Stroke
Conditions
Keywords
Proprioception
Brief summary
The aim of the study is to investigate the effect of talocrural joint manipulation on the ankle proprioception of patients with stroke.
Detailed description
The study, utilizing a randomized crossover design, is planned to be conducted on a minimum of 26 patients with stroke who meet the inclusion and exclusion criteria. Patients included in the study will be randomly assigned to receive both placebo talocrural joint manipulation and talocrural joint manipulation interventions.
Interventions
This intervention is a classic method used to evaluate the effect of talocrural joint manipulation.
This technique, aiming to increase ankle dorsiflexion and mechanoreceptor activation, is based on the application of high velocity low amplitude traction to the joint.
Sponsors
Bitlis Eren University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The evaluator and the researcher administering the intervention will be different. The interventions will be administered to participants randomly.
Intervention model description
The patients enrolled in the study will receive placebo talocrural joint traction and talocrural joint traction in a randomized sequence. The order of the interventions will be determined by flipping a coin.
Eligibility
Sex/Gender
ALL
Age
45 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Two months or longer elapsed since the stroke, 2. A Mini-Mental State Examination score of 24 or higher, 3. Being between 45 and 75 years of age, 4. Having a Brunnstrom stage of 4 or above
Exclusion criteria
1. The presence of severe osteoarthritis in the lower extremity, 2. The presence of cancer or diabetic neuropathy, 3. The presence of vestibular disorder, 4. The presence of lower extremity ulceration or amputation, 5. Hemodynamic instability, 6. The presence of other neurological disorders (such as multiple sclerosis, Parkinson's disease), 7. Having experienced an acute lower extremity injury in the last six weeks, 8. History of lower extremity surgery 9. Lack of available range of motion values required for the ankle proprioception test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ankle Proprioception | Change from baseline ankle proprioception immediately after the intervention | The effect of talocrural joint manipulation on ankle proprioception will be evaluated using the Cybex isokinetic dynamometer. The device will analyze the passive joint position sense of the ankle in various positions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ankle Dorsiflexion Measurement | Change from baseline ankle dorsiflexion immediately after the intervention | For the measurement of dorsiflexion range of motion, patients will be asked to stand facing a wall with the assessed leg positioned at the back. They will place their hands on the wall at shoulder width. While keeping the back knee in at least 20 degrees of flexion and ensuring the foot remains in contact with the ground, they will be instructed to lean forward as far as possible. The dorsiflexion range of motion will then be measured using a spirit level application on an iPhone placed one centimeter above the calcaneal tuberosity. |
Countries
Turkey (Türkiye)
Contacts
CONTACTömer dursun, Asst. Prof.
CONTACTburak mavuş, M.Sc.
PRINCIPAL_INVESTIGATORömer dursun, Asst. Prof.
Bitlis Eren University
PRINCIPAL_INVESTIGATORburak mavuş, M.Sc.
Bolu Abant İzzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital
PRINCIPAL_INVESTIGATORmerve tunçdemir, Asst. Prof.
Bitlis Eren University
Outcome results
None listed