Can Lumbar Mulligan Mobilization Improve Gait, Balance, and Trunk Position Sense After Stroke?

Recruiting now · Not applicable

Conditions studied: Balance Impairments in Stroke Patients

In brief

Stroke is a pathology caused by disturbances in the brain's arterial circulation, leading to high morbidity rates. Individuals who experience a stroke often face neurological impairments such as motor, sensory, and cognitive dysfunctions, which negatively impact muscle strength, postural control, sensation, and gait, reducing their independence in daily activities. Balance deficits in stroke patients increase the risk of falls and contribute to a fear of falling. Improving balance control is a key goal in rehabilitation. The importance of the trunk in balance control and rehabilitation is well-established, as it plays a central role in maintaining stability. In individuals with restricted lumbar mobility, weakened trunk muscles and altered muscle activation can lead to a reduction in proprioception, hip strategy, and spinal stabilization, further impairing balance. Combining conventional exercise approaches with other rehabilitation techniques has been shown to yield more effective outcomes. This study aims to investigate the effects of Mulligan-based lumbar spine mobilization on balance, trunk position sense, and gait in individuals with stroke.

Key facts

Study ID

NCT06887114

Run by

Gulhane School of Medicine

People needed

40

Starts

2024-05-08

Expected to finish

2025-06-10

Last updated by the study team

2025-03-20

Who can join

Age: 30 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Participants must meet all of the following conditions to be eligible for the study:
• Diagnosed with stroke by a neurologist.
• Aged 30 to 65 years.
• First-ever stroke (single episode).
• Stroke duration between 6 to 24 months.
• Score of ≤3 on the Modified Rankin Scale (mRS).
• Score of ≥24 on the Mini-Mental State Examination (MMSE).

You may not qualify if…

• Participants will be excluded if they meet any of the following conditions:
• History of musculoskeletal disorders affecting the spine (e.g., cancer, scoliosis, spondylolisthesis, rheumatoid arthritis, ankylosing spondylitis).
• Previous lumbar spine surgery.
• Presence of neurological conditions other than stroke (e.g., Parkinson's disease, multiple sclerosis).
• Severe visual impairment affecting balance or walking.

Where it is running

• Ankara Yıldırım Beyazıt University — Ankara, Turkey (Türkiye) (enrolling)

Full record on ClinicalTrials.gov

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