The Effects Of Cervical Mobilization (CM)

Pamukkale University

Status: Completed

Conditions: Ischemic Stroke; Stroke; Chronic Stroke

Treatments: Other: manual therapy for cervikal region; Other: osteopathic suboccipital myofascial release technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05830175

AZİZPAMUKKALE

Details and patient eligibility

About

The aim of this study is to examine the effects of cervical mobilization on balance and gait parameters in stroke individuals.

Twenty-four stroke individuals aged 30-65 years, with a mini mental test score of 24 and above, and with a maximum score of 3 according to the modified rankin scale, were included in this study. Individuals were randomly divided into 2 groups as study (Bobath approach and cervical mobilization n=12) and control group (Bobath approach n=12).

Demographic data, gait parameters, balance parameters and craniovertebral angle values of individuals were evaluated with clinical data evaluation form, Spatio-Temporal Gait Analysis (LEGSystm), Portable computerized kinesthetic balance device (SportKAT 550) and photometer, respectivelyThe evaluations were performed 2 times before and after the treatment.

Full description

The aim of this study is to examine the effects of cervical mobilization on balance and gait parameters in stroke individuals.

Twenty-four stroke individuals aged 30-65 years, with a mini mental test score of 24 and above, and with a maximum score of 3 according to the modified rankin scale, were included in this study. Individuals were randomly divided into 2 groups as study (Bobath approach and cervical mobilization n=12) and control group (Bobath approach n=12).

Demographic data, gait parameters, balance parameters and craniovertebral angle values of individuals were evaluated with clinical data evaluation form, Spatio-Temporal Gait Analysis (LEGSystm), Portable computerized kinesthetic balance device (SportKAT 550) and photometer, respectivelyThe evaluations were performed 2 times before and after the treatment.

In addition to the 1 hour Bobath treatment, the study group received 15 minutes of cervical region joint and soft tissue mobilizations 3 times per week along 4 weeks. The control group was treated with Bobath 3 days per week along 4 weeks and each session was 75 minutes.

Enrollment: 24 patients

Sex: All

Ages: 30 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Individuals diagnosed with stroke beetwen 30-70 ages had hemiparetik lezion

Exclusion criteria

Having previously diagnosed orthopedic diseases related to the spine

• Acute or chronic infections (including HIV)
• Serious pathologies (such as cancer, spondylolisthesis, rheumatoid arthritis or ankylosing spondylitis)
• Have a history of whiplash or cervical surgery
• Having diseases that cause balance weakness (spinal cord damage, cerebellar ataxia, Parkinson's disease)
• Having another neurological disease
• Having a vision problem
• Receiving another treatment that will affect balance and walking
• Having a vision problem
• Receiving another treatment that will affect balance and walking

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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24 participants in 3 patient groups

Craniovertebral angle assesment

Experimental group

Description:

Craniovertebral angle is the most widely used measurement to assess Forward head posture. Craniovertebral angle is described as the acute angle formed between a horizontal line passing through the spinous process of the seventh cervical vertebra (C7) and the line connecting the midpoint of the tragus to the spinous process of C7.

Treatment:

Other: osteopathic suboccipital myofascial release technique

Other: manual therapy for cervikal region

Spatio-temporal gait analyz (LEGSystm)

Experimental group

Description:

The gait performance of the cases was evaluated with a spatio-temporal gait analysis device named LEGSystm developed by BioSensicstm The device is controlled from the computer with its own software and instantly sends the raw data it collects to the computer via Bluetooth.The Modified Get Up and Go Test (MKYT), which is also supported by the legsyst, was used for assesment. The test was repeated 2 times and the average time was recorded. Legsystm provides information on double stride length, duration and speed of walking, as well as standing, turning, sitting times and total time.

Treatment:

Other: osteopathic suboccipital myofascial release technique

Other: manual therapy for cervikal region

Portable computerized kinesthetic balance device (SportKAT 550)

Experimental group

Description:

The gait performance of the cases was evaluated with a spatio-temporal gait analysis device named LEGSystm developed by BioSensicstm The device is controlled from the computer with its own software and instantly sends the raw data it collects to the computer via Bluetooth.The Modified Get Up and Go Test (MKYT), which is also supported by the legsyst, was used for assesment. The test was repeated 2 times and the average time was recorded. Legsystm provides information on double stride length, duration and speed of walking, as well as standing, turning, sitting times and total time.

Treatment:

Other: osteopathic suboccipital myofascial release technique

Other: manual therapy for cervikal region