Spasticity as Sequela of Stroke Clinical Trial
Official title:
Immediate Effect of Johnstone's Pressure Splint Added to Stretching on the Spasticity of Elbow Flexors and Wrist in Cerebrovascular Disease (CVD).
TITLE: Immediate effect of Johnstone's Pressure Splint added to Stretching on the spasticity
of elbow flexors and wrist in Cerebrovascular Disease (CVD).
INTRODUCTION: In the rehabilitation of the upper limb post-CVD to employed exercise
modalities such as stretching (S) to control spasticity, improve mobility and functionality.
Also it is used the Johnstone´s Pressure Splint (JPS), which exerts circumferential pressure
and contribute to spastic pattern inhibition, sensory re-education and increased of the
mobility.
OBJECTIVE: The aim of the study is to evaluate the immediate effect of JPS added to S on the
spasticity of elbow flexors and wrist, the reflex excitability and the joint kinematics in
Stroke.
MATERIALS AND METHODS: A randomized experimental study with two intervention groups will be
performed. Control group (GS): Stretching and experimental group: (GJPS + S): JPS plus S.
Measurement times: Before the intervention (T0) and immediately post- intervention (T1). The
outcome variables are muscle tone of elbow, wrist and hand assessed with the Modified
Ashworth Scale (MAS); H reflex of the Flexor Carpi Radialis muscle, latency (ms), duration
(ms) and amplitude (mV) of the M and H waves, and the amplitude the Hmax / Mmax ratio (%).
Shoulder, elbow and trunk angles (degrees), trunk displacement (cm) and duration (sec) of the
Functional Reach Pattern (PAF) will be evaluated with the software Contemplas.
ANALYSIS: Descriptive statistics will be applied and Shapiro Wilk test to evaluate the
normality of the variables. Intra-group differences will be assessed with the student t-test
paired and intergroup with the student t-test unpaired or the sum of Wilcoxon rank according
to the distribution of the variables.
EXPECTED RESULTS: Hypotheses and contributions to the scientific evidence on the immediate
effect of the S and JPS will be generated, to support the JPS as a complement to the
traditional treatment. The results will be socialized in an international scientific event
and a publication will be submitted to an impact journal.
KEY WORDS: Spasticity, H Reflex, Johnstone's Pressure Splint, Stretching, Functional Reach.
n/a
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