The Influence of Talocrural Manipulation on Proprioception in Stroke

Bitlis Eren University26 enrolled

Overview

The aim of the study is to investigate the effect of talocrural joint manipulation on the ankle proprioception of patients with stroke.

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 interventions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Stroke

Interventions

Placebo Talocrural Joint ManipulationOTHER

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

Talocrural Joint ManipulationOTHER

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

Eligibility

Sex: ALLMin age: 45 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Two months or longer elapsed since the stroke, 2. A Mini-Mental State Examination score of 24 or higher, 3. Being between 45 and 75 years of age, 4. 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. Hemodynamic instability, 6. The presence of other neurological disorders (such as multiple sclerosis, Parkinson's disease), 7. Having experienced an acute lower extremity injury in the last six weeks, 8. History of lower extremity surgery 9. Lack of available range of motion values required for the ankle proprioception test

Locations (1)

Bolu İzzet Baysal Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi

Bolu, Merkez, Turkey (Türkiye)

RECRUITING

Outcomes

Primary Outcomes

Ankle Proprioception

The effect of talocrural joint manipulation on ankle proprioception will be evaluated using the Cybex isokinetic dynamometer. The device will analyze the passive joint position sense of the ankle in various positions.

Time frame: Change from baseline ankle proprioception immediately after the intervention

Secondary Outcomes

Ankle Dorsiflexion Measurement

For the measurement of dorsiflexion range of motion, patients will be asked to stand facing a wall with the assessed leg positioned at the back. They will place their hands on the wall at shoulder width. While keeping the back knee in at least 20 degrees of flexion and ensuring the foot remains in contact with the ground, they will be instructed to lean forward as far as possible. The dorsiflexion range of motion will then be measured using a spirit level application on an iPhone placed one centimeter above the calcaneal tuberosity.

Time frame: Change from baseline ankle dorsiflexion immediately after the intervention

Central Contacts

ömer dursun, Asst. Prof.

CONTACT

5426088687 fztomrdrsn@gmail.com

burak mavuş, M.Sc.

CONTACT

5388178351 a.burakmavus@gmail.com

Data from ClinicalTrials.gov

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