NCT07484581

Effect of Wobble Board Exercises Versus Swiss Ball Exercises on Balance and Functional Stability of Stroke Patients

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 38 (estimated)
• Sponsor: Riphah International University · Academic / Other
• Sex: All
• Age: 40 Years – 60 Years
• Healthy volunteers: Not accepted

Summary

A stroke is characterized as a condition in which the brain's main arteries get clogged, reducing oxygen flow and potentially leading to death or severe disability. There are various types of strokes, such as transient ischemic attack (TIA), hemorrhagic stroke, and ischemic stroke. Hemorrhagic stroke is the most prevalent kind among them Strokes frequently alter postural balance. Balance is a complicated process that involves both static and dynamic elements. It significantly influences gait performance and community ambulation after strokes. Balance impairment is a common cause of falls in stroke survivors. Post-stroke recovery is related to loss of control of one's body posture, uneven weight distribution, and lack of anticipatory and reactive balance, which hinder movement in the community and severely affect one's quality of life. The loss of balance is one of the major problems that stroke patients have to deal with and is considered the most serious part of the illness. Medically, it is characterized as the result of multiple factors such as: i) damage to brain areas responsible for processing vestibular input, ii) blockage for proprioceptive feedback, iii) poor coordination among the different brain regions involved in motor planning and execution and visual feedback. These factors, in turn, and together, block the person's body from moving stably during static and dynamic activities. More than 70% of stroke patients develop significant balance problems within the first year of the stroke and such problems, besides other factors, are the reason for the high occurrence of falls among them. Reports indicate that the fall rate in the stroke population is more than double that in the non-disabled elderly.

Detailed description

A stroke is categorized by a local neurological deficiency that progresses suddenly and persists longer than twenty-four hours, which led to death before time . Stroke, the disruption of blood supply to the brain, remains the top cause of debility that lasts for long time, creating considerable socioeconomic and healthcare issues all over the world. The ads need to show that this condition can sometimes lead to serious cases where the person is not able to control or feel anything, is not able to balance, or walk, and is not functioning independently. Over the last few years, research has shown that each year there are more than 12 million new strokes all over the world and many people who have survived stroke undergo through a long process of rehabilitation whereby they are only taught how to get back to functioning more or less and at the same time to be less prone to falling.

Conditions

• Stroke

Interventions

Type	Name	Description
OTHER	Wobble Board Exercises	Duration: 10 minutes per session Frequency: 3 sessions per week Objective: Establish foundational balance in standing for mild-to-moderate spasticity levels. Exercises: * Static Standing: Participants stand on the wobble board with assistance as needed to develop balance without causing undue strain on spastic muscles. * Gentle Weight Shifts: Controlled side-to-side and front-to-back shifts (10-15 repetitions) for proprioception and core activation, adjusted to individual spasticity levels. Duration: 25 minutes per session Frequency: 3 sessions per week Objective: Gradual increase in static balance exercises to enhance postural control without exceeding tolerance levels. Exercises: * Static Balance Drills: Standing on the wobble board with increasing independence, focusing on postural alignment and balance. * Heel-to-Toe Walking: Slow, controlled steps (10 repetitions) on a stable surface to promote coordination and foot placement control. * Controlled Weight Shifts:
OTHER	Swiss Ball Exercises	Duration: 10 minutes per session Frequency: 3 sessions per week Objective: Build initial seated balance and core activation on the Swiss ball. Exercises: * Seated Balance: Sitting on Swiss ball to activate the core without overstressing spastic or weak muscles. * Gentle Bouncing: Slow, controlled bounces (10-15 repetitions) to improve dynamic seated stability within a safe range for those with mild to moderate spasticity Duration: 25 minutes per session Frequency: 3 sessions per week Objective: Increase core stability and seated balance while avoiding excessive muscle fatigue. Exercises: * Seated Balance Drills: Static seated balance drills to reinforce postural control. * Pelvic Tilts: Gentle, slow tilts (10 repetitions per side) to engage core stabilizers without excessive hip muscle strain. * Simple Reaches: Reaching exercises (10 repetitions per direction) that challenge seated stability in a controlled range of motion. Duration: 30 minutes per session

Timeline

• Start date: 2026-02-28
• Primary completion: 2026-06-30
• Completion: 2026-08-30
• First posted: 2026-03-20
• Last updated: 2026-03-20