Thoracic Spinal Manipulation in Stroke
Effects of Thoracic Spinal Manipulation on Balance, Fall Risk, and Thoracic Mobility in Patients With Chronic Stroke: A Randomized Crossover Trial
Bitlis Eren University
52 participants
Mar 16, 2026
INTERVENTIONAL
Conditions
Summary
The aim of the study is to investigate the effects of thoracic spinal manipulation on balance, fall risk, and thoracic mobility of the patients with chronic stroke.
Eligibility
Inclusion Criteria6
- Having chronic stroke,
- A Mini-Mental State Examination score of 24 or higher,
- Ability to stand independently for 20 seconds or more,
- Ability to walk independently for 10 meters, using assistive devices or orthoses if necessary,
- Being between 40 and 75 years of age,
- Having a Brunnstrom stage of 4 or above
Exclusion Criteria14
- History of whiplash injury,
- Diagnosis of fibromyalgia,
- History of spinal manipulation treatment within the previous 2 months,
- History of cervical or thoracic fracture or dislocation,
- History of cervical or thoracic spine surgery,
- Diagnosis of cervical radiculopathy or myelopathy,
- Presence of serious spinal pathology,
- Presence of any orthopedic or neurological disorder other than stroke, or an unstable cardiac condition,
- Presence of a vestibular disorder,
- The presence of lower extremity ulceration or amputation,
- Alcohol consumption in the last 24 hours,
- Posterior circulation stroke involving the basilar artery or cerebellum,
- Having experienced an acute lower extremity injury in the last six weeks,
- History of lower extremity surgery
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Interventions
This technique is based on the application of a high-velocity, low-amplitude force to the thoracic spine with the aim of increasing thoracic mobility.
This intervention is a classic method used to evaluate the effect of thoracic spinal manipulation.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07436975