Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
40 participants
INTERVENTIONAL
2018-01-01
2019-03-31
Brief Summary
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Detailed Description
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Stroke patients who admitted to the inpatient rehabilitation programme in Istanbul Physical Medicine and Rehabilitation Training and Research Hospital were evaluated for this study. Patients who had CRPS after stroke were included in the study (CRPS group). Also patients who had not CRPS and had similar age, gender and stroke duration with CRPS group were included in control group. Stroke patients with pacemaker, polyneuropathy, neglect, sensory or motor aphasia, peripheral nerve injury, hand surgery and reynauld disease were excluded from the study.
Age, gender, dominant arm, comorbidities, stroke side, aetiology and duration were recorded. Brunnstrom stages were used to evaluate arm and hand. Spasticity of upper extremity was assed by modified aschworth scale.
In CRPS group, CRPS severity scale was performed to evaluate the CRPS severity. This scale includes sensorial, autonomic and motor function. Also, neuropathic pain was assesed by Douleur Neuropathique 4 (DN4) Questionnaire and visual analog scale(VAS).
Contrast bath was performed to patients' plegic side . There were two baths , one include hot water and other had cold degrees. Patients hold their plegic hands in hot water for 4 minutes, in cold water for 1 minute after hot water. Hot and cold bath were repeated four times.
Sympathetic skin response (SSR) was measured before the contrast bath and 30 minutes after the contrast bath finished. SSR was recorded from plegic side and contralateral side. The active electrode was placed at the palm of the hand and the reference electrode at dorsum of the hand to record the median nerve SSR. The latency and the amplitude of SSR was measured.
Conditions
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Study Design
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NON_RANDOMIZED
SINGLE_GROUP
BASIC_SCIENCE
NONE
Study Groups
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Complex Regional Pain Syndrome(CRPS) group
Stroke patients with complex regional pain syndrome
Contrast bath
Contrast bath (hot and cold therapy)
Control Group
Stroke patients without complex regional pain syndrome
Contrast bath
Contrast bath (hot and cold therapy)
Interventions
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Contrast bath
Contrast bath (hot and cold therapy)
Eligibility Criteria
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Inclusion Criteria
* both gender
Exclusion Criteria
* pace maker
* skin lesion in hands
* anxiety
* sensory or motor aphasia
* peripheral nerve injury
* hand surgery and
* reynauld disease
40 Years
75 Years
ALL
Yes
Sponsors
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Istanbul Physical Medicine Rehabilitation Training and Research Hospital
OTHER_GOV
Responsible Party
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Principal Investigators
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Betul Yavuz Keles, MD
Role: STUDY_DIRECTOR
Istanbul PMR training and research hospital
Burcu Onder, Assoc prof
Role: PRINCIPAL_INVESTIGATOR
Istanbul PMR training and research hospital
Locations
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Istanbul Physical Medicine and Rehabilitation Training and research Hospital
Istanbul, , Turkey (Türkiye)
Istanbul PMR Training and Research Hospital
Istanbul, , Turkey (Türkiye)
Countries
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References
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Yavuz Keles B, Onder B, Kesiktas FN, Ones K, Paker N. Acute effects of contrast bath on sympathetic skin response in patients with poststroke complex regional pain syndrome. Somatosens Mot Res. 2020 Dec;37(4):320-325. doi: 10.1080/08990220.2020.1830756. Epub 2020 Oct 14.
Other Identifiers
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IstPMRTRHCRPSCB
Identifier Type: -
Identifier Source: org_study_id