The Effect of Talocrural Joint Manipulation on Static Balance in Patients With Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Bitlis Eren University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Overall Stability Index Measurement
- Status
- Completed
- Last Updated
- 9 months ago
Overview
Brief Summary
The primary aim of the study is to investigate the effect of talocrural joint manipulation on the static balance of patients with stroke. The secondary aim of this study is to investigate the effect of talocrural joint manipulation on the dorsiflexion range of motion of patients with stroke.
Detailed Description
The study, utilizing a randomized crossover design, is planned to be conducted on a minimum of 26 patients with stroke who meet the inclusion and exclusion criteria. Patients included in the study will be randomly assigned to receive both placebo talocrural joint manipulation and talocrural joint manipulation treatments.
Investigators
Omer Dursun
Asst. Prof.
Bitlis Eren University
Eligibility Criteria
Inclusion Criteria
- •Two months or longer elapsed since the stroke,
- •A Mini-Mental State Examination score of 24 or higher,
- •The ability to stand independently for 20 seconds or more,
- •The ability to walk independently for 10 meters with the use of walking aids or orthoses if necessary,
- •Being between 45 and 75 years of age,
- •Having a Brunnstrom stage of 4 or above
Exclusion Criteria
- •The presence of severe osteoarthritis in the lower extremity,
- •The presence of cancer or diabetic neuropathy,
- •The presence of vestibular disorder,
- •The presence of lower extremity ulceration or amputation,
- •History of vertigo,
- •Alcohol consumption within the last 24 hours,
- •Hemodynamic instability,
- •Diagnosis of posterior circulation stroke involving the basilar artery and cerebellum,
- •The presence of other neurological disorders (such as multiple sclerosis, Parkinson's disease),
- •Having experienced an acute lower extremity injury in the last six weeks,
Outcomes
Primary Outcomes
Overall Stability Index Measurement
Time Frame: Change from baseline overall stability immediately after intervention
Overall stability index, evaluated using the Biodex Balance System. Overall stability index scores were derived from calculations of deviations from the center of gravity in the anteroposterior and mediolateral axes by the device. A lower score indicates smaller deviation and better postural stability. The assessment was conducted on a stable platform with three 20-second repetitions interspersed with 10-second rest periods. Participants remained standing during the rest periods, and the device automatically computed the average of the three repetitions. As the general stability index value increases, overall stability decreases. No definable minimum or maximum theoretical value.
Secondary Outcomes
- Mediolateral Stability Index Measurement(Change from baseline mediolateral stability immediately after intervention)
- Anteroposterior Stability Index Measurement(Change from baseline anteroposterior stability immediately after intervention)
- Ankle Dorsiflexion Range of Motion Measurement With Knee in Extended and Flexed Positions(Change from baseline ankle dorsiflexion range of motion immediately after intervention)