Hemiparesis;Poststroke/CVA Clinical Trial
Official title:
Immediate Effect of Ankle Mobilization on Active Range of Motion and Gait in Subacute Stroke
The goal of this observational study is to determine the effect of ankle joint mobilization on active range of motion and gait in subacute first-time stroke. The main questions it aims to answer are: - What is the effect of ankle joint mobilization on active range of motion in the ankle and gait qualities? - What is the effect of ankle joint mobilization on self-perceived gait ability? Participants will receive physical therapy interventions of: - Grade III ankle joint mobilization - stretching of ankle plantarflexor muscles - ankle muscle activation training - assisted gait as part of assessment Study design is to measure conditions before and after the intervention to determine effect(s) of one treatment dose, completed within one session of 90 minutes.
Initial passive and active ankle range of motion measured by goniometer. Initial gait quality will be measured by walking with splinting for frontal plane ankle stability if indicated, assistive device for body weight support if needed, and manual assistance from an experienced physical therapist, on a Zeno Walkway pressure-sensitive mat for five complete stride cycles, taking 3 to 5 minutes. Data collected from the mat will be electronically captured using ProtoKinetics software. Participant initial self-rated perception of ability to walk will be marked on a 0-10 scale, on paper. Treatment intervention follows. With participant lying on the back, paretic ankle moderate-force grade III anterior to posterior-directed manual joint mobilizations will be performed by therapist; three sets of fifteen oscillations. Ankle plantarflexor muscles will be stretched for 75 seconds in supported standing. Ankle dorsiflexion muscle activation training will be performed for three minutes while in a seated position. Post-intervention measurements will proceed in the same sequence as initial measurements listed above: Ankle passive and active range of motion and walking ability will be reassessed, and self-perceived ability to walk will be rated again. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04323943 -
Comparison of Thermo-plastic Versus Carbon Foot Ankle Orthosis to Improve Gait and Reduce Fatigue in Post-stroke Patients: a Biomechanical and Neurophysiological Study
|
N/A | |
Completed |
NCT05062746 -
Immediate Effect of One-session MRT in Hemiparetics
|
N/A | |
Not yet recruiting |
NCT05626894 -
Novel Wrist Sensor System to Promote Hemiparetic Arm Use in Home Daily Life of Chronic Stroke Survivors
|
Phase 2 | |
Recruiting |
NCT05399121 -
Stroke Patients', Music Therapist' Engagement and Patients' Finger Movement During Music Therapeutic Interaction
|
N/A | |
Recruiting |
NCT04620707 -
RGS@Home: Personalized 24/7 Home Care Post-stroke
|
N/A | |
Recruiting |
NCT06230796 -
Effects of Functional Electrical Stimulation Assisted Cycling in Patients With Hemiparesis After Stroke
|
N/A | |
Recruiting |
NCT05809037 -
Evaluation of Noninvasive Vagus Nerve Stimulation on Functional Status in Ischemic Stroke
|
N/A | |
Recruiting |
NCT06107010 -
Effects of Atalante Exoskeleton on Gait Recovery in Non- or Poorly Ambulatory Patients With Hemiparesis in the Acute/Subacute Phase (Month 1 to 4)
|
N/A | |
Terminated |
NCT05011448 -
Correlation Between Music Therapist's and Stroke Patient's Engagement Levels and Patient's Fingers and Wrist Movement
|
N/A | |
Active, not recruiting |
NCT04309266 -
The Impact of Robot Assisted Therapy and Metacognitive Skills Training for Children With Hemiparesis
|
N/A | |
Recruiting |
NCT05342688 -
Contextual Interference, Engagement , and Change in Motor Performance in Stroke
|
Phase 1 | |
Recruiting |
NCT06362954 -
The Relationship Between Muscle Oxygenation and Spasticity in Hemiparetic Stroke Patients
|
||
Recruiting |
NCT06140381 -
Strengthening in Sub-acute Stroke Survivors: A Randomized Controlled Trial
|
N/A | |
Completed |
NCT04314830 -
Gait Perturbations to Improve Balance Post-stroke
|
N/A | |
Completed |
NCT05097391 -
Effectiveness of Paretic Lower Limb Loading During Over-ground Training Among Stroke Survivors
|
N/A |