Effect of Deep Friction Massage on Quadriceps Spasticity in Patients With Sub-acute Stroke
概览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- Spasticity of Quadriceps (by the Modified Ashworth Scale (MAS))
概览
简要总结
The goal of this clinical trial is to learn if deep friction massage works to reduce quadriceps muscle spasticity in adults with sub-acute Stroke. It will also learn about the effectiveness of this technique in improving lower limb motor function and mobility.
The main questions it aims to answer are:
- Does deep friction massage reduce quadriceps spasticity in stroke patients as measured by the Modified Ashworth Scale?
- Does deep friction massage improve lower limb motor recovery as measured by the Fugl-Meyer Assessment?
- Does deep friction massage improve functional mobility as measured by the Timed Up and Go Test?
Researchers will compare deep friction massage combined with conventional physiotherapy to conventional physiotherapy alone to see if deep friction massage improves spasticity and functional outcomes in patients with stroke.
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)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 40 years
- •Ischemic or hemorrhagic stroke diagnosis.
- •Subacute stage (1-6 months after stroke)
- •Quadriceps spasticity (Modified Ashworth Scale 1 or above)
- •Walking with or without assistive aids.
- •Stable health-wise and can be involved in rehabilitation.
排除标准
- •The participants were not allowed in case they had:
- •Severe mental failure (MMSE score under 24)
- •Lower limb musculoskeletal or other neurological disorders.
- •Contraindications to massage therapy (e.g. thrombosis, skin infection, fracture)
- •Weakened or no spasticity of the quadriceps.
- •Extreme medical instability inability to take part.
研究组 & 干预措施
PT Group
Participants in this group will receive:
- physiotherapy program without massage therapy.
- The physiotherapy program will include the following 10 exercises:
- Passive quadriceps stretch
- Active-assisted heel slides
- Seated knee extensions
- Bridging exercise
- Straight leg raises
- Wall slides (mini-squats)
- Low platform step-up training
- Sit-to-stand practice
- Balance training (in place and on single leg)
- Parallel bar gait training
干预措施: Physical Therapy Exercise only (Other)
PT with DFM Group
The participants will receive Deep Friction Massage (DFM) Placed over-the-quadriceps muscle fibers with a standardized therapeutic exercise program including:
- Quadriceps stretch positioning.
- Active-assisted heel slides
- Seated knee extensions
- Bridging exercises
- Straight leg raises
- Wall slides (mini-squats)
- The step-up low platform training.
- Sit-to-stand training
- Training on static and dynamic balance.
- Parallel bar gait training also provided with a standardized therapeutic exercise program including:
1. Quadriceps stretch positioning. 2. Active-assisted heel slides 3. Seated knee extensions 4. Bridging exercises 5. Straight leg raises 6. Wall slides (mini-squats) 7. The step-up low platform training. 8. Sit-to-stand training 9. Training on static and dynamic balance. 10. Parallel bar gait training
干预措施: Deep Friction Massage (Other)
结局指标
主要结局
Spasticity of Quadriceps (by the Modified Ashworth Scale (MAS))
时间窗: Baseline Assessment 6 weeks
This is a scale used to assess resistance to passive muscle stretch with a scale of 0 to 4 with a 1+ category. Increased scores depict increased spasticity.
次要结局
- Fugl-Meyer Assessment(Baseline Assessment 6 weeks)
- Knee Joint Range of Motion (ROM).(Baseline Assessment 6 weeks)
- Timed Up and Go (TUG) test(Baseline Assessment 6 weeks)
研究者
Danah Mohammed Alyahya
Associate Professor of Physical Therapy
Majmaah University