The Effects Of Cervical Mobilization
Condition: Stroke; Ischemic Stroke; Chronic Stroke
MeSH terms: Stroke; Ischemic Stroke
Study type: Interventional

Summary: 
      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.
    

Detailed 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.
    

Intervention name(s): manual therapy for cervikal region; osteopathic suboccipital myofascial release technique
Intervention type(s): Other; Other
Intervention description(s): Joint mobilization: In the stroke individuals included in the mobilization group, Grade 3 Central Posterior-Anterior (CPA) passive joint mobilization was applied with the Maitland method starting from the upper cervical region towards the lower cervical region, in 3 sets, 2 minutes and 1 minute rest.; The patient lies comfortably in the supine position. The therapist's forearms are supported on the treatment table, with the metacarpophalangeal and proximal interphalangeal joints flexed to approximately 45 degrees. After the therapist places his hands on the area where the patient's suboccipital muscles connect the occiput, he asks the patient to relax and rest his head on his fingers. Therapist pays attention to positioning the fingertips in suboccipital area No traction is performed during this technique. The position is maintained until the patient is relaxed. This treatment takes approximately 3-4 minutes.
Other intervention name(s): mobilization of spine according to maitland concept
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: 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.
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: cervical mobilization; head posture; gait parameters; balance; stroke