cervical proprioceptive neuromuscular facilitation and stabilization exercises in stroke patients

Conditions: Stroke

Summary: randomization order tracking will be done with sequentially numbered containers. patients participating in the study will be blinded as to which treatment group they will be included in. before the study, written and verbal "informed consent form" will be obtained from all participants who meet the inclusion criteria. in order to prevent bias, participants assigned to groups will be evaluated by a blind physiotherapist. tests; the treatment of patients in the study and control groups will be carried out one day before the start, and all evaluations will be repeated after the 4-week neurorehabilitation process is completed. all data obtained will be noted on the prepared evaluation form.

randomization order tracking will be done with sequentially numbered containers. patients participating in the study will be blinded to which treatment group they will be included in. before the study, written and verbal "informed consent form" will be obtained from all participants who meet the inclusion criteria. after the sociodemographic and clinical features of the participants are recorded, the cognitive status of the patients will be evaluated with mmt. participants' neck proprioceptive senses, cervical proprioceptive awareness, cervical joint failure test, falling risks, dynamic and static balance tests on the tecnobody prokin 252 isokinetic balance platform, among objective tests, timed up and go test and berg balance test, among clinical tests, and their fear of falling, modified. it will be evaluated with the fall effectiveness scale. to avoid bias, evaluations will be made by a blind physiotherapist to the participants assigned to the groups. tests; it will be done one day before the treatments to the patients in the study and control groups begin, and all evaluations will be repeated after the 4-week neurorehabilitation process is completed. all data obtained will be noted on a prepared evaluation form.

Eligibility criteria:
inclusion criteria: * volunteering to participate in the study * volunteering to participate in the study * being between the ages of 35-75 * being diagnosed with stroke * having a stroke for the first time * mini mental test (mmt) score ≥ 24 * brunnstorm lower extremity stage ≥ 2 * being clinically stable exclusion criteria: * mini mental score \< 24 points * having additional hearing and vestibular system problems * having problems with field of vision * orthopedically sourced platinum etc. on his body. having had an operation * having a cerebrum, cerebellar or spinal cord malignancy * having additional neurological lesions (ms, parkinson's, alzheimer's) * mini mental score \< 24 points * having cervical pain of 5 or higher on the visual analog scale * having serious vestibular, auditory and visual problems that affect balance (vertigo, etc.) * having a history of orthopedic surgery for the trunk and lower extremities * presence of an additional neurological disease (ms, parkinson's, alzheimer's) * having joint rigidity that prevents proprioceptive evaluation

Keywords: proprioception stabilization exercises balance fall