The Effects of Reaching Task Following Selective Trunk Stability Exercise in Chronic Stroke Survivors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- The Effect of a Particular Intervention During the Entire Course of the study_Trunk Dislocation
研究概览
简要总结
This study is performed in a controlled randomized, two-period crossover design to test the efficacy of Abdominal drawing-in maneuver (ADIM) exercise compared to conventional physiotherapy in chronic stroke survivors.
详细描述
All participants provided written informed consent and are assigned to Group A or Group B. The inclusion criteria are Exclusion criteria are
Abdominal drawing-in maneuver exercise is following as:
It's for strengthening the Transversus Abdominis muscle(TrA). The simple device, that observes the pressure changes by the gauge. Subjects receive intervention 2 times a week for 4 weeks. Each session is 40 minutes. From the supine position to the hook-lying position (hip joint at 40 degrees and the knee joint at 80 degrees) and pull the navel deeply to the lumbar region through the Stabilizer™ Pressure Biofeedback that stabilizes transversus abdominis muscle. At this time, subjects are controlled to maintain contraction while keep breathing lightly, to contract slowly, also to not move the pelvis and chest while exercising The device assists in body control movements of the spine and abdominal muscle.
Conventional physiotherapy is following as:
Release pain, limb stretching, mobilization of joint and pelvic movement. Subjects receive 2 times a week for 4 weeks. Each session is 40 minutes. Group A received Abdominal drawing-in maneuver exercise for 4 weeks on period 1. Afterward washout period in a month, follow period 2 of conventional physiotherapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
盲法说明
Double-blind.
入排标准
- 年龄范围
- 40 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The subject consisted of the physician's confirmation of chronic hemiplegia
- •onset ≥ 6 months
- •Mini-mental state examination≥25
- •Biceps ≤2, Triceps≤2
- •Ability to Sit on a chair alone
- •FMA UE score ≥ 21points, FMA UE≤ 60 points
排除标准
- •Biceps>2, Triceps>2
- •Neglect syndrome
- •Have neurological disease and orthopedic disease
- •Lack of coordination
研究组 & 干预措施
Abdominal drawing-in maneuver exercise, afterward Sham therapy(conventional physiotherapy)
Participants first received Abdominal drawing-in maneuver exercise 2 times a week for 4 weeks. Each session is 40 minutes for additional 10 min with conventional therapy. Afterward a washout period of one month, they then received sham therapy (conventional therapy_release pain or upper limb mobilization) 2 times a week for 4 weeks. Each session is 40 minutes.
干预措施: Abdominal drawing-in maneuver exercise (Behavioral)
Abdominal drawing-in maneuver exercise, afterward Sham therapy(conventional physiotherapy)
Participants first received Abdominal drawing-in maneuver exercise 2 times a week for 4 weeks. Each session is 40 minutes for additional 10 min with conventional therapy. Afterward a washout period of one month, they then received sham therapy (conventional therapy_release pain or upper limb mobilization) 2 times a week for 4 weeks. Each session is 40 minutes.
干预措施: sham (Behavioral)
Sham therapy(conventional physiotherapy), afterward Abdominal drawing-in maneuver exercise
Participants first received sham therapy(release pain or upper limb mobilization)2 times a week for 4 weeks. Each session is 40 minutes. Afterward a washout period of one month, they then received Abdominal drawing-in maneuver exercise 2 times a week for 4 weeks. Each session is 40 minutes for additional 10 min with conventional therapy
干预措施: Abdominal drawing-in maneuver exercise (Behavioral)
Sham therapy(conventional physiotherapy), afterward Abdominal drawing-in maneuver exercise
Participants first received sham therapy(release pain or upper limb mobilization)2 times a week for 4 weeks. Each session is 40 minutes. Afterward a washout period of one month, they then received Abdominal drawing-in maneuver exercise 2 times a week for 4 weeks. Each session is 40 minutes for additional 10 min with conventional therapy
干预措施: sham (Behavioral)
结局指标
主要结局
The Effect of a Particular Intervention During the Entire Course of the study_Trunk Dislocation
时间窗: Baseline, two period(each 4weeks), wash out(4weeks)
We defined hand movement onset as the time when tangential velocity exceeded 10% of peak velocity and movement offset as when it fell below 10%. Participants who received that particular intervention during the entire course of the study. Effect of Abdominal Drawing-In Maneuver (AIDM) exercise and Shan therapy. Dislocation distance in millimeters(mm) for reaching phase
The Effect of a Particular Intervention During the Entire Course of the Study_movement Unit
时间窗: Baseline, two period(each 4weeks), wash out(4weeks)
We defined hand movement onset as the time when tangential velocity exceeded 10% of peak velocity and movement offset as when it fell below 10%. It was defined by velocity peaks exceeding 20mm/s, with a minimum 150 ms interval. Participants who received that particular intervention during the entire course of the study. Number of movement units for reaching phase
The Effect of a Particular Intervention During the Entire Course of the Study_Elbow Angle
时间窗: Baseline, two period(each 4weeks), wash out(4weeks)
We defined hand movement onset as the time when tangential velocity exceeded 10% of peak velocity and movement offset as when it fell below 10% Elbow angle in degree for reaching phase Participants who received that particular intervention during the entire course of the study. -elbow angle: joining vector of acromion to lateral epicondyle and vector of lateral epicondyle and medial styloid process.
次要结局
- The Effect of a Particular Intervention During the Entire Course of the Study_Total Time(Baseline, two period(each 4weeks), wash out(4weeks))
- The Effect of a Particular Intervention During the Entire Course of the Study_Hand Velocity(Baseline, two period(each 4weeks), wash out(4weeks))
- The Effect of a Particular Intervention During the Entire Course of the Study_Elbow Angular Velocity(Baseline, two period(each 4weeks), wash out(4weeks))
研究者
José Casaña Granell
Professor
University of Valencia