Training of Ankle Mobilization with Movement versus Static Muscle Stretching in Patients with Chronic Stroke
- Conditions
- Diseases of the nervous system
- Registration Number
- KCT0002388
- Lead Sponsor
- Yonsei University
- Brief Summary
A total of twenty patients with stroke from Kyong-in Hospital, Incheon, volunteered to participate in this study. A randomized controlled trial design was used and participants were divided into the mobilization with movement (n = 10) and static muscle stretching groups (n = 10). There were no subjects who were excluded during the experiment. There were eight males and twelve females, enrolled in this study. Mobilization with movement group subjects were a mean 57.4 years of age, 167.8 cm in height, and 65.9 kg in weight. Static muscle stretching group subjects were a mean 60.3 years of age, 162.3 cm in height, and 63.7 kg in weight. There was no significant adverse reaction occurring during the study. After 4 weeks of training, in both groups, the modified Ashworth scale scores were significantly lower after treatment compared to the baseline scores (P < 0.05), did not differ significantly between the groups (P = 0.39). Ankle dorsiflexion passive range of motion did not differ significantly between the groups (P = 0.38). However, in both groups, the ankle dorsiflexion passive range of motion values were significantly higher after treatment than the baseline values (P < 0.001). The post-treatment static balance ability was significantly lower in the mobilization with movement group than the static muscle stretching group (P = 0.005), and it reduced significantly after treatment compared to the baseline only in the MWM group (P = 0.002). The post-treatment Berg balance scale score was significantly higher in the mobilization with movement group than the static muscle stretching group (P = 0.002), and Berg balance scale scores increased significantly after treatment in both groups compared to the baseline values (P < 0.001) Gait speed did not differ significantly between the groups (P = 0.29), but it was significantly higher after treatment compared to the baseline in both groups (P < 0.001). Cadence was significantly higher in the MWM group than in the SMS group (P = 0.49), and in both groups, it increased significantly after treatment compared to the baseline (P < 0.05). Affected side step length was not significantly different between the groups (P = 0.38). However, it increased significantly after treatment compared to the baseline only in the MWM group (P = 0.007). Affected side stride length did not significantly differ between the groups (P = 0.91), but it increased significantly after treatment compared to the baseline only in the MWM group (P = 0.001) The Korean version of the modified Barthel index scores did not significantly differ between the groups (P = 1.00), but they increased significantly after treatment compared to the baseline in both groups (P < 0.001) This study demonstrates that MWM training is beneficial for improving motor development. Thus, mobilization with movement may be an effective treatment for chronic stroke patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 20
(1) diagnosis of hemiplegia due to hemorrhagic or ischemic stroke; more than 6 months post-stroke to minimize the effects of natural recovery;
(2) the patients were capable of independent gait over 10 m without assist devices,
(3) they had a minimum score of 24 on the Korean Mini-Mental State Examination scale,
(4) for individuals ability to perform a single-leg lunge on the affected side lower limb
(5) no contracture of the ankle joint.
history of surgery in the lower extremities, fractures, neurological diseases, or hip and knee flexion contracture
Study & Design
- Study Type
- Interventional Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method lower extremity spasticity;ankle dorsiflexion passive range of motion;static balance ability ;Berg balance scale;gait parameters
- Secondary Outcome Measures
Name Time Method the Korean version of the modified Barthel index