StrokeNCT07143630
Abdominal Electrical Stimulation for Balance and Muscle Thickness in Stroke Patients
A study testing Neuromuscular Electrical Stimulation and Core Stabilization Exercises in people with Stroke, run by Başakşehir Çam & Sakura City Hospital at 1 site in Turkey (Türkiye).
Trial summary
Stroke is a leading cause of balance impairment and trunk muscle weakness, which restricts independence in daily activities. Neuromuscular electrical stimulation (NMES) is a safe rehabilitation method to activate muscles. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Stroke
- What is being tested?
- Neuromuscular Electrical Stimulation and Core Stabilization Exercises
- Type of treatment
- Medical device, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 28 Aug 2025to 11 Apr 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age between 18 and 65 years.
- At least 1 month since the onset of stroke.
- Ability to maintain sitting balance without support.
- Ability to stand with or without support.
- Voluntary agreement to participate in the study (signed informed consent).
Who cannot join
- History of hemiplegia on the contralateral side of the body.
- Medically unstable condition.
- History of orthopedic or neurological disease that may cause balance impairment.
- Presence of balance problems prior to stroke.
- Body mass index (BMI) ≥ 35
- Presence of a cardiac pacemaker.
Show all 11Show fewer
- Diagnosis of malignancy.
- Epilepsy.
- Pregnancy.
- Open wound or infection in the area where stimulation will be applied.
- Lack of cooperation or inability to follow instructions.
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Başakşehir Çam and Sakura City Hospital
Istanbul, 34480
About this study
Official title: Effects of Abdominal Electrical Stimulation on Balance and Ultrasound-Measured Muscle Thickness in Stroke Patients: A Prospective Randomized Controlled Trials
Stroke is a leading cause of balance impairment and trunk muscle weakness, which restricts independence in daily activities. Neuromuscular electrical stimulation (NMES) is a safe rehabilitation method to activate muscles. This study will evaluate the effects of NMES applied to the abdominal muscles on balance and ultrasound-measured muscle thickness in stroke patients. The findings may provide evidence for new treatment strategies to enhance trunk function and improve quality of life after stroke.
Read the detailed description
Stroke is a leading cause of long-term disability and frequently results in impaired balance and trunk muscle weakness, limiting independence in daily life. Abdominal muscles are essential for postural stability, and their weakness may adversely affect mobility and functional outcomes in stroke patients. Neuromuscular electrical stimulation (NMES) is a safe rehabilitation method used to promote muscle contraction and improve strength. While NMES has shown positive effects on limb muscles, its impact on abdominal muscles and balance remains insufficiently studied.
In this prospective randomized controlled trial, participants will be randomly allocated into two groups. The control group will perform core stabilization exercises, while the intervention group will receive core stabilization exercises combined with abdominal NMES. Balance will be assessed using validated clinical scales, and abdominal muscle thickness will be measured by ultrasound. The study aims to determine the additional effects of abdominal NMES on balance, trunk control, and functional recovery in stroke patients.
- Conditions
- Stroke
- Being tested
- Neuromuscular Electrical Stimulation, Core Stabilization Exercises
- Keywords
- postural balance, balance impairment, rehabilitation, neuromuscular electrical stimulation, abdominal muscle
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Neuromuscular Electrical StimulationDevice
Also called Chattanooga multichanel stimulator
NMES will be applied to the abdominal muscles using a multichannel stimulator. Each session will last approximately 20 minutes, administered 5 times per week for a total of 15 sessions, in addition to core stabilization exercise program performed with the same frequency.
Core Stabilization ExercisesBehavioural
Also called Trunk stabilization training
Participants will perform a structured core stabilization exercise program. The program will be administered 5 times per week for a total of 15 sessions.
| Study group | Role | What they receive |
|---|---|---|
| NMES + Core Stabilization Exercises | Experimental | Not described Receives: Device: Neuromuscular Electrical Stimulation; Behavioral: Core Stabilization Exercises |
| Core Stabilization Exercises Only | Active comparator | Not described Receives: Behavioral: Core Stabilization Exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Balance Performance (Berg Balance Scale)
Balance will be assessed using the Berg Balance Scale (BBS; maximum score: 56, minimum score: 0). Higher scores indicate better balance, lower scores indicate worse balance.
Measured: Baseline and after 15 sessions (≈3 weeks)
Abdominal Muscle Thickness (Ultrasound)
Abdominal muscle thickness will be measured in millimeters by ultrasound at rest. Higher values indicate greater muscle thickness.
Measured: Baseline and after 15 sessions (≈3 weeks)]
Secondary outcomes (6)
Trunk Control (Trunk Control test)
Measured: Baseline and after 15 sessions (≈3 weeks)]
Fear of Falling (Visual Analog Scale - VAS)
Fear of falling will be evaluated using a Visual Analog Scale (VAS; score range: 0-10 cm, where 0 = no fear and 10 = maximum fear). Higher scores indicate greater fear of falling.
Measured: Baseline and after 15 sessions (≈3 weeks)]
Change in Postural Control (Postural Assessment Scale for Stroke Patients)
Postural control will be assessed using the Postural Assessment Scale for Stroke Patients (PASS; score range: 0-36). Higher scores indicate better postural control, lower scores indicate worse control.
Measured: Baseline and after 15 sessions (≈3 weeks)]
Functional Ambulation (Functional Ambulation Classification - FAC)
Ambulation will be measured using the Functional Ambulation Classification (FAC; score range: 0-5). Higher scores indicate better functional ambulation.
Measured: Baseline and after 15 sessions (≈3 weeks)]
Mobility (Timed Up and Go Test - TUG)
Mobility will be assessed using the Timed Up and Go Test (TUG; measured in seconds). Lower times indicate better mobility, higher times indicate worse mobility.
Measured: Baseline and after 15 sessions (≈3 weeks)]
Motor Recovery (Brunnstrom Stages)
Motor recovery will be assessed using Brunnstrom Stages of Motor Recovery (score range: Stage 1-6). Higher stages indicate better motor recovery.
Measured: Baseline and after 15 sessions (≈3 weeks)]
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Aug 2025
- Study start28 Aug 2025
- Primary completion11 Apr 2026
- Study completion11 Apr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for StrokeStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This study is a prospective, randomized, parallel-group trial. Stroke patients will be randomly assigned to one of two groups: (1) an intervention group receiving neuromuscular electrical stimulation (NMES) applied to the abdominal muscles in addition to core stabilization exercises, or (2) a control group performing only core stabilization exercises.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 2 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Başakşehir Çam & Sakura City Hospital
- Sponsor type
- Other government
- Responsible party
- Principal investigator, tuba sarıkaya, Başakşehir Çam & Sakura City Hospital
- Investigators
- Tuba SARIKAYA, Principal investigator, Başakşehir Çam & Sakura City Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07143630
- Sponsor's protocol ID
- 26.02.2025.79
- Status last verified
- Aug 2025
- First submitted
- 20 Aug 2025
- Last updated
- 15 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Abdominal Electrical Stimulation on Balance and Ultrasound-Measured Muscle Thickness in Stroke Patients: A Prospective Randomized Controlled Trials
- ClinicalTrials.gov ID
- NCT07143630
- Acronym / sponsor ID
- 26.02.2025.79
- Conditions
- Stroke
- Keywords
- postural balance, balance impairment, rehabilitation, neuromuscular electrical stimulation, abdominal muscle
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 2 participants (estimated)
- Lead sponsor
- Başakşehir Çam & Sakura City HospitalOther government
- Study start
- 28 Aug 2025 (actual)
- Primary completion
- 11 Apr 2026 (actual)
- Study completion
- 11 Apr 2026 (estimated)
- First posted
- 27 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Stroke is a leading cause of balance impairment and trunk muscle weakness, which restricts independence in daily activities. Neuromuscular electrical stimulation (NMES) is a safe rehabilitation method to activate muscles. This study will evaluate the effects of NMES applied to the abdominal muscles on balance and ultrasound-measured muscle thickness in stroke patients. The findings may provide evidence for new treatment strategies to enhance trunk function and improve quality of life after stroke.
Detailed description
Stroke is a leading cause of long-term disability and frequently results in impaired balance and trunk muscle weakness, limiting independence in daily life. Abdominal muscles are essential for postural stability, and their weakness may adversely affect mobility and functional outcomes in stroke patients. Neuromuscular electrical stimulation (NMES) is a safe rehabilitation method used to promote muscle contraction and improve strength. While NMES has shown positive effects on limb muscles, its impact on abdominal muscles and balance remains insufficiently studied.
In this prospective randomized controlled trial, participants will be randomly allocated into two groups. The control group will perform core stabilization exercises, while the intervention group will receive core stabilization exercises combined with abdominal NMES. Balance will be assessed using validated clinical scales, and abdominal muscle thickness will be measured by ultrasound. The study aims to determine the additional effects of abdominal NMES on balance, trunk control, and functional recovery in stroke patients.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- This study is a prospective, randomized, parallel-group trial. Stroke patients will be randomly assigned to one of two groups: (1) an intervention group receiving neuromuscular electrical stimulation (NMES) applied to the abdominal muscles in addition to core stabilization exercises, or (2) a control group performing only core stabilization exercises.
| Arm | Type | Receives |
|---|---|---|
| NMES + Core Stabilization Exercises | Experimental | Device: Neuromuscular Electrical Stimulation, Behavioral: Core Stabilization Exercises |
| Core Stabilization Exercises Only | Active comparator | Behavioral: Core Stabilization Exercises |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age between 18 and 65 years.
- At least 1 month since the onset of stroke.
- Ability to maintain sitting balance without support.
- Ability to stand with or without support.
- Voluntary agreement to participate in the study (signed informed consent).
Key exclusion criteria (11 listed)
- History of hemiplegia on the contralateral side of the body.
- Medically unstable condition.
- History of orthopedic or neurological disease that may cause balance impairment.
- Presence of balance problems prior to stroke.
- Body mass index (BMI) ≥ 35
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Neuromuscular Electrical StimulationAlso: Chattanooga multichanel stimulatorNMES will be applied to the abdominal muscles using a multichannel stimulator. Each session will last approximately 20 minutes, administered 5 times per week for a total of 15 sessions, in addition to core stabilization exercise program performed with the same frequency. | Device | NMES + Core Stabilization Exercises |
| Core Stabilization ExercisesAlso: Trunk stabilization trainingParticipants will perform a structured core stabilization exercise program. The program will be administered 5 times per week for a total of 15 sessions. | Behavioural | Core Stabilization Exercises Only, NMES + Core Stabilization Exercises |
Primary outcome
Change in Balance Performance (Berg Balance Scale)
Time frame: Baseline and after 15 sessions (≈3 weeks)
Balance will be assessed using the Berg Balance Scale (BBS; maximum score: 56, minimum score: 0). Higher scores indicate better balance, lower scores indicate worse balance.
Abdominal Muscle Thickness (Ultrasound)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Abdominal muscle thickness will be measured in millimeters by ultrasound at rest. Higher values indicate greater muscle thickness.
6 secondary outcomes
Trunk Control (Trunk Control test)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Fear of Falling (Visual Analog Scale - VAS)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Change in Postural Control (Postural Assessment Scale for Stroke Patients)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Functional Ambulation (Functional Ambulation Classification - FAC)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Mobility (Timed Up and Go Test - TUG)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Motor Recovery (Brunnstrom Stages)
Time frame: Baseline and after 15 sessions (≈3 weeks)]
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Apr 2026.
- Individual participant dataSharing planned: No
Related trials for Stroke
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Temporal Interference Stimulation for Upper-Limb Motor Recovery in Early Subacute Stroke
Acute Ischemic Stroke
RecruitingObservational study
ELATE Study: Evaluating Large-vessel Acute Thrombectomy in Extended Time Window
Acute Ichemic Stroke
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Web-Based Tele-Rehabilitation Using Action Observation and Mirror Therapy for Subacute Stroke: A Randomized Controlled Trial
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Early Motor-Cognitive Integrative Training on Cognitive and Motor Performance in Patients With Aneurysmal Subarachnoid Hemorrhage
Subarachnoid Aneurysm Hemorrhage
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Selective Intra-Arterial Hypothermia After Endovascular Treatment for Acute Basilar Artery Occlusion
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Tuba SARIKAYA principal investigator
Başakşehir Çam & Sakura City Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Neuromuscular Electrical Stimulation and Core Stabilization Exercises in people with Stroke, run by Başakşehir Çam & Sakura City Hospital at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 15 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Balance Performance (Berg Balance Scale) (time frame: Baseline and after 15 sessions (≈3 weeks)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Apr 2026.