Thoracic Spinal Manipulation in Stroke

Who May Qualify: - Having chronic stroke, - A Mini-Mental State Examination score of 24 or higher, - Ability to stand independently for 20 seconds or more, - Ability to walk independently for 10 meters, using assistive devices or orthoses if necessary, - Being between 40 and 75 years of age, - Having a Brunnstrom stage of 4 or above Who Should NOT Join This Trial: - History of whiplash injury, - Diagnosis of fibromyalgia, - History of spinal manipulation treatment within the previous 2 months, - History of cervical or thoracic fracture or dislocation, - History of cervical or thoracic spine surgery, - Diagnosis of cervical radiculopathy or myelopathy, - Presence of serious spinal pathology, - Presence of any orthopedic or neurological disorder other than stroke, or an unstable cardiac condition, - Presence of a vestibular disorder, - The presence of lower extremity ulceration or amputation, - Alcohol consumption in the last 24 hours, - Posterior circulation stroke involving the basilar artery or cerebellum, - Having experienced an acute lower extremity injury in the last six weeks, - History of lower extremity surgery Always talk to your doctor about whether this trial is right for you.