The Effect of Lower Limb Sensory Training on Functional Capacity in Hemiparetic Individuals

NCT ID: NCT04673838

Last Updated: 2025-06-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-12-20
• Study Completion Date: 2022-12-20

Brief Summary

The purpose of our study is to assess the effect of lower limb sensory training on proprioception, balance, gait and motor functions in Hemiparetic Individuals.

Detailed Description

After being informed about the study, all patients giving written informed consent will be determined eligibility for study entry. Patients who meet the eligibility requirements will be randomized in a single-blind manner (investigor about assessments). A group will have Bobath Therapy and the other group Bobath and Sensory Training.

Conditions

Hemiparesis/Hemiplegia (One Sided Weakness/Paralysis)

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Lower Extremity Sensory Training + Bobath Therapy

Intervention Group will have Lower extremity sensory training and Bobath Therapy.

Group Type: EXPERIMENTAL

neurodevelopmental therapy

Intervention Type: OTHER

Considering the individual needs and wishes of the patient, an exercise program will be created for each patient in accordance with their functional levels and supporting active participation of the person. The treatment program tailored to the patient; It will include weight transfer to the affected side in different positions, functional reaching out activities, stepping forward and walking activities.

Lower extremity sensory training

Intervention Type: OTHER

Lower extremity sensory training will only be applied to the Intervention Group for 4 weeks, 3 days a week and 12 sessions in total. In the lower extremity, 3 sets of soft tissue needing, stroking and fascia stretching will be applied on 5 areas as Quadriceps, Hamstring, Gastrosoleus Group, Peroneal muscles, ankle and foot. In addition, sensory stimulation will be applied in the same five regions of the lower extremity with 3 repetitions and 3 sets with a knurled ball, brush and sponge. Lower extremity mobilizations of PANat Therapy approach will be used with traction and gliding applications in all joints in the ankle and foot. Finally, intrinsic muscle stimulation will be performed for 3 minutes with a bottle and towel under the sole of the foot.

Bobath Therapy

Control Group will have only Bobath Therapy. Bobath approach will be applied for 4 weeks, 3 days a week and 12 sessions in total.

Group Type: ACTIVE_COMPARATOR

neurodevelopmental therapy

Intervention Type: OTHER

Considering the individual needs and wishes of the patient, an exercise program will be created for each patient in accordance with their functional levels and supporting active participation of the person. The treatment program tailored to the patient; It will include weight transfer to the affected side in different positions, functional reaching out activities, stepping forward and walking activities.

Interventions

neurodevelopmental therapy

Considering the individual needs and wishes of the patient, an exercise program will be created for each patient in accordance with their functional levels and supporting active participation of the person. The treatment program tailored to the patient; It will include weight transfer to the affected side in different positions, functional reaching out activities, stepping forward and walking activities.

Intervention Type: OTHER

Lower extremity sensory training

Lower extremity sensory training will only be applied to the Intervention Group for 4 weeks, 3 days a week and 12 sessions in total. In the lower extremity, 3 sets of soft tissue needing, stroking and fascia stretching will be applied on 5 areas as Quadriceps, Hamstring, Gastrosoleus Group, Peroneal muscles, ankle and foot. In addition, sensory stimulation will be applied in the same five regions of the lower extremity with 3 repetitions and 3 sets with a knurled ball, brush and sponge. Lower extremity mobilizations of PANat Therapy approach will be used with traction and gliding applications in all joints in the ankle and foot. Finally, intrinsic muscle stimulation will be performed for 3 minutes with a bottle and towel under the sole of the foot.

Intervention Type: OTHER

Other Intervention Names

Bobath Therapy

Eligibility Criteria

Inclusion Criteria

• Between the ages of 20-65 and discharged from the hospital,
• Having been diagnosed with hemiparesis at least 4 weeks ago,
• First time and one-sided hemiparesis,
• Modified Rankin Score ≤3,
• Hodkinson Mental Test ≥ 6,
• Individuals who agree to having treatment will be included in the study.

Exclusion Criteria

• Having vision and hearing problems,
• Having other neurological, psychiatric and / or orthopedic problems other than hemiparesis,
• Medically unstable,
• Have other diagnosed diseases that will affect lower extremity sensation,
• Individuals with open wounds, circulatory problems, skin lesions in the area to be treated will be excluded from the study.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Pamukkale University

OTHER

Sponsor Role: lead

Responsible Party

Gulsum Tikac

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Gulsum Tikac, MSc Pt

Role: PRINCIPAL_INVESTIGATOR

Pamukkale University

Filiz Altuğ, Prof Dr

Role: STUDY_DIRECTOR

Pamukkale University

Locations

Pamukkale University

Denizli, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

Hemiparetic Sensory Training

Identifier Type: -

Identifier Source: org_study_id