Abstract

Objective: To systematically investigate whether pelvic/lumbopelvic stabilization improves balance and functional activity in adults with acute/subacute stroke, and to summarize key intervention components and clinical applicability.
Methodology: The PubMed and Embase databases for randomized controlled trials (RCTs) investigating pelvic/lumbosacral stabilization interventions in adults with acute/subacute stroke were searched. Eligible trials included a comparator and reported balance and/or functional outcomes. Seven RCTs were selected from a total of 356 articles after screening and full-text review according to the PRISMA principles.
Results: Seven RCTs assessed ADIM-centered training (with/without breathing integration), feedback-assisted core activation, diaphragmatic–deep abdominal coordination, or additional core stabilization combined with usual rehabilitation. Most trials reported improvements in trunk control and balance-related outcomes, and several also showed gains in gait performance or activities of daily living indices. Findings varied across studies due to differences in intervention components, dosage, and outcome measures.
Conclusion: In early post-stroke rehabilitation, pelvic/lumbopelvic stabilization training may improve trunk control and balance, and some studies have shown additional benefits for walking and activities of daily living.

Key words: stroke, acute, subacute, stabilization, balance, functional activity.