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Article

The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (CORE-Trial): Study Protocol for a Randomized Controlled Trial

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Physiotherapy Department, Faculty of Medicine and Health Science, Universitat Internacional de Catalunya, Sant Cugat del Valles, 08195 Barcelona, Spain
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Rehabilitation Unit, Fundació Hospital de la Santa Creu de Vic, 08500 Vic Barcelona, Spain
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Physiotherapy Department, University of Vic-Central University of Catalonia (UVIC-UCC), 08500 Vic Barcelona, Spain
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Rehabilitation Unit, Hospital-Consorci Sanitari de Terrassa, 08221 Barcelona, Spain
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Physiotherapy Department, Autonomous University of Barcelona, 08193 Barcelona, Spain
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Rehabilitation Unit, Hospital Sagrat Cor Germanes Hospitalaries, Martorell, 08760 Barcelona, Spain
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Physical Medicine and Rehabilitation Sabadell, Consorci Corporació Sanitària Parc Taulí, 08208 Barcelona, Spain
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Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau), 08041 Barcelona, Spain
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CIBERESP, 28029 Madrid, Spain
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Author to whom correspondence should be addressed.
Academic Editor: Mário António Cardoso Marques
Int. J. Environ. Res. Public Health 2021, 18(12), 6615; https://doi.org/10.3390/ijerph18126615
Received: 13 May 2021 / Revised: 15 June 2021 / Accepted: 16 June 2021 / Published: 19 June 2021
Background: Trunk impairment produces disorders of motor control, balance and gait. Core stability exercises (CSE) are a good strategy to improve local strength of trunk, balance and gait. Methods and analysis: This is a single-blind multicenter randomized controlled trial. Two parallel groups are compared, and both perform the same type of therapy. A control group (CG) (n = 110) performs conventional physiotherapy (CP) (1 h per session) focused on improving balance. An experimental group (EG) (n = 110) performs CSE (30 min) in addition to CP (30 min) (1 h/session in total). EG is divided in two subgroups, in which only half of patients (n = 55) perform CSE plus transcutaneous electrical nerve stimulation (TENS). Primary outcome measures are dynamic sitting, assessed by a Spanish version of Trunk Impairment Scale and stepping, assessed by Brunel Balance Assessment. Secondary outcomes are postural control, assessed by Postural Assessment Scale for Stroke patients; standing balance and risk of fall assessed by Berg Balance Scale; gait speed by BTS G-Walk (accelerometer); rate of falls, lower-limb spasticity by Modified Ashworth Scale; activities of daily living by Barthel Index; and quality of life by EQ-5D-5L. These are evaluated at baseline (T0), at three weeks (T1), at five weeks (end of the intervention) (T2), at 17 weeks (T3) and at 29 weeks (T4). Study duration per patient is 29 weeks (a five-week intervention, followed by a 24-week post-intervention). View Full-Text
Keywords: stroke; exercise therapy; sitting position; postural balance; gait; core stability training; trunk exercises stroke; exercise therapy; sitting position; postural balance; gait; core stability training; trunk exercises
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MDPI and ACS Style

Cabanas-Valdés, R.; Boix-Sala, L.; Grau-Pellicer, M.; Guzmán-Bernal, J.A.; Caballero-Gómez, F.M.; Urrútia, G. The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (CORE-Trial): Study Protocol for a Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2021, 18, 6615. https://doi.org/10.3390/ijerph18126615

AMA Style

Cabanas-Valdés R, Boix-Sala L, Grau-Pellicer M, Guzmán-Bernal JA, Caballero-Gómez FM, Urrútia G. The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (CORE-Trial): Study Protocol for a Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2021; 18(12):6615. https://doi.org/10.3390/ijerph18126615

Chicago/Turabian Style

Cabanas-Valdés, Rosa, Lídia Boix-Sala, Montserrat Grau-Pellicer, Juan A. Guzmán-Bernal, Fernanda M. Caballero-Gómez, and Gerard Urrútia. 2021. "The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (CORE-Trial): Study Protocol for a Randomized Controlled Trial" International Journal of Environmental Research and Public Health 18, no. 12: 6615. https://doi.org/10.3390/ijerph18126615

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