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Experimentation of an Ankle Mobilization Device for the Rehabilitation of Patients With Acquired Brain Injuries.

Not Applicable
Completed
Conditions
Acquired Brain Injury
Interventions
Device: Ankle active and passive mobilization using an Ankle mobilization device
Registration Number
NCT03879070
Lead Sponsor
IRCCS Eugenio Medea
Brief Summary

The proposed clinical investigation plan is a randomized controlled pivotal study with 2 parallel groups, has a total duration of two years. For the study, 30 pediatric patients suffering from acquired brain injury will be recruited at the Scientific institute Eugenio Medea.

The primary aim of this study is to assess the clinical benefit of using an ankle mobilization device for the rehabilitation of pediatric patients with acquired brain injuries, on its clinical performance and its risks, and on its safety.

The efficacy of the treatment will be evaluated in terms of ankle range of motion (primary outcome). The effects of the treatment on musculoskeletal plasticity will be studied using an isokinetic machine and functional magnetic resonance imaging will provide information on variations of reactivity in the motor cortical network. Ease of use, safety and usability of the device will also be evaluated.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Tetraplegic and hemiplegic acquired brain injury patients, within first month of injury.
  • Spastic syndrome (ankle joint Modified Ashworth Scale > 1).
Exclusion Criteria
  • Pace maker or other contraindication to Magnetic Resonance Imaging scans.
  • Other serious comorbidity.
  • Behaviour and psychiatric disorders.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention groupAnkle active and passive mobilization using an Ankle mobilization device-
Primary Outcome Measures
NameTimeMethod
Passive range of motion of ankle dorsi-plantarflexionChange from baseline after 4 weeks of treatment

Measured with goniometer

Secondary Outcome Measures
NameTimeMethod
Medical Research Council (MRC) Scale for Muscle StrengthChange from baseline after 4 weeks of treatment

Scale for measuring Muscle Strength, range 0-5, higher is better.

Time-Domain Near-Infrared SpectroscopyChange from baseline after 4 weeks of treatment

Blood oxygen saturation in muscles

Ankle joint stiffnessChange from baseline after 4 weeks of treatment

Device: isokinetic machine

Cerebral activationChange from baseline after 4 weeks of treatment

functional Magnetic Resonance blood oxygenation level dependent imaging

Trial Locations

Locations (1)

IRCCS E. Medea

🇮🇹

Bosisio Parini, Lecco, Italy

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