Τhe Effectiveness of Hydrotherapy Exercises on the Rehabilitation of Hemiplegic Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemiplegics
- Sponsor
- University of Ioannina
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change of postural and sitting balance at six weeks
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
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.
Investigators
Avraam Ploumis
Assistant Professor of PMR, Orthopaedic Spine Surgeon
University of Ioannina
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Change of postural and sitting balance at six weeks
Time Frame: 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)
Secondary Outcomes
- 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)