The Efficacy of Thai Traditional Massage in Decreasing Spasticity for Elderly With Stroke
Trial Snapshot
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- Mahidol University
- Enrollment
- 396
- Locations
- 1
- Primary Endpoint
- Modified Ashworth scale (MAS)
Study Overview
Brief Summary
Stroke is one of the common diseases in the elderly. It is the third ranking cause of death and affects health care system in our country. One of the most important consequences of stroke is spasticity. Some stroke patients suffered from severe spasticity or hypersensitive reflex to stimuli. It can cause contracture, limit self care function, transfer or ambulation. Most of stroke patients have to depend on their relatives or families.
Detailed Description
Thai traditional massage is one of the popular alternative medicine in Thailand. Lots of stroke patients who suffered from spasticity sought treatment. To the investigators knowledge, there is no study concerning efficacy of massage in decreasing spasticity for stroke patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 50 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Stroke with onset of >=6 months
- •Age >=50 years
- •Spasticity grade of knee flexor or elbow flexor was 2-3 classified by Modified Ashworth scale (MAS)
- •Ability to follow command and communicable
Exclusion Criteria
- •Having contraindications for massage including fever > 38 degree, uncontrolled blood pressure, bleeding tendency, on anticoagulant drug, having ulcer or healing fracture of limbs, contamination skin disease, severe osteoporosis
- •Serious contact diseases, for example AIDS, TB
- •History of malignancy
- •Fixed joint contracture at elbow or knee of paralyzed limb
- •History of botulinum toxin injection or Phenol/Alcohol nerve block within 3 months
- •Previous history of TTM
- •Severe dementia or uncontrolled psychiatric problems
Arms & Interventions
Physical therapy
The control group will receive physical therapy 2 time per week for 6 weeks
Intervention: Physical therapy program (Procedure)
Thai Traditional Massage
The experimental group will receive Thai traditional massage program 2 times per week for 6 weeks.
Intervention: Thai Traditional Massage (TTM) (Procedure)
Outcomes
Primary Outcomes
Modified Ashworth scale (MAS)
Time Frame: 6 weeks
The massage will be considered success if MAS decreased at least 1 level after treatment.
Secondary Outcomes
- Modified Barthel index (BI)(6 weeks)
- Hospital anxiety depression score (HADS)(6 weeks)
- Thai Pictorial Quality of Life questionnaire(6 weeks)
Investigators
Vilai Kuptniratsaikul
Rehabilitation Medicine Department, Siriraj Hospital
Mahidol University