Investigation of the Effects of Vestibular Rehabilitation and Dynamic Neuromuscular

Medipol Health Group

Status: Active, not recruiting

Conditions: Vestibular Exercises; Hemiplegia; Physiotherapy and Rehabilitation

Treatments: Other: Conventional Exercise programs; Other: Vestibular Rehabilitation Group; Other: Dynamic Neuromuscular Stabilization

Study type: Interventional

Funder types: Other

Identifiers

NCT07386119

E-10840098-202.3.02-3748

Details and patient eligibility

About

This study will aim to investigate the effects of vestibular rehabilitation, dynamic neuromuscular stabilization (DNS), and conservative rehabilitation exercises on balance and mobility in hemiplegic patients, and to compare the exercise programs with one another. Evaluation tools include the Brunnstrom Motor Staging, Fugl-Meyer Upper Extremity Motor Function Scale, Modified Ashworth Scale, Mini-Mental State Examination, Berg Balance Scale, Stroke Impact Scale, and Timed Up and Go test.

Full description

This study will aim to investigate the effects of vestibular rehabilitation, dynamic neuromuscular stabilization (DNS), and conservative rehabilitation exercises on balance and mobility in hemiplegic patients, and to compare the exercise programs with one another. A total of 45 hemiplegic patients will enrolled and randomized into three groups: Conventional Exercise Group (CEG, n = 15), Dynamic Neuromuscular Stabilization Group (DNSG, n = 15), and Vestibular Rehabilitation Group (VRG, n = 15). Each group will be participated in specialized exercise programs twice a week for six weeks. All groups will be underwent assessments before and after treatment. Evaluation tools include the Brunnstrom Motor Staging, Fugl-Meyer Upper Extremity Motor Function Scale, Modified Ashworth Scale, Mini-Mental State Examination, Berg Balance Scale, Stroke Impact Scale, and Timed Up and Go test.

Enrollment: 45 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being 18 years of age or older
• Having experienced at least one stroke and presenting with hemiplegic symptoms
• Having passed at least one year since the stroke even
• Scoring at least 24 points on the Mini-Mental State Examination (MMSE)
• Being able to walk independently for at least 30 meters without assistance
• Being able to comply with and participate in the exercise program

Exclusion criteria

• Individuals with chronic pulmonary and/or cardiac diseases
• Presence of uncontrolled hypertension
• Conditions accompanied by peripheral nerve injury or lower motor neuron disorders
• Presence of additional neurological disorders such as ataxia, dyskinesia, or dystonia
• Severe spasticity, peripheral lesions, pressure ulcers, marked muscle atrophy, obesity, skin irritation, or use of a cardiac pacemaker
• Presence of vestibular symptoms such as vertigo or dizziness

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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45 participants in 3 patient groups

Group 1: Conventional Exercise Group

Experimental group

Description:

Conventional Exercise will be conducted in this group

Treatment:

Other: Conventional Exercise programs

Group 2: Dynamic Neuromuscular Stabilization Group

Experimental group

Description:

Dynamic Neuromuscular Stabilization exercises will be done in this group

Treatment:

Other: Dynamic Neuromuscular Stabilization

Group 3: Vestibular Rehabilitation Group

Experimental group

Description:

Vestibular Rehabilitation will be conducted in this group

Treatment:

Other: Vestibular Rehabilitation Group