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Randomized Controlled Trial
. 2022 Apr 1;101(4):314-323.
doi: 10.1097/PHM.0000000000001794.

Core Stability Exercises Yield Multiple Benefits for Patients With Chronic Stroke: A Randomized Controlled Trial

Suruliraj Karthikbabu  1 , Sailakshmi Ganesan, Ratnavalli Ellajosyula, John M Solomon, Rakshith C Kedambadi, Chakrapani Mahabala
Affiliations
Randomized Controlled Trial

Core Stability Exercises Yield Multiple Benefits for Patients With Chronic Stroke: A Randomized Controlled Trial

Suruliraj Karthikbabu et al. Am J Phys Med Rehabil. .

Abstract

Objective: This study examined the effect of core stability exercises on trunk control, core muscle strength, standing weight-bearing symmetry, and balance confidence of people with chronic stroke.

Design: This was an assessor-blinded randomized controlled trial involving 84 ambulatory patients with middle cerebral artery stroke, randomly assigned to three training groups. Two experimental groups practiced core stability exercises either on stable or on unstable support surfaces. In contrast, the control group received standard physiotherapy. All the participants underwent an hour-long training session a day, thrice a week over a 6-wk duration, and followed-up after 12 mos. Trunk Impairment Scale, core muscle strength, weight-bearing asymmetry in standing, and Activities-specific Balance Confidence scale were the outcome measures.

Results: Compared with the control group, the two experimental groups demonstrated a significant improvement on all the outcome measures from baseline to posttraining and from baseline to 12-mo follow-up (P < 0.001). The two experimental groups demonstrated no significant difference between them on all the measures (P > 0.05).

Conclusions: Core stability exercises on stable and unstable support surfaces are equally beneficial in improving trunk control, core muscle strength, standing weight-bearing symmetry, and balance confidence of ambulatory patients with chronic stroke than the standard physiotherapy.

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Conflict of interest statement

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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References

    1. Verheyden G, Nieuwboer A, De Wit L, et al.: Trunk performance after stroke: an eye catching predictor of functional outcome. J Neurol Neurosurg Psychiatry 2007;78:694–8
    1. Van Nes IJ, Nienhuis B, Latour H, et al.: Posturographic assessment of sitting balance recovery in the subacute phase of stroke. Gait Posture 2008;28:507–12
    1. Gera G, McGlade KE, Reisman DS, et al.: Trunk muscle coordination during upward and downward reaching in stroke survivors. Motor Control 2016;20:50–69
    1. Karthikbabu S, Chakrapani M, Ratnavalli E, et al.: Pelvic alignment in standing and its relationship with trunk control and motor recovery of lower limb after stroke. Neurol Clin Neurosci 2017;5:22–8
    1. Karthikbabu S, Chakrapani M, Ganesan S, et al.: Relationship between pelvic alignment and weight-bearing asymmetry in community-dwelling chronic stroke survivors. J Neurosci Rural Pract 2016;7:S37–40

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