Τhe Effectiveness of Hydrotherapy Exercises on the Rehabilitation of Hemiplegic Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Change of postural and sitting balance at six weeks
研究概览
简要总结
The purpose of this current prospective study is to assess and compare the effects of a hydrotherapy exercise programme against a conventional land-based exercise programme in individuals with hemiplegia. Both exercise interventions aim at improving posture, balance and weight-bearing capability. Patients were randomized to the hydrotherapy or conventional therapy groups according to balance function (Berg Balance Scale score) and age (age<59 and >60 years). The physical examination consisted of (1) a lower-limb motor function recovery of the paretic side score according to the 6-stage Brunnstrom scale, (2) the hemiplegic limb strength measured by the Motricity Index, (3) the strength of ankle dorsiflexors and plantarflexors by manual muscle testing, (4) the spasticity of the ankle score by Modified Ashworth Scale, (5) the trunk function through the Trunk Control Test, (6) the postural control assessed by Postural Assessment Scale for Stroke Patients and (7) the functional status measured with the Functional Independence Measure. Postural sway was evaluated with a pressure platform by using the variables of center of pressure (COP) displacements in the mediolateral (ML) and anteroposterior (AP) directions. The results will be collected and evaluated using statistical programme SPSS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •hemiplegia or hemiparesis after stroke or traumatic brain injury
- •at least 6 months post-stroke from a single cerebrovascular accident
- •independent in walking (with or without assistive device)
- •clinical stable
排除标准
- •unstable cardiac conditions
- •urinary or faecal incontinence
- •open wounds
- •significant musculoskeletal problems in lower extremities from conditions other than stroke
- •Alzheimer
- •Parkinson's disease
- •polyneuropathy
- •vestibular disorders
- •current participation in an exercise program
结局指标
主要结局
Change of postural and sitting balance at six weeks
时间窗: At the time of admittance to the rehabilitation department (at baseline) and after six weeks
Postural balance and weight-bearing ability measured by vertical ground reaction force during standing, sitting and four standing tasks (rising from a chair and weight-shifting forward, backward and laterally)
次要结局
- Change of function at 6 weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
- Change of balance at six weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
- Change of trunk control at 6 weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
- Change of leg's motion at 6 weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
- Change of posture at 6 weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
- Change of spasticity at six weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
- Change of leg's strength at 6 weeks(At the time of admittance to the rehabilitation department (at baseline) and after six weeks)
研究者
Avraam Ploumis
Assistant Professor of PMR, Orthopaedic Spine Surgeon
University of Ioannina