Lumbar Spinal Manipulation: This technique is based on the application of a high-velocity, low-amplitude force to the lumbar spine with the aim of increasing mobility.
Placebo Lumbar Spinal Manipulation: This intervention is a classic method used to evaluate the effect of lumbar spinal manipulation.
Study summary
The aim of the study is to investigate the effects of lumbar spinal manipulation on balance and fall risk of the patients with chronic stroke.
Eligibility
Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria:
* Having chronic stroke,
* A Mini-Mental State Examination score of 24 or higher,
* Ability to stand independently for 20 seconds or more,
* Being between 18 and 75 years of age,
* Ability to walk independently for 10 meters, using assistive devices or orthoses if necessary,
* Daily blood pressure not exceeding 140/90 mmHg (or controlled with antihypertensive medication)
Exclusion Criteria:
* Presence of severe cardiac, pulmonary, hepatic, or renal dysfunction,
* Presence of severe bone or joint disease, particularly affecting the spine,
* Presence of risk factors for osteoporosis, especially involving the spine,
* Orthopedic conditions limiting spinal rotation,
* History of cancer or diabetic neuropathy,
* Presence of vestibular disorders,
* Presence of lower extremity ulceration or amputation,
* Alcohol consumption within the last 24 hours,
* Hemodynamic instability,
* Diagnosis of posterior circulation stroke involving the basilar artery and cerebellum,
* Presence of neurological diseases such as multiple sclerosis or Parkinson's disease,
* History of acute lower extremity injury within the last 6 weeks,
* History of lower extremity surgery
Primary outcome measure(s)
Overall Postural Stability Index Measurement — Change from baseline overall postural stability index immediately after the intervention This index will be assessed by measuring deviations of the center of gravity in the anteroposterior and mediolateral directions. Lower scores indicate smaller deviations and better postural stability. The test will be performed on a stable platform with three trials of 30 seconds each. The average of the three trials will be automatically calculated by the TechnoBody balance system.
Fall Risk Assessment — Change from baseline fall risk immediately after the intervention Fall risk will be assessed by measuring the patient's ability to maintain balance on an unstable platform. Based on their ability to maintain balance, a fall risk score will be generated, with higher scores indicating a greater risk of falling. The test will be performed with three 30-second trials. The average of the three trials will be calculated automatically by the TechnoBody balance system.
Trial sites (1)
Facility
City
Region
Status
Bolu İzzet Baysal Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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