The Effects of Self-Ankle Mobilization with Movement on functions for Patients with Chronic Stroke after Four-Week Interventions.
- Conditions
- Diseases of the nervous system
- Registration Number
- KCT0002547
- Lead Sponsor
- Yonsei University
- Brief Summary
A total of twenty four 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 self-mobilization with movement with 10 ° inclined board (n = 12) self-mobilization with movement with 0 ° inclined board groups (n = 12). There were no subjects who were excluded during the experiment. There were twelve males and twelve females, enrolled in this study. Self-mobilization with movement with 0 ° inclined board groups subjects were a mean 57.6 years of age, 164.6 cm in height, and 63.8 kg in weight. Self-mobilization with movement with 10 ° inclined board groups subjects were a mean 64.1 years of age, 165.4 cm in height, and 63.0 kg in weight. There was no significant adverse reaction occurring during the study. After 4 weeks of training, in both groups, the ankle dorsiflexion passive range of motion was significantly increased after treatment compared to the baseline scores (P < 0.01), and the post-treatment ankle dorsiflexion passive range of motion was significantly higher in the self-mobilization with movement with 10 ° inclined board group than self-mobilization with movement with 0 ° inclined board groups (P = 0.033). After 4 weeks of training, in both groups, static balance ability was significantly decreased after treatment compared to the baseline scores (P < 0.01), and the post-treatment static balance ability was significantly lower in the self-mobilization with movement with 10 ° inclined board group than self-mobilization with movement with 0 ° inclined board groups (P = 0.001).After 4 weeks of training, in both groups, Berg balance scale score was significantly increased after treatment compared to the baseline scores (P < 0.01), and Berg balance scale scores did not differ significantly between the groups (P = 0.079). After 4 weeks of training, in both groups, gait speed was significantly increased after treatment compared to the baseline scores (P < 0.01), and the post-treatment gait speed was significantly higher in the self-mobilization with movement with 10 ° inclined board group than self-mobilization with movement with 0 ° inclined board groups (P = 0.001). After 4 weeks of training, in both groups, cadence was significantly increased after treatment compared to the baseline scores (P < 0.01), and the post-treatment cadence was significantly higher in the self-mobilization with movement with 10 ° inclined board group than self-mobilization with movement with 0 ° inclined board groups (P = 0.001). After 4 weeks of training, in both groups, step length was significantly increased after treatment compared to the baseline scores (P < 0.01), and the post-treatment affected side step length was significantly higher in the self-mobilization with movement with 10 ° inclined board group than self-mobilization with movement with 0 ° inclined board groups (P = 0.001). After 4 weeks of training, in both groups, stride length was was significantly increased after treatment compared to the baseline scores (P < 0.01), and stride length did not differ significantly between the groups (P = 0.352). The Korean version of the modified Barthel index scores did not significantly differ between the groups (P = 0.18), but they increased significantly after treatment compared to the baseline in both groups (P < 0.01) This study demonstrates that self-mobilization with movement with 10 ° inclined board training is better than self-mobilization with movement with 0° inclined board beneficial for improving motor development. Thus, self-mobilization with movement with 10 ° inclined board may be an effective treatment for chronic stroke patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 24
(1) a diagnosis of hemiplegia due to hemorrhagic or ischemic stroke, more than 6 months post-stroke
(2) less than 8° of passive ankle dorsiflexion ROM on the affected side
(3) for individuals ability to perform a single-leg lunge on the affected side lower limb onto an incline board from a standing position independently
(4) independent gait without assistive devices possible over 10 m
(5) a minimum score of 24 on the Korean Mini-Mental State Examination
(1) history of surgery in the lower extremities, fractures, neurological diseases, or hip and knee flexion contracture
(2) contraindications for ankle joint mobilization (i.e., ankle joint hypermobility, trauma, or inflammation).
Study & Design
- Study Type
- Interventional Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 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