Effect of pressure splint on spasticity in the stroke
Not Applicable
- Conditions
- Stroke patientsC10.228.140.300
- Registration Number
- RBR-7zmz3y
- Lead Sponsor
- niversidad Industrial de Santander
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruitment completed
- Sex
- Not specified
- Target Recruitment
- Not specified
Inclusion Criteria
Age 50 to 70 years, minimal time course of evolution 6 months to 4 years, plantar flexor muscles tone up to 3 according to the Modified Ashworth Scale (MAS), Barthel Index score greater than 60, independent gait pattern with or without ambulation aids, and the ability to perform the sit to stand movement independently
Exclusion Criteria
Altered cognitive ability according to the Short Portable Mental Status Questionnaire or inability to follow commands; Botulinum toxin injection 6 months before the study; diabetic polyneuropathy; lower limb pain and hyperalgesia; peripheral vascular disease, fractures or musculoskeletal lesions in the paretic lower limb; and consumption of muscle relaxant drugs.
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The H-reflex of Soleus muscle of the paretic lower limb was tested with patient at sitting position, evaluated by means of the neuroconduction device Nicolet Compass Meridian System. The parameters evaluated pre and post-intervention: amplitude and Hmáx/Mmáx ratio.<br><br>The Nicolet unit set-up was as follows: sensitivity/gain one millivolt/division, and sweep speed of 10 milliseconds / division with a bandwidth of 2-10 kHz. The H reflex response was elicited by an electrical impulse applied to the tibial nerve, and the current output was adjustable in the range of 0 to 200 V.;The tone of the plantar flexor muscles was evaluated in supine lying positio with the Modified Asworth Scale. The foot was moved up and down controlled by a metronome and the examiner graded the resistance felt with a single score of 1, 1+, 2, 3 or 4.
- Secondary Outcome Measures
Name Time Method EMG signals were recorded with a Biometrics Electromyography from the tibialis anterior,soleus, medial gastrocnemius and lateral gastrocnemius muscles during the sit to stand movement. The parameters evaluated: Root Mean Square amplitude and median frequency. The amplitude was normalized by submaximal voluntary isometric contraction