Talocrural Joint Manipulation in Stroke

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-02

Study Completion Date

2024-11-27

Brief Summary

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The primary aim of the study is to investigate the effect of talocrural joint manipulation on the static balance of patients with stroke. The secondary aim of this study is to investigate the effect of talocrural joint manipulation on the dorsiflexion range of motion of patients with stroke.

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Detailed Description

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The study, utilizing a randomized crossover design, is planned to be conducted on a minimum of 26 patients with stroke who meet the inclusion and exclusion criteria. Patients included in the study will be randomly assigned to receive both placebo talocrural joint manipulation and talocrural joint manipulation treatments.

Conditions

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Stroke

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The patients enrolled in the study will receive placebo talocrural joint traction and talocrural joint traction in a randomized sequence. The order of the interventions will be determined by flipping a coin.

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

The evaluator and the researcher administering the intervention will be different. The interventions will be administered to participants randomly.

Study Groups

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Placebo Talocrural Joint Manipulation Group

Each group will receive both placebo and real talocrural joint manipulations in a randomized cross-over design. There will be a minimum interval of 48 hours between the interventions. Data obtained after the real manipulation will be recorded as the placebo comparator group data.

Group Type PLACEBO_COMPARATOR

Talocrural Joint Manipulation

Intervention Type OTHER

This technique, aiming to increase ankle dorsiflexion and mechanoreceptor activation, is based on the application of high velocity low amplitude traction to the joint.

Placebo Talocrural Joint Manipulation

Intervention Type OTHER

This intervention is a classic method used to evaluate the effect of talocrural joint manipulation.

Talocrural Joint Manipulation Group

Each group will receive both placebo and real talocrural joint manipulations in a randomized cross-over design. There will be a minimum interval of 48 hours between the interventions. Data obtained after the real manipulation will be recorded as the active comparison group data.

Group Type ACTIVE_COMPARATOR

Talocrural Joint Manipulation

Intervention Type OTHER

This technique, aiming to increase ankle dorsiflexion and mechanoreceptor activation, is based on the application of high velocity low amplitude traction to the joint.

Placebo Talocrural Joint Manipulation

Intervention Type OTHER

This intervention is a classic method used to evaluate the effect of talocrural joint manipulation.

Interventions

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Talocrural Joint Manipulation

This technique, aiming to increase ankle dorsiflexion and mechanoreceptor activation, is based on the application of high velocity low amplitude traction to the joint.

Intervention Type OTHER

Placebo Talocrural Joint Manipulation

This intervention is a classic method used to evaluate the effect of talocrural joint manipulation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 1\. Two months or longer elapsed since the stroke,
* 2\. A Mini-Mental State Examination score of 24 or higher,
* 3\. The ability to stand independently for 20 seconds or more,
* 4\. The ability to walk independently for 10 meters with the use of walking aids or orthoses if necessary,
* 5\. Being between 45 and 75 years of age,
* 6\. Having a Brunnstrom stage of 4 or above

Exclusion Criteria

* 1\. The presence of severe osteoarthritis in the lower extremity,
* 2\. The presence of cancer or diabetic neuropathy,
* 3\. The presence of vestibular disorder,
* 4\. The presence of lower extremity ulceration or amputation,
* 5\. History of vertigo,
* 6\. Alcohol consumption within the last 24 hours,
* 7\. Hemodynamic instability,
* 8\. Diagnosis of posterior circulation stroke involving the basilar artery and cerebellum,
* 9\. The presence of other neurological disorders (such as multiple sclerosis, Parkinson's disease),
* 10\. Having experienced an acute lower extremity injury in the last six weeks,
* 11\. History of lower extremity surgery

Minimum Eligible Age

45 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No