Neurological Disorder
Conditions
Keywords
stroke, Physical therapy, neurological hand, Vojta therapy
Brief summary
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.
Detailed description
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. It is a cross-stimulation, that is, pisiform in one hand together with the load in the heel of the opposite side. Alternating each diagonal 4 times, 5 minutes each. Total session 20 minutes, 2 times per day, every day according to degree of affectation The duration of the study will depend on the degree of involvement: mild 2 weeks, moderate 3 months.
Interventions
OTHERReflex locomoction therapy
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. 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. Alternating each diagonal 4 times, 5 minutes each. Total session 20 minutes, 2 times x day, every day according to degree of affectation.
Sponsors
NUMEN Foundation
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Pretest-posttest trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Sequelae in the upper limb after neurological damage. * Understanding and oral expression preserved. * More than a year after the episode. * Possibility of walking
Exclusion criteria
* Aphasia. * Concomitant diseases: Diabetes and arthritis of the hand.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| kinesiological test of the upper limb | 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 |
| The Box and Block Test | 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. |
Countries
Spain
Outcome results
None listed