Gluteus medius and quadratus lumborum strengthening for pelvic alignment, balance, and mobility after subacute stroke

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, single-blind trial compares contralateral gravity-eliminated gluteus medius strengthening with ipsilateral quadratus lumborum strengthening, each plus conventional physiotherapy, in adults with subacute stroke. Forty participants aged 45–60 years will be recruited at Alfalah Medical Center in Lahore and randomized 1:1 to the two intervention arms, three times per week for six weeks. Outcomes focus on pelvic alignment, balance, and functional mobility, with assessments conducted by blinded evaluators. Eligibility includes a first-ever stroke 1–6 months prior, Brunnstrom III–V, ability to follow commands, and a Berg Balance Scale score below 45; several exclusion criteria ensure medical stability and safety during training.

Why it matters

Who can join: the full rules

Inclusion Criteria:

Patients aged 45-65 years. Patients with a first-ever stroke occurring 1-6 months before enrollment (subacute stroke).

Patients classified within Brunnstrom Recovery Stages III-V. Medically stable patients who are able to follow simple verbal commands. Patients able to stand independently or with minimal assistance. Patients with a Berg Balance Scale (BBS) score below 45 out of 56.

Exclusion Criteria:

Patients with a history of recurrent stroke. Patients with severe cognitive impairment. Patients with other neurological disorders that may affect rehabilitation outcomes.

Patients with severe lower-limb musculoskeletal conditions. Patients with severe spasticity, defined as a Modified Ashworth Scale (MAS) score greater than 3, according to the study protocol.

Patients with uncontrolled cardiovascular or respiratory disease. Patients with severe visual or vestibular impairment affecting balance. Patients unable to stand even with assistance. Patients participating in another rehabilitation research study during the study period.

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Where it's running

• Alfalah Medical Center
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Prof.Dr Shoaib Waqas, PHD
• Email: shoaib.waqas@ubas.edu.pk
• Phone: +92 302 4552109

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.