Effects of the Application of a Reflex Locomotion Program in the Neurological Hand

Neurological Disorder Clinical Trial

Official title:

Effects of the Application of a Reflex Locomotion Program on Sitting in the Neurological Hand of the Chronic Adult Patient

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03890965
• Other study ID #: NUMEN1
• Status: Completed
• Phase: N/A
• Start date: May 29, 2019
• Est. completion date: September 25, 2019

Study information

• Verified date: April 2020
• Source: NUMEN Foundation
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 12
• Est. completion date: September 25, 2019
• Est. primary completion date: July 30, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

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.

Related Conditions & MeSH terms

• Nervous System Diseases
• Neurological Disorder

Intervention

Other:
• Reflex 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.

Locations

Country	Name	City	State
Spain	NUMEN Foundation	Madrid	España

Sponsors (1)

Lead Sponsor	Collaborator
NUMEN Foundation

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	kinesiological test of the upper limb	Shoulder: flexion and maximum abduction. Forearm: Supination / pronation. Wrist: maximum dorsal flexion. Hand: finger extension	2 weeks for mild grade and 3 months for moderate degree
Primary	The Box and Block Test	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.	2 weeks for mild grade and 3 months for moderate degree.