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The influence of combined lower limb therapy on selected structural parameters, activity and quality of life in people after stroke.

Conditions
Stroke - Ischaemic
stroke
spasticity
Physical Medicine / Rehabilitation - Physiotherapy
Stroke - Haemorrhagic
Registration Number
ACTRN12619000110189
Lead Sponsor
The University of Physical Education
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

a) aged grater than 50 less than 65,
b) after ischemic stroke in a period of at least 3 months before inclusion in the program, and no later than 5 years after the stroke,
c) confirmed post-traumatic spasticity of the lower limb - moderate or higher degree (result in the modified Ashworth scale MAS equal to or greater than 2)
d) capable of independent passage of 20 m (only orthopedic supplies in the form of an AFO or DAFO orthosis are allowed).

Exclusion Criteria

a) severe dysphagia or respiratory disorders,
b) pregnancy
c) myasthenia and myasthenic syndrome - based on neurological examination
d) symptoms of generalized infection,
e) the presence of inflammation
f) permanent contractures in soft tissues and joints,
g) paralysis of the lower limb,
h) pusher syndrome
i) cognitive disorders - MMSE (Mini-Mental State Examination <18),
j) co-morbidities that disturb the gait pattern (eg osteoarthritis).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Stability, assessed using stabilometric platform [The outcome assessed at the time of qualifying patients for the research project and after 12 months.];Spasticity symptom severity, assessed using Medical research council scale <br>Pternostro-Sluga T, Grim-Stieger M, Posch M, Schuhfried O, Vacariu G, Mittermaier C, Bittner C, Fialka-Moser V. Reliability and validity of Medical Research Council (MRC) scale for testing strength in patients with radial palsy. J Rehabil Med. 2008 Aug;40(8):665-71[The outcome assessed at the time of qualifying patients for the research project and after 12 months.];Spasticity symptom severity assessed using Modified Ashworth Scale[The outcome assessed at the time of qualifying patients for the research project and after 12 months.]
Secondary Outcome Measures
NameTimeMethod
Trunk and lower limb functionalities - Rivermed Motor Assesment (composite)[The outcome assessed at the time of qualifying patients for the research project and after 12 months.];10 Meter Walk test[The outcome assessed at the time of qualifying patients for the research project and after 12 months.];Quality of life - Stroke Impact Scale [The outcome assessed at the time of qualifying patients for the research project and after 12 months.]
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