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CTRI Number  CTRI/2018/08/015323 [Registered on: 13/08/2018] Trial Registered Prospectively
Last Modified On: 09/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Checking the effect of specific strengthening of core muscles in addition to regular trunk physiotherapy program on the ability to detect the trunk position sense and ability to move around in surrounding 
Scientific Title of Study   Effect of core muscle strengthening on trunk proprioception and functional mobility in persons with chronic stroke 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vimal Telang 
Designation  Lecturer Physiotherapy 
Affiliation  All India Institute of Physical Medicine and Rehabilitation 
Address  All India Institute of Physical Medicine and Rehabilitation, K.Khadye Marg, Haji Ali, Mahalaxmi, Mumbai.

Mumbai
MAHARASHTRA
400034
India 
Phone  9869175668  
Fax    
Email  vimaltelang@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Vimal Telang 
Designation  Lecturer Physiotherapy 
Affiliation  All India Institute of Physical Medicine and Rehabilitation 
Address  All India Institute of Physical Medicine and Rehabilitation, K.Khadye Marg, Haji Ali, Mahalaxmi, Mumbai.

Mumbai
MAHARASHTRA
400034
India 
Phone  9869175668  
Fax    
Email  vimaltelang@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Vimal Telang 
Designation  Lecturer Physiotherapy 
Affiliation  All India Institute of Physical Medicine and Rehabilitation 
Address  All India Institute of Physical Medicine and Rehabilitation, K.Khadye Marg, Haji Ali, Mahalaxmi, Mumbai.

Mumbai
MAHARASHTRA
400034
India 
Phone  9869175668  
Fax    
Email  vimaltelang@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Physical Medicine & Rehabilitation,Mumbai.  
 
Primary Sponsor  
Name  Vimal Telang 
Address  All India Institute of Physical Medicine and Rehabilitation, K.Khadye Marg, Haji Ali, Mahalaxmi, Mumbai.400034 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
Divyarani Savant  All India Institute of Physical Medicine and Rehabilitation, K.Khadye Marg, Haji Ali, Mahalaxmi, Mumbai 400034. 
Sheik Abdul Khadir AMK  All India Institute of Physical Medicine and Rehabilitation, K.Khadye Marg, Haji Ali, Mahalaxmi, Mumbai 400034. 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
VIMAL TELANG  All India Institute of Physical Medicine and Rehabilitation  All India Institute of Physical Medicine and Rehabilitation, K.KHADYE MARG, HAJI ALI, MAHALAXMI, MUMBAI. 400 034.
Mumbai
MAHARASHTRA 
9869175668

vimaltelang@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committe, AIIPMR   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I639||Cerebral infarction, unspecified, (2) ICD-10 Condition: I639||Cerebral infarction, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  CONTROL GROUP  conventional therapy mainly of stretching, facilitation /strengthening of movement as required for the hemiparetic side, task oriented activities with altered sensory input for balance and gait for 6 weeks (3times/week)  
Intervention  EXPERIMENTAL GROUP  core muscle strengthening training PLUS conventional therapy mainly of stretching, facilitation /strengthening of movement as required for the hemiparetic side, task oriented activities with altered sensory input for balance and gait for 6 weeks (3times/week)  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1) First onset of unilateral hemorrhagic or ischemic stroke;
2) Onset of Stroke for >6mths
3) Who is able to understand and follow simple verbal instruction, scoring at least 24 out of 30 on Mini Mental State Examination
4) Brunnstrom’s recovery stage of 5 or above for the lower limb thus ensuring that excessive spasticity and lower limb basic synergy patterns are not causing balance impairments (32) .
5) Berg Balance Score of 40 or above , ensuring a higher level of static balance .(33)
6) Who able to walk independently for at least 10 m with or without walking aid.
 
 
ExclusionCriteria 
Details  1) Uncontrolled vitals
2) Neurological disease affecting balance other than stroke such as Parkinson’s disease, traumatic brain injury etc
3) somato-sensory deficits, apraxia, and hemineglect.
4) Presence of visual problems like homonymous hemianopsia
5) Vertigo, vestibular disorders
6) History of joint deformity, pain in joints which would interfere with motor performance.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Trunk repositioning error at an angle of 30 degree flexion
2.The six metre walk test
3.The sit to stand test with five repetitions,
4.The alternate step test
5.The stair ascent and descent tests. 
All the subjects will be assessed for the outcome measures at induction in the study and after 6 weeks of therapy protocol and at 10thweek for follow up of carry over effects 
 
Secondary Outcome  
Outcome  TimePoints 
1.Trunk repositioning error at an angle of 30 degree flexion
2.The six metre walk test
3.The sit to stand test with five repetitions,
4.The alternate step test
5.The stair ascent and descent tests. 
All the subjects will be assessed for the outcome measures at induction in the study and after 6 weeks of therapy protocol and at 10thweek for follow up of carry over effects 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/08/2018 
Date of Study Completion (India) 28/02/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Telang, Vimal Mahendra; Savant, Divyarani; Khadir, A. M. K. Sheik Abdul. Effect of core muscle strengthening on trunk proprioception and functional mobility in persons with chronic stroke. Physiotherapy - The Journal of Indian Association of Physiotherapists 19(1):p 31-37, Jan–Jun 2025. | DOI: 10.4103/pjiap.pjiap_180_24  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

 Core Muscles are described to provide proximal stability for distal mobility. Two types of muscle fibers comprise the core muscles: slow-twitch and fast-twitch.

The core acts through the thoracolumbar fascia, ‘‘nature’s back belt.’’ The transversus abdominis has large attachments to the middle and posterior layers of the thoracolumbar fascia (Bogduk,1997). Additionally, the deep lamina of the posterior layer attaches to the lumbar spinous processes. In essence, the thoracolumbar fascia serves as part of a ‘‘hoop’’ around the trunk (McGill,2002) that provides a connection between the lower limb and the upper limb (Vleeming et al,1995). With the contraction of the muscular contents, the thoracolumbar fascia also functions as a proprioceptor, providing feedback about trunk positioning.

The intertransversariimediales, interspinales, and rotatores are extremely close to the centre of rotation of the spinal segments. Their very small physiological cross-sectional area and their high density of muscle spindles (4.5-7.3 times richer than the number in the multifidus) suggests that they may act primarily as position transducers of the spinal column .This would suggest that these LSS Muscles would appear to be particularly important to the coordination required in Core Stability (Wendell et al,1995).

A randomized controlled trial Rosa Cabanas-Valdés et al (2007) on Core stability exercises in addition to conventional therapy improved trunk control, dynamic sitting balance, standing balance, gait and activities of daily living in sub-acute post-stroke patients. Also, additional trunk exercises (Van Criekingeet al 2017) showed the effectiveness of on gait performance in subacute stroke. However the duration of onset in their experimental group was 25.12 (17.30) days a time when recovery can be attributed partly to natural and therapeutic reasons. Following intervention, Eun-Jung Chung et al (2013) reported in chronic stroke the core exercise group showed a significant change in TUG, velocity, and cadence. XiboSun, et al (2016) reported that Core stability exercises have a better effect on patients with hemiplegia than conventional exercises.

Review of literature on effect of core muscle strengthening on the trunk proprioception and functional mobility in chronic stroke is meagre. Hence this study focuses on evaluating the therapeutic effect of core muscle strengthening exercises in addition to the conventional trunk physiotherapy program on trunk proprioception and functional mobility in persons with chronic stroke.

 

 
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