Effects of Core Strengthening With Pelvic Proprioceptive Neuromuscular Facilitation on Trunk Control and Balance in Patients With Sub-acute Stroke
Lahore University of Biological and Applied Sciences
38 participants
Nov 25, 2025
INTERVENTIONAL
Conditions
Summary
Purpose of this study was to investigate the effectiveness of core stabilization with pelvic proprioceptive neuromuscular facilitation on trunk control and balance which will be provided an evidence-based selection of the best possible intervention to improve trunk function and balance as compared to the trunk control exercises such as Rhythmic stabilization, Bridging, Side-Lying Trunk Lifts, Quadruped, Kneeling and modified plantigrade positioning, which one can provide the better balance and trunk control in sub-acute stroke patients.
Eligibility
Inclusion Criteria6
- Participants between the ages of 45 and 60 years.
- Sub-acute phase of unilateral ischemic stroke.
- More than two weeks but no more than six months were included.
- Participants should be able to walk with or without support for 2-4 min.
- Participants with modified Ashworth scale grade 1 or grade 2.
- Participants should be able to understand and follow simple verbal instructions (Mini-Mental Status Examination \[MMSE\]≥24).
Exclusion Criteria2
- Participants with recurrent stroke; brainstem or cerebellar stroke or hemorrhagic stroke.
- Participants with modified Ashworth scale grade ≥3 (severe spasticity).
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Interventions
Core activated by Bio Feedback apparatus and participants were given instructions to do trunk curls in crook lying position. Asked to lift their upper trunk slightly (15 degree) from the plinth. 3 sets with 10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise.
Proprioceptive neuromuscular facilitation techniques The sequence was rhythmic initiation, slow reversal then agonistic reversals. each technique was applied for 3 sets of 2 min duration each with 30 sec between each set and 2 min rest after each technique. A stopwatch was used to measure the time.
Trunk control exercises Different trunk exercises were performed by the participants to develop trunk control and balance. Rhythmic stabilization, Side-Lying Trunk Lifts, Bridging, Quadruped, Kneeling and modified plantigrade positioning, are the trunk exercises which were used conventionally to develop trunk control. 3 sets with 10 repetitions each, 3 sec rest between each repetition, 1 min rest after each set and 3 min rest between each exercise.
Locations(1)
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NCT07381491