Immediate Effects of Ankle Mobilization With Movement and Mulligan Talocrural Taping on Gait and Balance in Stroke Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 52
- 试验地点
- 2
- 主要终点
- The symmetry of the center of pressure changes during walking
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
盲法说明
There are 2 different groups in the study. One of them is the intervention group and the other is the sham group.
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Having had more than one stroke,
- •Cerebellar involvement,
- •Having severe visual impairment,
- •Having cognitive impairment,
- •Severe aphasia,
- •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.
研究组 & 干预措施
Intervention Group
Movement with Motion technique of Mulligan Concept to the ankle joint and taping will be performed on the participants in the Intervention Group.
干预措施: Mobilisation with Movement and Taping (Other)
Sham Group
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.
干预措施: Sham (Other)
结局指标
主要结局
The symmetry of the center of pressure changes during walking
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
The maximum force on the feet during walking
时间窗: 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.
Stride length
时间窗: 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
时间窗: 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.
次要结局
- Timed up and go test(Pre-intervention/sham and immediately after the intervention/sham)
- 10-meter walk test(Pre-intervention/sham and immediately after the intervention/sham)
研究者
Ismail Okur
Asst. Prof.
Kutahya Health Sciences University