Effect of Intermittent Pneumatic Compression on Ankle Joint Proprioception and Balance in Patients With Stroke

Обзор

This study aims to assess the effect of intermittent pneumatic compression on ankle joint proprioception and balance in patients with stroke.

Подробное описание

Stroke is a leading cause of disability worldwide, often resulting in motor impairments that limit mobility, daily activities, social participation, and overall quality of life. Although many stroke survivors regain independent ambulation, deficits in balance, posture, and gait commonly persist due to impaired voluntary motor control of the paretic lower limb. Recovery of lower limb motor function is essential for walking, independence in activities of daily living, and social participation. Proprioception, which provides sensory information about body position and movement, plays a critical role in motor control and functional performance. Proprioceptive deficits are common after stroke and are more pronounced in the lower limb, contributing to impaired balance, gait disturbances, and increased fall risk. Stroke rehabilitation aims to restore function through interventions that enhance sensory input, promote cortical plasticity, and improve motor recovery. Therefore, this study aims to assess the effect of intermittent pneumatic compression on ankle joint proprioception and balance in patients with stroke.

Вмешательства

• Устройство Intermitted pneumatic pressure
  Intermittent pneumatic compression will be applied with the patient positioned comfortably in a supported supine lying position on an appropriately sized treatment table. The treated limb will be inspected for skin integrity, with any bandages removed, and a cotton gauze sleeve will be applied prior to placement of the compression sleeve. The compression unit will be placed on a stable surface, checked for cleanliness and proper assembly, and securely connected to the limb. Treatment parameters
• Другое Conventional physical therapy
  Conventional physical therapy will be received in the form of range of motion exercises, strength exercise, stretching exercises, sit to stand, proprioception training and balance training, 3 times per week for 6 weeks.

Первичные конечные точки

• Ankle proprioception [Срок оценки: 6 weeks]
• Mediolateral Stability Index (MLSI) [Срок оценки: 6 weeks]
• Anteroposterior Stability Index (APSI) [Срок оценки: 6 weeks]
• Overall Stability Index (OSI) [Срок оценки: 6 weeks]

Вторичные конечные точки (3)

• Limits of Stability (LOS) score [Срок оценки: 6 weeks]
• The Berg Balance Scale (BBS) [Срок оценки: 6 weeks]
• The Timed Up and Go (TUG) test [Срок оценки: 6 weeks]

Критерии участия

Критерии включения

• The age of the patients will range from 50-65 years old.
• Patients with stroke duration of illness ranged from six months to 18 months.
• BMI (Body Mass Index) ranged from 20- 30 Kg/m2.
• The muscle tone of the affected lower limb muscles ranged from 1 to 2 grade according Modified Aschworth Scale.
• Patients who have moderate impaired balance.
• Patients who have impaired proprioception.

Критерии исключения

• Patients with cardiovascular problems (open heart surgery or pacemaker).
• Patients with neurological diseases that affect lower limb function other than stroke (ex: Multiple sclerosis, Peripheral neuropathy, Parkinsonism…. etc.).
• Patients Suffered of Deep veins thrombosis (DVT).
• Patient with recurrent stroke.
• Patients with musculoskeletal disorders such as severe arthritis, knee surgery, total hip joint replacement, lower limb fractures or contractures of fixed deformity, leg length discrepancy after total hip replacement

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Ministry of Health — Cairo

Идентификаторы

NCT: NCT07404631 · P.T.REC/012/005794

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗