Effects of the Application of a Reflex Locomotion Program on Sitting in the Neurological Hand of the Chronic Adult Patient
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- The Box and Block Test
研究概览
简要总结
The recovery of the function of the hand is one of the most important aspects for patients who have suffered the consequences of neurological damage. Currently there are numerous therapeutic procedures aimed at rehabilitation that have scientific evidence such as restrictive therapy. However, dysfunction of the upper limb has an impact on the whole body that is not always taken into consideration.
详细描述
The intervention of the stimulation of the reflex locomotion is carried out in this study in a sitting position in a conventional chair, an unorthodox posture in the usual treatment of Vojta therapy.
Description of the sitting posture: the back in axial extension with the shoulders located in front of the hips.
The elbows must be supported with the medial epicondyl in contact on a table, whose height is at the level of the end of the patient's sternum.
The forearms are placed prone with the palms facing the surface. In this position we place a rubber sphere 3 centimeters in diameter under the pisiform of one of the patient's wrists.
The reflex stimulation is performed by the passive pressure exerted by the weight of the wrist (pisiform) on the rubber sphere. Simultaneously the patient has to exert a slight pressure with the heel towards the ground with his foot. This foot will be the opposite of the wrist that has the sphere under the pisiform.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sequelae in the upper limb after neurological damage.
- •Understanding and oral expression preserved.
- •More than a year after the episode.
- •Possibility of walking
排除标准
- •Concomitant diseases: Diabetes and arthritis of the hand.
结局指标
主要结局
The Box and Block Test
时间窗: 2 weeks for mild grade and 3 months for moderate degree.
The Box and Block Test is a functional outcome measure that is commonly used across multiple clinical populations due to its benefits of ease and speed of implementation; reliable, objective measurement; and repetition of motion.
kinesiological test of the upper limb
时间窗: 2 weeks for mild grade and 3 months for moderate degree
Shoulder: flexion and maximum abduction. Forearm: Supination / pronation. Wrist: maximum dorsal flexion. Hand: finger extension
次要结局
未报告次要终点
研究者
Luis Perales Lopez
Physiotherapy service coordinator
NUMEN Foundation