Clinical trial NCT06237140: Cervical Proprioceptive Neuromuscular Facilitation and Stabilization Exercises in Stroke Patients
Official title: Comparison of the Effectiveness of Cervical Proprioceptive Neuromuscular Facilitation and Stabilization Exercises on Balance, Fall Risk and Fear of Falling in Stroke Patients
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Stroke
Keywords: proprioception
stabilization exercises
balance
fall
Lead sponsor: Suleyman Demirel University
Sponsor class: OTHER
First posted: 2024-02-01
Enrollment: 0
Sex: ALL
Minimum age (years): 35
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: 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.
Primary purpose: TREATMENT

Brief 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.

Detailed description: 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

Primary outcomes:
measure: Mini Mental Test
timeFrame: four weeks
measure: cervical joint position error test
timeFrame: four weeks
measure: Tecnobody Prokin 252 balance platform
timeFrame: four weeks
measure: Berg Balance Scale
timeFrame: four weeks
measure: Timed-Up and Go Test
timeFrame: four weeks
measure: Modified Fall Activity Scale
timeFrame: four weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Kocaeli
country: Turkey
facility: Güler Ertuğrul
state: Gölcük
Study officials:
affiliation: Süleyman Demirel University Faculty of Health Sciences
name: GÜLER ERTUĞRUL
role: PRINCIPAL_INVESTIGATOR
References: