turkey (Türkiye)
08

References and documents

Publications

  • del Pozo-Cruz B, Adsuar JC, Parraca JA, del Pozo-Cruz J, Olivares PR, Gusi N. Using whole-body vibration training in patients affected with common neurological diseases: a systematic literature review. J Altern Complement Med. 2012 Jan;18(1):29-41. doi: 10.1089/acm.2010.0691. Epub 2012 Jan 10. PubMed 22233167 ↗
  • Speelman AD, van de Warrenburg BP, van Nimwegen M, Petzinger GM, Munneke M, Bloem BR. How might physical activity benefit patients with Parkinson disease? Nat Rev Neurol. 2011 Jul 12;7(9):528-34. doi: 10.1038/nrneurol.2011.107. PubMed 21750523 ↗
  • Wenning GK, Ebersbach G, Verny M, Chaudhuri KR, Jellinger K, McKee A, Poewe W, Litvan I. Progression of falls in postmortem-confirmed parkinsonian disorders. Mov Disord. 1999 Nov;14(6):947-50. doi: 10.1002/1531-8257(199911)14:63.0.co;2-o. PubMed 10584668 ↗
  • Arene N, Hidler J. Understanding motor impairment in the paretic lower limb after a stroke: a review of the literature. Top Stroke Rehabil. 2009 Sep-Oct;16(5):346-56. doi: 10.1310/tsr1605-346. PubMed 19903653 ↗
  • Lamb SE, Ferrucci L, Volapto S, Fried LP, Guralnik JM; Women's Health and Aging Study. Risk factors for falling in home-dwelling older women with stroke: the Women's Health and Aging Study. Stroke. 2003 Feb;34(2):494-501. PubMed 12574566 ↗
  • Tyson SF, Hanley M, Chillala J, Selley A, Tallis RC. Balance disability after stroke. Phys Ther. 2006 Jan;86(1):30-8. doi: 10.1093/ptj/86.1.30. PubMed 16386060 ↗
  • Yates JS, Lai SM, Duncan PW, Studenski S. Falls in community-dwelling stroke survivors: an accumulated impairments model. J Rehabil Res Dev. 2002 May-Jun;39(3):385-94. PubMed 12173758 ↗
  • Khalifeloo M, Naghdi S, Ansari NN, Akbari M, Jalaie S, Jannat D, Hasson S. A study on the immediate effects of plantar vibration on balance dysfunction in patients with stroke. J Exerc Rehabil. 2018 Apr 26;14(2):259-266. doi: 10.12965/jer.1836044.022. eCollection 2018 Apr. PubMed 29740561 ↗
  • Chen JC, Shaw FZ. Progress in sensorimotor rehabilitative physical therapy programs for stroke patients. World J Clin Cases. 2014 Aug 16;2(8):316-26. doi: 10.12998/wjcc.v2.i8.316. PubMed 25133141 ↗
  • Pollock A, Baer G, Campbell P, Choo PL, Forster A, Morris J, Pomeroy VM, Langhorne P. Physical rehabilitation approaches for the recovery of function and mobility following stroke. Cochrane Database Syst Rev. 2014 Apr 22;2014(4):CD001920. doi: 10.1002/14651858.CD001920.pub3. PubMed 24756870 ↗
  • Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait Posture. 2005 Nov;22(3):267-81. doi: 10.1016/j.gaitpost.2004.10.002. Epub 2004 Dec 7. PubMed 16214666 ↗
  • Sajedifar M, Fakhari Z, Naghdi S, Nakhostin Ansari N, Honarpisheh R, Nakhostin-Ansari A. Comparison of the immediate effects of plantar vibration of both feet with the plantar vibration of the affected foot on balance in patients with stroke: Preliminary findings. J Bodyw Mov Ther. 2023 Oct;36:45-49. doi: 10.1016/j.jbmt.2023.06.001. Epub 2023 Jun 5. PubMed 37949597 ↗
  • Onal B, Sertel M, Karaca G. Effect of plantar vibration on static and dynamic balance in stroke patients: a randomised controlled study. Physiotherapy. 2022 Sep;116:1-8. doi: 10.1016/j.physio.2022.02.002. Epub 2022 Feb 14. PubMed 35462214 ↗
  • Onal B, Karaca G, Sertel M. Immediate Effects of Plantar Vibration on Fall Risk and Postural Stability in Stroke Patients: A Randomized Controlled Trial. J Stroke Cerebrovasc Dis. 2020 Dec;29(12):105324. doi: 10.1016/j.jstrokecerebrovasdis.2020.105324. Epub 2020 Sep 28. PubMed 32992184 ↗
  • Lee SW, Cho KH, Lee WH. Effect of a local vibration stimulus training programme on postural sway and gait in chronic stroke patients: a randomized controlled trial. Clin Rehabil. 2013 Oct;27(10):921-31. doi: 10.1177/0269215513485100. Epub 2013 Jul 1. PubMed 23818408 ↗
  • Picelli A, Tamburin S, Cavazza S, Scampoli C, Manca M, Cosma M, Berto G, Vallies G, Roncari L, Melotti C, Santilli V, Smania N. Relationship between ultrasonographic, electromyographic, and clinical parameters in adult stroke patients with spastic equinus: an observational study. Arch Phys Med Rehabil. 2014 Aug;95(8):1564-70. doi: 10.1016/j.apmr.2014.04.011. Epub 2014 May 2. PubMed 24792138 ↗
  • Cho KH, Lee HJ, Lee WH. Intra- and inter-rater reliabilities of measurement of ultrasound imaging for muscle thickness and pennation angle of tibialis anterior muscle in stroke patients. Top Stroke Rehabil. 2017 Jul;24(5):368-373. doi: 10.1080/10749357.2017.1285745. Epub 2017 Feb 15. PubMed 28198659 ↗
  • Picelli A, Bonetti P, Fontana C, Barausse M, Dambruoso F, Gajofatto F, Girardi P, Manca M, Gimigliano R, Smania N. Is spastic muscle echo intensity related to the response to botulinum toxin type A in patients with stroke? A cohort study. Arch Phys Med Rehabil. 2012 Jul;93(7):1253-8. doi: 10.1016/j.apmr.2012.02.005. Epub 2012 Apr 12. PubMed 22502807 ↗
  • Heckmatt JZ, Leeman S, Dubowitz V. Ultrasound imaging in the diagnosis of muscle disease. J Pediatr. 1982 Nov;101(5):656-60. doi: 10.1016/s0022-3476(82)80286-2. PubMed 7131136 ↗
  • Pillen S, van Keimpema M, Nievelstein RA, Verrips A, van Kruijsbergen-Raijmann W, Zwarts MJ. Skeletal muscle ultrasonography: Visual versus quantitative evaluation. Ultrasound Med Biol. 2006 Sep;32(9):1315-21. doi: 10.1016/j.ultrasmedbio.2006.05.028. PubMed 16965971 ↗
  • Picelli A, Bonetti P, Fontana C, Barausse M, Dambruoso F, Gajofatto F, Tamburin S, Girardi P, Gimigliano R, Smania N. Accuracy of botulinum toxin type A injection into the gastrocnemius muscle of adults with spastic equinus: manual needle placement and electrical stimulation guidance compared using ultrasonography. J Rehabil Med. 2012 May;44(5):450-2. doi: 10.2340/16501977-0970. PubMed 22549655 ↗
  • Gao F, Grant TH, Roth EJ, Zhang LQ. Changes in passive mechanical properties of the gastrocnemius muscle at the muscle fascicle and joint levels in stroke survivors. Arch Phys Med Rehabil. 2009 May;90(5):819-26. doi: 10.1016/j.apmr.2008.11.004. PubMed 19406302 ↗
  • Maganaris CN, Baltzopoulos V. Predictability of in vivo changes in pennation angle of human tibialis anterior muscle from rest to maximum isometric dorsiflexion. Eur J Appl Physiol Occup Physiol. 1999 Feb;79(3):294-7. doi: 10.1007/s004210050510. PubMed 10048637 ↗
  • Manal K, Roberts DP, Buchanan TS. Optimal pennation angle of the primary ankle plantar and dorsiflexors: variations with sex, contraction intensity, and limb. J Appl Biomech. 2006 Nov;22(4):255-63. doi: 10.1123/jab.22.4.255. PubMed 17293622 ↗
  • Raj IS, Bird SR, Shield AJ. Reliability of ultrasonographic measurement of the architecture of the vastus lateralis and gastrocnemius medialis muscles in older adults. Clin Physiol Funct Imaging. 2012 Jan;32(1):65-70. doi: 10.1111/j.1475-097X.2011.01056.x. Epub 2011 Sep 25. PubMed 22152081 ↗
  • Filippi GM, Rodio A, Fattorini L, Faralli M, Ricci G, Pettorossi VE. Plastic changes induced by muscle focal vibration: A possible mechanism for long-term motor improvements. Front Neurosci. 2023 Feb 22;17:1112232. doi: 10.3389/fnins.2023.1112232. eCollection 2023. PubMed 36908788 ↗
  • Good DC, Bettermann K, Reichwein RK. Stroke rehabilitation. Continuum (Minneap Minn). 2011 Jun;17(3 Neurorehabilitation):545-67. doi: 10.1212/01.CON.0000399072.61943.38. PubMed 22810867 ↗
  • Filippi GM, Brunetti O, Botti FM, Panichi R, Roscini M, Camerota F, Cesari M, Pettorossi VE. Improvement of stance control and muscle performance induced by focal muscle vibration in young-elderly women: a randomized controlled trial. Arch Phys Med Rehabil. 2009 Dec;90(12):2019-25. doi: 10.1016/j.apmr.2009.08.139. PubMed 19969163 ↗
  • Toosizadeh N, Wahlert G, Fain M, Mohler J. The effect of vibratory stimulation on the timed-up-and-go mobility test: a pilot study for sensory-related fall risk assessment. Physiol Res. 2020 Aug 31;69(4):721-730. doi: 10.33549/physiolres.934451. Epub 2020 Jul 16. PubMed 32672046 ↗
  • Powden CJ, Hogan KK, Wikstrom EA, Hoch MC. The Effect of 2 Forms of Talocrural Joint Traction on Dorsiflexion Range of Motion and Postural Control in Those With Chronic Ankle Instability. J Sport Rehabil. 2017 May;26(3):239-244. doi: 10.1123/jsr.2015-0152. Epub 2016 Aug 24. PubMed 27632835 ↗
09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07898579
Lead sponsor
Bitlis Eren University
Responsible party
Omer Dursun (Assoc. Prof., Bitlis Eren University) — Principal investigator
First posted
Oct 27, 2026
Start date
Jun 15, 2027 (estimated)
Primary completion
Nov 15, 2027 (estimated)
Completion
Nov 15, 2027 (estimated)
Last update
Oct 27, 2026

Study contacts

ömer dursun, Assoc. Prof.
Contact
fztomrdrsn@gmail.com
5426088687 ext. +90
burak mavuş, M.Sc.
Contact
a.burakmavus@gmail.com
5388178351 ext. +90
ömer dursun, Assoc. Prof.
principal investigator · Bitlis Eren University
burak mavuş, M.Sc.
principal investigator · Bolu Abant İzzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital
adnan demirel, Assoc. Prof.
principal investigator · Abant Izzet Baysal University
tamer çankaya, Assoc. Prof.
principal investigator · Abant Izzet Baysal University
erhan dincer, Asst. Prof.
principal investigator · Bitlis Eren University
tarık koç, M.Sc.
principal investigator · Bitlis Eren University
abdüsselam avcı, M.Sc.
principal investigator · Abant Izzet Baysal University

Oversight

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

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