Effect of Circumferential Pressure using a sphygmomanometer vs. tendinous pressure on calf spasticity and gait in individuals with stroke: A Experimental study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- 1 Modified Ashworth Scale
研究概览
简要总结
This study will evaluate the effect of circumferential pressure using a sphygmomanometer versus tendinous pressure on calf spasticity and gait in stroke survivors. A total of 54 participants aged 45 to 70 years with subacute or chronic stroke will be randomly assigned to 2 groups: circumferential pressure with conventional physiotherapy, tendinous pressure with conventional physiotherapy. Interventions will be given 5 days a week for 6 weeks. Spasticity will be assessed using the Modified Ashworth Scale, and gait will be measured by the Wisconsin Gait Scale. The study aims to determine effective low cost non invasive strategies to reduce calf spasticity and improve functional mobility in stroke patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- None
入排标准
- 年龄范围
- 45.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Survivors diagnosed with stroke on computed tomography (CT) or magnetic resonance imaging (MRI) with subacute and chronic onset of stroke (more than 3 months)
- •Increased muscle tone of the affected lower limb gastro-soleus muscle (Modified Ashworth scale grade from 1 to 3)
- •Brunnstorm stage of recovery 2 and 3
- •Voluntary control of affected lower limb and ankle (Voluntary control grade from 2 to 4)
- •Unable to do dorsiflexion
- •Pressure sensation should be intact on the affected extremities
- •MMSE score in between 24 to 30
- •Patient should be Cooperative and motivated
- •Those who are willing to voluntarily participate in the study.
排除标准
- •Contractures of affected calf muscle
- •Increased muscle tone of the affected lower limb gastro-soleus muscle (modified ashworth scale grade 0 and 4)
- •Voluntary control grading stage 5 and 6
- •Any visual/ hearing problems
- •Cognitive impairment
- •Deformity of lower limb
- •Peripheral nerve injury
- •Peripheral vascular disease of the affected side
- •Any other neurological problem like head injury, cerebral palsy, multiple sclerosis and spinal cord injury or uncontrolled cardiovascular or other neurological condition were excluded.
- •The survivors who are not co-operative during the study.
结局指标
主要结局
1 Modified Ashworth Scale
时间窗: At baseline and 6 weeks
(MAS)
时间窗: At baseline and 6 weeks
2 Wisconsin Gait Scale (WGS)
时间窗: At baseline and 6 weeks
次要结局
未报告次要终点
研究者
Dr Divya Kharwandikar
RJS College of Physiotherapy