Stroke Clinical Trial
Official title:
Effects of Dry Needling on Spasticity, Upper and Lower Extremity Functions, Balance and Independence Level in Addition to Neurodevelopmental Therapy in Patients With Stroke
NCT number | NCT03863678 |
Other study ID # | KK 1695 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 12, 2019 |
Est. completion date | December 1, 2019 |
Verified date | December 2019 |
Source | Eastern Mediterranean University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this study is to investigate the effects of dry needling method in addition to neurodevelopmental therapy on spasticity, upper and lower extremity functions, balance and independence level in patients with stroke who have spasticity.
Status | Completed |
Enrollment | 42 |
Est. completion date | December 1, 2019 |
Est. primary completion date | December 1, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - First time stroke, - Patients who has spasticity due to stroke, - At least 6 months after stroke, - Individuals between the ages of 18-75 will be included in the study. Exclusion Criteria: - Any contraindication for dry needling (eg, anticoagulants, infections, bleeding, etc.), - Having diabetes, - Having cardiovascular diseases, - Having any other neurological problems, - Application of Botox within 6 months prior to the study, - Individuals included in another treatment program will not be included in the study. |
Country | Name | City | State |
---|---|---|---|
Cyprus | Eastern Mediterranean University | Famagusta | North Cyprus Via Mersin 10 Turkey |
Lead Sponsor | Collaborator |
---|---|
Eastern Mediterranean University |
Cyprus,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Range of movement (ROM) measurement | Measurement of joint movement of individuals will be done by a goniometer by the same physiotherapist. First passive normal joint movement then active normal joint movement will be evaluated and recorded. | Change from baseline ROM measurement at 4 weeks | |
Primary | Modified Ashworth Scale (MAS) | Modified ashworth scale (MAS) will be used to evaluate the spasticity of upper (elbow flexors flexor carpi radialis) and lower (quadriceps and gastrocnemius) extremity muscles. The MAS assess the level of spasticity on ordinal scale from 0 to 4 based on the level of resistance in response to a quick and passive movement. According to the MAS scale, 0 represents no increase in muscle tone, 1 represents slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension, 1+ represents increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM, 2 represents more marked increase in muscle tone through most of the ROM, but affected part(s) easily moved, 3 represents considerable increase in muscle tone, passive movement difficult and 4 represents affected part(s) rigid in flexion or extension. | At the baseline and at the end of 4 weeks | |
Secondary | Nine Hole Peg Test | NHPT (Nine Hole Peg Test); It is a time test in which the thin hand skill is quantitatively measured. During the test, the patient sits on the table where the nine hole board is located and closes the empty hole with the wooden or plastic bars. | At the baseline and at the end of 4 weeks | |
Secondary | 10 Meter Walking Test | The walking speed of the patients will be measured with a ten-meter walking test (10MWT). The walking time of the patient in 10 meters is recorded in seconds and the walking speed in m / s is calculated. | At the baseline and at the end of 4 weeks | |
Secondary | Fullerton Advanced Balance Scale | He will use a total of 10 items of balance scale to assess the balance of the patients. Each item is rated between 0-4. It will be evaluated over 40 points. | At the baseline and at the end of 4 weeks | |
Secondary | Functional Independence Scale | It is a generic and global activity scale and shows how independent it is in daily basic, physical and cognitive activities.Each item is scored at seven levels (1-7), Level 1: Total Assistance, Level 7: Indicates full independence. The total FIM score may vary between 18-126. FIM is the most frequently used activity scale in the world in medical rehabilitation. | At the baseline and at the end of 4 weeks |
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