A multi-modality approach to prevent and treat contracture after traumatic brain injury: a randomised controlled trial

Not Applicable

Completed

• Conditions: Contracture after traumatic brain injury; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12608000637347
• Lead Sponsor: Royal Rehabilitation Centre Sydney

Brief Summary

Results: The mean between-group differences (95%CI) for passive ankle dorsiflexion at Week 6 and Week 10 were –3 degrees (–8 to 2) and –1 degrees (–6 to 4), respectively, in favour of the control group. There was a smallmean reduction of 1 point in spasticity at Week 6 (95% CI 0.1 to 1.8) in favour of the experimental group, but this effect disappeared at Week 10. There were no differences for other secondary outcome measures except the physiotherapists’ perceived treatment credibility.

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2008-12-16
• Study Completion: 2014-04-30
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

Diagnosed with first traumatic brain injury
-Unable to walk 17 metres without physical assistance or 50 metres with supervision, ie., a score of <5 on the walking item of the Functional Independence Measure
-Have passive ankle dorsflexion range of motion <5 and >-15 degrees with the application of 12Nm of torque
-Willing and able to participate in a splinting regimen and tilt table standing
-Do not have unstable medical conditions or recent ankle fractures
-Currently receiving in-patient rehabilitation at the three brain injury units in Sydney
-Unlikely to be discharged in 6 weeks
-Provide consent to participate in the study (the participants or the person responsible for them)

Exclusion Criteria

-Passive ankle dorsiflexion range of motion >5 degrees
-Severe ankle contracture with passive ankle dorsiflexion range of motion <-15 degrees
-Unstable medical conditions or recent ankle fractures

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Passive ankle dorsiflexion range of motion will be measured with the application of 12Nm of torque.[At baseline, at the end of the 6-week intervention period (ie., post-intervention) and 4 weeks later (ie., follow-up)]