Stroke; Sequelae
Conditions
Keywords
massage, stroke spasticity
Brief summary
Stroke is one of the common diseases in the elderly. It is the third ranking cause of death and affects health care system in our country. One of the most important consequences of stroke is spasticity. Some stroke patients suffered from severe spasticity or hypersensitive reflex to stimuli. It can cause contracture, limit self care function, transfer or ambulation. Most of stroke patients have to depend on their relatives or families.
Detailed description
Thai traditional massage is one of the popular alternative medicine in Thailand. Lots of stroke patients who suffered from spasticity sought treatment. To the investigators knowledge, there is no study concerning efficacy of massage in decreasing spasticity for stroke patients.
Interventions
PROCEDUREThai Traditional Massage (TTM)
Thai Traditional Massage will receive massage 2 time per week for 6 weeks
PROCEDUREPhysical therapy program
Physical therapy program 2 times per week for 6 weeks.
Sponsors
Mahidol University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Stroke with onset of \>=6 months * Age \>=50 years * Spasticity grade of knee flexor or elbow flexor was 2-3 classified by Modified Ashworth scale (MAS) * Ability to follow command and communicable
Exclusion criteria
* Having contraindications for massage including fever \> 38 degree, uncontrolled blood pressure, bleeding tendency, on anticoagulant drug, having ulcer or healing fracture of limbs, contamination skin disease, severe osteoporosis * Serious contact diseases, for example AIDS, TB * History of malignancy * Fixed joint contracture at elbow or knee of paralyzed limb * History of botulinum toxin injection or Phenol/Alcohol nerve block within 3 months * Previous history of TTM * Severe dementia or uncontrolled psychiatric problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Ashworth scale (MAS) | 6 weeks | The massage will be considered success if MAS decreased at least 1 level after treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Barthel index (BI) | 6 weeks | Massage will be considered success if BI score increases after treatment. |
| Hospital anxiety depression score (HADS) | 6 weeks | Massage will be considered success if HADS decreases after treatment. |
| Thai Pictorial Quality of Life questionnaire | 6 weeks | Massage will be considered if Thai pictorial QoL score increases after treatment. |
Countries
Thailand
Outcome results
None listed