Brain-injury
Conditions
Keywords
Acquired brain damage, aquatic therapy, hemiparesis, spasticity
Brief summary
Treatment with ACD patients will be carried out through the application of aquatic therapies, being the Halliwick Concept and the Watsu Method together with a time of immersion in hot water.
Detailed description
The study consists of verifying the efficacy of physiotherapeutic treatment through the use of aquatic therapies, Watsu and Halliwick in subjects who have suffered Acquired Brain Injury (ACD), and who, after that, present spasticity. For this, the users of the Brain Injury Association of Cádiz (ADACCA) are taken as references. Brain damage is a brain injury, resulting in a series of functional and neurological alterations. The treatment of this pathology will be carried out through the application of aquatic teràpies, being the Halliwick Concept and the Watsu Method. This study consists of a clinical trial where the experimental group will be applied the combined treatment of Halliwick and Watsu together with a time of immersion in hot water, and to the control group the treatment by Halliwick plus immersion in hot water, in order to evaluate the degree of spasticity they present at the end of the study.
Interventions
OTHERExperimental group:Halliwick + Método Watsu
Carrying out the Ten Points Program through the Halliwick Concept, together with the Watsu Method through a series of relaxation maneuvers and mobilization of the body in float, and an immersion time of 15 minutes without doing physical activity in a pool at a temperature of 30ºC , to decrease spasticity of various muscles.
OTHERControl group:Halliwick
Exclusive use of treatment through the Halliwick Concept Ten Point Program, along with immersion in hot water to reduce spasticity in various muscles.
Sponsors
University of Cadiz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
40 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Belonging to the Acquired Brain Injury Association of Cádiz * Presence of spasticity in the biceps brachii and soleus muscles confirmed by the modified Ashworth Scale and modified Tardieu Scale. * Patients who are standing and walking at least with technical assistance and / or supervision. * Patients with acquired brain damage and with spastic hemiparesis with a chronic evolution of more than 12 months.
Exclusion criteria
* Presence of infections. * Other diagnosed diseases that prevent aquatic physiotherapy treatment, such as uncontrolled diabetes or dyspnea at rest. * Have received aquatic therapy treatment in the six months prior to the study with the methods developed in the study (Halliwick or Watsu).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Asworth | Change from Baseline at 8 weeks | 0 (no increase in muscle tone) to 4 (rigid part in flex-ext) 1 = Left |
| Modified Tardieu | Change from Baseline at 8 weeks | 0 (no resistance to movement) to 4 (10 second clonus) |
| Medical Outcome Study-Sleep Scale | Change from Baseline al 8 weeks | Sleep rating (1 = more trouble falling asleep, a 6 = least trouble sleeping. |
| Number of years-Age | Baseline | Years |
Countries
Spain
Contacts
Primary ContactMiriam García Blanco, Máster
Outcome results
None listed