Effect of Agonist Contract Relax Versus Antagonist Contract Relax in Chronic Stroke Patient.

NCT ID: NCT05957731

Last Updated: 2023-08-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 112 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-11-07
• Study Completion Date: 2023-07-30

Brief Summary

It will be a randomized control trial with 112 patients which will be divided into two groups of 56 patients in each group. Participants will recruit through convenient sampling techniques.

Outcome measures are range of motion and spasticity. The protocol was implemented three days per week for eight consecutive weeks. Data will be collected at baseline and 8 th week after intervention.

Detailed Description

Objective of the study is to compare the effects of the agonist contract-relax technique versus the antagonist contract-relax technique on spasticity and range of motion in individuals with chronic stroke.

Null hypothesis (H0):

There are no comparative effects of agonist contact-relax technique and the antagonist contract-relax technique on spasticity and ankle range of motion in chronic patients.

The alternate hypothesis (HA):

There are comparative effects of agonist contract-relax technique and the antagonist contract-relax technique on spasticity and ankle range of motion in chronic stroke patients.

The sample size came out to 94 (47 in each group) after adding 20% dropout the sample size was 47+9=56 in each group.

Conditions

Stroke

Study Design

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

Study Groups

Agonist Contract-relax group:

In the agonist contract-relax group, participants were positioned in a supine position. A trained physiotherapist then passively dorsiflexed the ankle to its maximum available range and held it for 15 seconds, while ensuring that the knee remained straight by placing a hand on it. Following this, participants were instructed to perform a maximal voluntary isometric

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contraction of the planter flexors for five seconds, while maintaining the stretched position.

After a 30-second rest period, the physiotherapist returned the ankle to the starting position of 0 degrees and repeat the procedure without any rest. This stretching protocol was repeated four times, with each repetition lasting 2 minutes. For the soleus muscles, the same procedure was performed, but with a slightly flexed initial position of the knee.

Group Type: EXPERIMENTAL

Routine physical therapy

Intervention Type: OTHER

Both groups received routine physical therapy, which encompasses various components such as electrotherapy, strength training for both lower and upper limbs, gait training, and occupational therapy.

agonist contract relax

Intervention Type: OTHER

agonist contraction is used to improve spasticity and range of motion in stroke patients

Antagonist contract-relax group:

In the antagonist stretching groups, participants were positioned in a supine position. A trained physiotherapist stretched the antagonist's muscle, and then participants were instructed to perform a maximal voluntary isometric contraction of dorsiflexion for 5 seconds while maintaining a stretched position. The knee was kept straight during this contraction.

Following the contraction, the physiotherapist held the ankle at that angle for another 10 seconds by placing a hand on it. After a 30-second rest period, the physiotherapist returned the ankle to the starting position of 0 degrees and repeat the procedure without any rest intervals.

Group Type: EXPERIMENTAL

Routine physical therapy

Intervention Type: OTHER

Both groups received routine physical therapy, which encompasses various components such as electrotherapy, strength training for both lower and upper limbs, gait training, and occupational therapy.

antagonist contract relax

Intervention Type: OTHER

antagonist contraction i used to improve spasticity and range of motion in stroke patients

Interventions

Routine physical therapy

Both groups received routine physical therapy, which encompasses various components such as electrotherapy, strength training for both lower and upper limbs, gait training, and occupational therapy.

Intervention Type: OTHER

antagonist contract relax

antagonist contraction i used to improve spasticity and range of motion in stroke patients

Intervention Type: OTHER

agonist contract relax

agonist contraction is used to improve spasticity and range of motion in stroke patients

Intervention Type: OTHER

Other Intervention Names

agonist contraction

Eligibility Criteria

Inclusion Criteria

• Patients with a confirmed diagnosis of stroke by a neurologist.
• Inclusion of patients with both ischemic and hemorrhagic stroke.
• Both male and female patients are eligible.
• Age range between 40 to 60 years.
• Modified Ashworth Scale ranging from 0 to 2.
• Minimum muscle strength grade of 3

Exclusion Criteria

• History of surgery on lower limb
• Who received injection therapies for reducing spasticity
• Lower extremity contracture
• Modified Ashworth scale of 3-4

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

sir Ganga Raam hospital lahore

Lahore, , Pakistan

univerity of Lahore teaching hopital

Lahore, , Pakistan

Countries

Pakistan

Other Identifiers

REC-UOL-246-04-2023

Identifier Type: -

Identifier Source: org_study_id