The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (CORE-Trial): Study Protocol for a Randomized Controlled Trial
Por:
Cabanas-Valdes, R, Boix-Sala, L, Grau-Pellicer, M, Guzman-Bernal, JA, Caballero-Gomez, FM, Urrutia, G
Publicada:
1 jun 2021
Resumen:
Background: Trunk impairment produces disorders of motor control, balance and gait. Core stability exercises (CSE) are a good strategy to improve local strength of trunk, balance and gait. Methods and analysis: This is a single-blind multicenter randomized controlled trial. Two parallel groups are compared, and both perform the same type of therapy. A control group (CG) (n = 110) performs conventional physiotherapy (CP) (1 h per session) focused on improving balance. An experimental group (EG) (n = 110) performs CSE (30 min) in addition to CP (30 min) (1 h/session in total). EG is divided in two subgroups, in which only half of patients (n = 55) perform CSE plus transcutaneous electrical nerve stimulation (TENS). Primary outcome measures are dynamic sitting, assessed by a Spanish version of Trunk Impairment Scale and stepping, assessed by Brunel Balance Assessment. Secondary outcomes are postural control, assessed by Postural Assessment Scale for Stroke patients; standing balance and risk of fall assessed by Berg Balance Scale; gait speed by BTS G-Walk (accelerometer); rate of falls, lower-limb spasticity by Modified Ashworth Scale; activities of daily living by Barthel Index; and quality of life by EQ-5D-5L. These are evaluated at baseline (T0), at three weeks (T1), at five weeks (end of the intervention) (T2), at 17 weeks (T3) and at 29 weeks (T4). Study duration per patient is 29 weeks (a five-week intervention, followed by a 24-week post-intervention).
Filiaciones:
Cabanas-Valdes, R:
Univ Int Catalunya, Fac Med & Hlth Sci, Physiotherapy Dept, Barcelona 08195, Spain
Boix-Sala, L:
Fundacio Hosp Santa Creu Vic, Rehabil Unit, Vic Barcelona 08500, Spain
Univ Vic Cent Univ Catalonia UVIC UCC, Physiotherapy Dept, Vic Barcelona 08500, Spain
Grau-Pellicer, M:
Hosp Consorci Sanitari Terrassa, Rehabil Unit, Barcelona 08221, Spain
Autonomous Univ Barcelona, Physiotherapy Dept, E-08193 Barcelona, Spain
Guzman-Bernal, JA:
Hosp Sagrat Cor Germanes Hospitalaries, Rehabil Unit, Barcelona 08760, Spain
Caballero-Gomez, FM:
Consorci Corp Sanitaria Parc Tauli, Phys Med & Rehabil Sabadell, Barcelona 08208, Spain
Urrutia, G:
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
CIBERESP, Madrid 28029, Spain
Green Published, gold
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