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Effects of trunk exercises on balance in hemiplegic stroke patients

Hafiz M. U. Raza, Muhammad Umair Javaid, Hifza Naseer, Nimra Nisar, S. Ali, Muhammad Asif Javed

Insights-Journal of Health and Rehabilitation, 2025

34 participants

Abstract

Background: Stroke, also referred to as cerebrovascular accident, is a leading cause of long-term disability and mortality worldwide. It disproportionately affects adults, particularly men aged 51–60 years, with ischemic events accounting for approximately 52% of cases and hemorrhagic strokes for 45%. Common risk factors include hypertension, diabetes, and smoking. Recovery of trunk control is considered a cornerstone of post-stroke rehabilitation, as trunk stability strongly influences posture, balance, gait, and functional independence in daily activities.

Objective: The objective of the study was to determine the effects of trunk exercises on balance in hemiplegic stroke patients.

Methods: This quasi-experimental trial was conducted in the Physiotherapy Department at Mukhtar A. Sheikh Trust Hospital, Multan. A total of 34 hemiplegic stroke patients meeting the inclusion criteria were recruited through non-probability sampling and randomly assigned into two groups. Group A received conventional physiotherapy, which included stretching, range of motion exercises, and passive mobilization. Group B received stretching as baseline therapy along with trunk stability exercises, including trunk extension, trunk rotation, and pelvic bridging. Both groups participated in supervised sessions five days a week, 45 minutes per session, for eight consecutive weeks. Outcome measures included the Trunk Impairment Scale (TIS) and Berg Balance Scale (BBS). Data were analyzed using SPSS…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 34 participants or records.

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