The Findings of Ultrasound Elastography and ARFI in Strokes Patients With Spastic Elbow Flexor

NCT ID: NCT02557711

Last Updated: 2016-03-30

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 50 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2016-06-30
• Study Completion Date: 2017-09-30

Brief Summary

The aim of this study: 1. To evaluate the correlation between the clinic tools and ultrasound elastography/ ARFI imaging in stroke patients. 2. To assess the reliability of elastography/ ARFI imaging in spasticity evaluation of stroke patients.

Detailed Description

Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) are the most commonly used tools for spasticity assessment. But these clinic methods cannot reveal the architecture and stiffness of muscles. In recent years, ultrasound elastography and acoustic radiation force impulse (ARFI) are used in musculoskeletal disorders, including spasticity. There are no studies about the correlation between spasticity and ultrasound elastography /ARFI imaging in stroke patients. The investigators will enroll 50 stroke patients with hemiplegia and biceps brachii muscle spasticity. One physical therapist will measure MAS and MTS for spasticity of biceps brachii muscle. Two physiatrists will perform ultrasound elastography and ARFI for intra-rater and inter-rater reliability evaluation. The evaluations of B-mode ultrasound, elastography and ARFI included Heckmatt scale, biceps brachii ratio, strain ratio, dynamic sonoelastography score, color intensity, and shear wave velocity. After performing all assessments, the investigators will analyze the correlation between the clinic tools and elastography/ ARFI imaging and evaluate the reliability of elastography/ ARFI imaging in spasticity evaluation.

Conditions

Cerebrovascular Accident

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: CROSS_SECTIONAL

Interventions

ultrasound elastography, acoustic radiation force impulse

Two physiatrists will perform ultrasound elastography and ARFI for intra-rater and inter-rater reliability evaluation.

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• stroke patients with hemiplegia and biceps brachii muscle spasticity.

Exclusion Criteria

• elbow joint contracture deformity
• combined other neuromuscular system disease
• affected upper extremity has local infection
• patient who can't follow instruction, who is restlessness and whose elbow can't meet the positioning criteria

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Chang Gung Memorial Hospital

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Pong Ya-Ping, MD

Role: STUDY_CHAIR

Rehabilitation

Locations

Chang Gung Memorial Hospital

Kaohsiung City, , Taiwan

Countries

Taiwan

Central Contacts

Pong Ya-Ping, MD

Role: CONTACT

yaping0707@gmail.com

889-7-7317123 ext. 6286

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Other Identifiers

CMRPG8D0951

Identifier Type: -

Identifier Source: org_study_id