Gastrocinemius Function Massage on Lower Extemity Spasticity

NCT ID: NCT06265753

Last Updated: 2024-02-20

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 28 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-01-23
• Study Completion Date: 2024-09-01

Brief Summary

This study aimed to investigate gastrocinemius function massage on physical parameters of stroke patients.

Detailed Description

Gastrocinemius function massage is known to relieve pain and increase range of motion. However, its effects on spasticity and physical performance in stroke patients are not fully understood. In this study, we aimed to investigate the effects of gastrocinemius function massage.

Conditions

Stroke; Stroke Ischemic

Study Design

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

Study Groups

Experimental Group

Who received 10 minutes gastrocinemius function massage and 45 minutes classic physiotherapy exercise

Group Type: EXPERIMENTAL

Gastrocinemius Function Massage

Intervention Type: OTHER

The purpose of gastrocnemius massage is to alleviate muscle stiffness in the gastrocnemius muscle and enhance mobility in the foot and ankle of the individuals involved. During the GFM application, the patient assumes a prone posture on a suitable treatment bed. The therapist positions themselves behind the patient's side and secures the patient's foot between their hip and ilium.The therapist firmly holds the gastrocnemius muscle using both hands and applies pressure to the ankle, causing it to move in the direction of dorsiflexion. Simultaneously, the therapist applies mobilisation in the cranial direction, following the same path as the gastrocnemius muscle fibres, using both hands. Afterwards, the therapist gently pulls the arm and trunk backwards until the foot and gastrocnemius muscle become relaxed. The application is sustained in a rhythmic manner . We will apply this massage aproximately 10 min to experimental group.

Control group

Who received 10 sham applicaiton massage and 45 minutes classic physiotherapy exercise

Group Type: SHAM_COMPARATOR

Sham application

Intervention Type: OTHER

The sham application was conducted when the patient was lying face down, with the hands placed on the gastrocnemius muscle without any movement. We will apply this application aproximately 10 min to experimental group.

Interventions

Gastrocinemius Function Massage

The purpose of gastrocnemius massage is to alleviate muscle stiffness in the gastrocnemius muscle and enhance mobility in the foot and ankle of the individuals involved. During the GFM application, the patient assumes a prone posture on a suitable treatment bed. The therapist positions themselves behind the patient's side and secures the patient's foot between their hip and ilium.The therapist firmly holds the gastrocnemius muscle using both hands and applies pressure to the ankle, causing it to move in the direction of dorsiflexion. Simultaneously, the therapist applies mobilisation in the cranial direction, following the same path as the gastrocnemius muscle fibres, using both hands. Afterwards, the therapist gently pulls the arm and trunk backwards until the foot and gastrocnemius muscle become relaxed. The application is sustained in a rhythmic manner . We will apply this massage aproximately 10 min to experimental group.

Intervention Type: OTHER

Sham application

The sham application was conducted when the patient was lying face down, with the hands placed on the gastrocnemius muscle without any movement. We will apply this application aproximately 10 min to experimental group.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• having experienced a stroke at least 6 months prior,
• being able to stand independently for at least 1 minute,
• scoring at least 23 on the Standardised Mini-Mental State Examination (SMMSE), indicating no significant cognitive impairment , and
• having lower extremity spasticity rated between 1-3 on the modified Asworth scale
• at least 18 years of age.

Exclusion Criteria

• comorbidities such as neurological, orthopaedic, metabolic, and rheumatological diseases that could potentially impact soft tissues.
• patients who had received spasticity or other treatments that could affect soft tissues within the past 3 months,
• those with lower extremity injuries, and those with a diagnosis of cancer or who were pregnant.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Pamukkale University

OTHER

Sponsor Role: lead

Responsible Party

Emre BASKAN

Assoc. Prof.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

University Address

Denizli, Muş Alparslan University, Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Dengiz A, Sekeroz S, Baskan E, Kara G. Effects of gastrocnemius functional massage on lower extemity spasticity, spatio- temporal gait variables and fall risk in patients with stroke: A randomized controlled trial. PLoS One. 2025 Sep 24;20(9):e0332308. doi: 10.1371/journal.pone.0332308. eCollection 2025.

Reference Type: DERIVED

PMID: 40991570 (View on PubMed)

Other Identifiers

E-60116787-020-474196

Identifier Type: REGISTRY

Identifier Source: secondary_id

Gastrocimemius spasticity

Identifier Type: -

Identifier Source: org_study_id