Investigation of the Effects of Vestibular Rehabilitation and Dynamic Neuromuscular

N/AActive Not RecruitingNCT07386119

Istanbul Medipol University Hospital45 enrolled

Overview

This study will aim to investigate the effects of vestibular rehabilitation, dynamic neuromuscular stabilization (DNS), and conservative rehabilitation exercises on balance and mobility in hemiplegic patients, and to compare the exercise programs with one another. A total of 45 hemiplegic patients will enrolled and randomized into three groups: Conventional Exercise Group (CEG, n = 15), Dynamic Neuromuscular Stabilization Group (DNSG, n = 15), and Vestibular Rehabilitation Group (VRG, n = 15). Each group will be participated in specialized exercise programs twice a week for six weeks. All groups will be underwent assessments before and after treatment. Evaluation tools include the Brunnstrom Motor Staging, Fugl-Meyer Upper Extremity Motor Function Scale, Modified Ashworth Scale, Mini-Mental State Examination, Berg Balance Scale, Stroke Impact Scale, and Timed Up and Go test.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Hemiplegia

Interventions

Conventional Exercise programsOTHER

This group participated in Conventional Exercise programs twice a week for six weeks.

Dynamic Neuromuscular StabilizationOTHER

This group participated in Dynamic Neuromuscular Stabilization Exercise programs twice a week for six weeks.

Vestibular Rehabilitation GroupOTHER

This group participated in Vestibular Rehabilitation programs twice a week for six weeks.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Being 18 years of age or older * Having experienced at least one stroke and presenting with hemiplegic symptoms * Having passed at least one year since the stroke even * Scoring at least 24 points on the Mini-Mental State Examination (MMSE) * Being able to walk independently for at least 30 meters without assistance * Being able to comply with and participate in the exercise program Exclusion Criteria: * Individuals with chronic pulmonary and/or cardiac diseases * Presence of uncontrolled hypertension * Conditions accompanied by peripheral nerve injury or lower motor neuron disorders * Presence of additional neurological disorders such as ataxia, dyskinesia, or dystonia * Severe spasticity, peripheral lesions, pressure ulcers, marked muscle atrophy, obesity, skin irritation, or use of a cardiac pacemaker * Presence of vestibular symptoms such as vertigo or dizziness

Outcomes

Primary Outcomes

The Fugl-Meyer Assessment of Upper Extremity

It is a standardized, stroke-specific, performance-based outcome measure used in clinical trials to evaluate motor recovery of the upper limb. It assesses movement, coordination, and reflex activity of the shoulder, elbow, forearm, wrist, and hand, providing a quantitative measure of motor impairment and recovery over time. The maximum score for the arm section is 36. During the finger-to-nose test, coordination and speed of movement are evaluated out of 6 points, while tremor, dysmetria, and speed of movement in the upper extremity are also examined in detail.