Core Stabilization Exercises in Stroke
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      A stroke due to a cerebrovascular accident (CVA) is a neurological deficit characterized by
      the rapid settlement of signs and symptoms due to focal or global loss of cerebral function,
      without any apparent cause other than vascular causes. Stroke is one of the most common
      cardiovascular events in the world. In addition to complications such as spasticity, loss of
      strength, balance problems, speech and swallowing problems, pulmonary complications are also
      common in stroke. When the literature is examined, there are a limited number of studies
      evaluating respiratory functions and functional capacity as a result of core stabilization
      exercises applied to stroke patients. There is no study in the literature examining the
      results of core stabilization exercises on respiratory functions, functional capacity, trunk
      control, and balance in stroke patients. The aim of this study; to investigate the effects of
      core stabilization training applied in addition to traditional physical therapy on
      respiratory functions, functional capacity, trunk control, and balance in stroke individuals
      after cerebrovascular accidents.
    

Detailed description: 
      Stroke is a disease that requires rehabilitation practices beyond traditional medical
      treatments as an approach to managing diseases and complications over time. Physiotherapy and
      rehabilitation approaches include techniques such as joint range of motion exercises, muscle
      strengthening, stretching, balance-coordination exercises, neurophysiological approaches
      (PNF-Bobath), electrical stimulation, orthotic approaches, and breathing exercises. In
      stroke, especially the lower and upper extremities are emphasized, but trunk dysfunctions are
      also common. In stroke individuals, weakened trunk muscles cause postural instability,
      resulting in trunk control disorder, balance problems, and a decrease in physical activity.
      Decreased trunk control is also associated with decreased pulmonary function and functional
      capacity. Core Stabilization Exercises (CSE) have recently become a popular form of
      therapeutic exercise and also play a key role in functional outcomes in stroke individuals.
      Gradually progressing from easy to difficult, CSE is seen as a critical component of
      restoring appropriate kinetic function. It is also an exercise approach that aims to prevent
      compensatory movements, contribute to the motor relearning of inhibited muscles, and
      strengthen the diaphragm and other respiratory muscles, which are a component of core
      stability. The aim of this study; to investigate the effects of core stabilization training
      applied in addition to traditional physical therapy on respiratory functions, functional
      capacity, trunk control, and balance in stroke individuals after cerebrovascular accidents.
    

Intervention name(s): Core stabilization + Traditional Physical Therapy; Traditional Physical Therapy
Intervention type(s): Other; Other
Intervention description(s): In addition to the traditional physical therapy training, core stabilization exercises will be applied 3 days a week for 6 weeks, and 20 minutes in each session under the supervision of a physiotherapist. Core stabilization exercises; will gradually progress from easy exercises to difficult ones. Exercises will be performed in supine, hook position, sitting position, on stable and mobile surfaces. Exercises will progress from 1 set to 3 sets, from 7 to 10 reps, contractions from 3 seconds to 10 seconds. All exercises will be performed with breathing control.
The exercises will be progressed by gradually increasing them every week.; Traditional physical therapy training will be given for 40 minutes each session, 3 times a week for 6 weeks under the supervision of a physiotherapist. As a traditional physical therapy program, a rehabilitation program that increases mobility and daily living activities will be applied to patients.
Joint range of motion exercises
Stretching exercises
Strengthening exercises
Bobath-based neurophysiological approaches
Task-oriented training
15 minutes of neuromuscular electrical stimulation (NMES) application
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Interventional (Clinical Trial)
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: stroke; core stabilization; respiratory parameters; balance