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

Rosa Cabanas-Valdés, Lídia Boix-Sala, Montserrat Grau-Pellicer, Juan Antonio Guzmán-Bernal, Fernanda Maria Caballero-Gómez and Gerard Urrútia
Additional contact information
Rosa Cabanas-Valdés: Physiotherapy Department, Faculty of Medicine and Health Science, Universitat Internacional de Catalunya, Sant Cugat del Valles, 08195 Barcelona, Spain
Lídia Boix-Sala: Rehabilitation Unit, Fundació Hospital de la Santa Creu de Vic, 08500 Vic Barcelona, Spain
Montserrat Grau-Pellicer: Rehabilitation Unit, Hospital-Consorci Sanitari de Terrassa, 08221 Barcelona, Spain
Juan Antonio Guzmán-Bernal: Rehabilitation Unit, Hospital Sagrat Cor Germanes Hospitalaries, Martorell, 08760 Barcelona, Spain
Fernanda Maria Caballero-Gómez: Physical Medicine and Rehabilitation Sabadell, Consorci Corporació Sanitària Parc Taulí, 08208 Barcelona, Spain
Gerard Urrútia: Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain

IJERPH, 2021, vol. 18, issue 12, 1-17

Abstract: 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).

Keywords: stroke; exercise therapy; sitting position; postural balance; gait; core stability training; trunk exercises (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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