Immediate Effects of Ankle MWM and Taping on Gait and Balance in Stroke Patients
- Conditions
- Stroke
- Interventions
- Other: ShamOther: Mobilisation with Movement and Taping
- Registration Number
- NCT06318624
- Lead Sponsor
- Kutahya Health Sciences University
- Brief Summary
Disorders caused by stroke may lead to significant limitations, especially in ankle range of motion, and may cause impairments in walking and balance functions. This limitation in ankle range of motion leads to difficulties in weight transfer, stability, and balance. As a result, there is a decrease in walking performance and an increased risk of falls. Various interventions have been used to improve ankle dorsiflexion passive range of motion, including gastrosoleus muscle stretching, muscle strengthening training, functional electrical stimulation training, proprioceptive control training, taping, manual therapy, different mobilization techniques, and ankle mobilization with motion (MWM).There are limited studies investigating the immediate effects of MWM and taping on gait and balance in stroke patients. This study was planned to investigate the effect of Mulligan's ankle MWM technique and talus stabilization taping on spatiotemporal gait and balance parameters in stroke patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
- Having a unilateral stroke for more than three months,
- Being able to walk 10 meters without an assistive device,
- Being able to walk unassisted before having a stroke,
- Having a score of 3 or lower on the Modified Ashworth Scale (MAS),
- Be able to follow simple verbal instructions,
- Being Volunteer
- Having had more than one stroke,
- Cerebellar involvement,
- Having severe visual impairment,
- Having cognitive impairment,
- Severe aphasia,
- Apraxia,
- Having contraindications for joint mobilization (e.g. ankle hypermobility, trauma, inflammation),
- Have significant lower limb problems such as fractures or arthritis,
- Having undergone musculoskeletal surgery less than 6 months ago,
- Having joint contracture in the paretic ankle that prevents walking.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Sham Group Sham Movement with Motion technique of Mulligan Concept to the ankle joint with lower amplitude and taping with minimal tension will be performed on the participants in the Sham Group. Intervention Group Mobilisation with Movement and Taping Movement with Motion technique of Mulligan Concept to the ankle joint and taping will be performed on the participants in the Intervention Group.
- Primary Outcome Measures
Name Time Method The maximum force on the feet during walking Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. The maximum force on the feet during walking spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as N/cm2.
The symmetry of the center of pressure changes during walking Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. The symmetry of the center of pressure changes during walking spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as a millimeter.
Cadance Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. Cadance spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as the number of steps per minute.
The distribution of pressure on the feet Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. The distribution of pressure on the feet spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as percentages.
Balance Pre-intervention/sham and immediately after the intervention/sham Zebris FDM-2 device will also be used for the evaluation of balance parameters. Participants will be asked to stand on the device for 60 seconds without shoes, arms at their sides, eyes open and looking at a point 3 meters away. As a result of the evaluation, changes in the center of pressure will be recorded.
Walking speed Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. Walking speed spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as m/s.
Stride length Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. Stride length spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as a millimeter.
Stride width Pre-intervention/sham and immediately after the intervention/sham Spatiotemporal parameters of gait will be evaluated with the Zebris FDM-2 device. Stride width spatiotemporal parameters of gait will be obtained from this platform. The date will recorded as a millimeter.
- Secondary Outcome Measures
Name Time Method 10-meter walk test Pre-intervention/sham and immediately after the intervention/sham The 10-meter walk test will be used to assess the walking speed of stroke patients. Patients will be asked to walk a 10-meter track. Walking times will be recorded in seconds.
Timed up and go test Pre-intervention/sham and immediately after the intervention/sham The timed get up and walk test will be used to measure the dynamic balance of individuals. It includes the measurement of the time it takes for the participant to get up from the chair, walk 3 meters at their own pace, turn around, return to the chair and sit back in the chair.
Trial Locations
- Locations (1)
Kutahya Health Sciences University
🇹🇷Kütahya, Turkey