Comparison between Nerve Gliding and Muscle Release Technique to improve leg Flexiblity and Balance in Stroke patients.

Not yet recruiting

Conditions: Spastic hemiplegia,

Registration Number: CTRI/2025/05/086975

Lead Sponsor: Sancheti Institute for Orthopaedics and Rehabilitation, College of Physiotherapy

Brief Summary: Stroke often leads to lower limb spasticity, reduced range of motion, and increased stiffness in muscles and fascia, along with altered neural mechanics due to compromised nerve mobility and blood supply. These structural changes contribute to motor impairments, decreased flexibility, poor balance, and limited mobility, especially in sub-acute and chronic stroke patients. Neural Mobilization (NM) and Myofascial Release (MFR) are therapeutic techniques aimed at improving flexibility, reducing spasticity, and enhancing balance. Although both techniques have shown positive effects individually, their comparative effectiveness in stroke rehabilitation is still unclear. This study aims to compare the effects of NM and MFR on lower limb flexibility and balance to identify the more effective intervention, ultimately aiming to improve functional outcomes and quality of life in stroke survivors.

Null Hypothesis (H0)**:-**

There will be comparable effect of neural mobilization and myofascial release on lower limb flexibility and balance in sub-acute and chronic stroke patients.

Alternate Hypothesis**:-**

(H1) - Neural mobilization will be more effective on lower limb flexibility and balance as compared to Myofascial release in sub-acute and chronic stroke patients.

(H2) - Myofascial release technique will be more effective than neural mobilization on lower limb flexibility and balance in sub-acute and chronic stroke patients.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 30

Inclusion Criteria

1.Patients diagnosed with CVA more than 3 months 2.Mini Mental State Examination (MMSE)score of 24 and above 3.Spasticity grade 2 or lower according to modified Ashworth scale 4.Lower limb voluntary control grade between 3-5 5.Self ambulatory patients ambulating with or without cane.

Exclusion Criteria

1.Unstable cardiovascular conditions like uncontrolled hypertension, peripheral vascular disease, recent MI.
2.Other neurological disorders.
3.Any musculoskeletal disorders affecting gait such as total knee or total hip arthroplasty in affected side, fracture in affected lower extremity.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Balance (BBS)- Static and Dynamic balance	At baseline (0 week) \| Post intervention (4 weeks)

Secondary Outcome Measures

Name	Time	Method
Functional Balance (TUG)	At baseline (0 week)
Flexibility ( using Goniometer)	At baseline (0 week)

Trial Locations

Locations (1): Sancheti Institute for Orthopaedics and Rehabilitation, College of Physiotherapy
🇮🇳
Pune, MAHARASHTRA, India
Sancheti Institute for Orthopaedics and Rehabilitation, College of Physiotherapy
🇮🇳Pune, MAHARASHTRA, India
Rishita Dey
Principal investigator
8369270751
rish.d02@gmail.com