Clinical trial NCT04562220: The Effect of Vibration Applied on Forearm Extensor Muscles Patients With Stroke
Official title: The Effect of Vibration Applied on Forearm Extensor Muscles on Hand Functions and Muscle Activation in Patients With Stroke
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke Patients
Keywords: Stroke
Rehabilitation
Vibration
Hand functions
Forearm extensor muscle
Lead sponsor: Kırıkkale University
Sponsor class: OTHER
First posted: 2020-09-24
Enrollment: 24
Sex: ALL
Minimum age (years): 40
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study was planned to determine the effect of vibration applied to forearm extensor muscles on hand functions and muscle activation in stroke patients.

Detailed description: Patients will be included in our study, who will be hospitalized in Kirikkale University Faculty of Medicine Physical Therapy Hospital and will receive stroke rehabilitation. The number of patients will be determined to be approximately 24 according to the power analysis. Patients meeting the inclusion criteria and excluding the exclusion criteria will be randomized according to the order of arrival and divided into 2 groups as the training group and the control group. Patients will be randomized using block randomization. Routine conventional physical therapy will be applied to the patients in the vibration group in 4 weeks and 45 minutes sessions. In addition, 30 Hz, 3 days a week, immediately after the sessions, to the forearm extensor group muscles with ''Conformité Européene'' certified vibration device. frequency vibration will be applied. A vibration session will be as follows; 6 sets of vibrations will be applied, including 1 set of 1 minute vibration and 2 minutes of rest. Routine conventional physical therapy will be applied to the control group in 4 weeks and 45 minute sessions.

Eligibility criteria: Inclusion Criteria:

* Diagnosed with stroke
* Cognitive and without communication problems
* Patients with active movement in the upper extremities

Exclusion Criteria:

* People who have undergone botulinum toxin application to the upper extremity
* Significant cognitive impairment that will interfere with functional evaluation
* Deformity and / or contracture in the upper extremity due to fractures, inflammatory arthropathy, etc.
* Infection, skin lesion or hematoma at the application site

Primary outcomes:
measure: EMG measurement
timeFrame: 15 minutes
Secondary outcomes:
measure: Wolf Motor Function Test
timeFrame: 45 minutes
measure: Functional independence scale
timeFrame: 15 minutes
Other outcomes:
Locations:
city: Kırıkkale
country: Turkey
facility: Ayşe Abit Kocaman
Study officials:
affiliation: Kırıkkale University
name: Ayşe Abit Kocaman
role: PRINCIPAL_INVESTIGATOR
References:
citation: Pamukoff DN, Ryan ED, Blackburn JT. The acute effects of local muscle vibration frequency on peak torque, rate of torque development, and EMG activity. J Electromyogr Kinesiol. 2014 Dec;24(6):888-94. doi: 10.1016/j.jelekin.2014.07.014. Epub 2014 Aug 7.
citation: Kasman G. Using surface electromyography. Rehab Manag. 2001 Dec-2002 Jan;14(9):56-9, 76. No abstract available.
citation: Morris DM, Uswatte G, Crago JE, Cook EW 3rd, Taub E. The reliability of the wolf motor function test for assessing upper extremity function after stroke. Arch Phys Med Rehabil. 2001 Jun;82(6):750-5. doi: 10.1053/apmr.2001.23183.
citation: Wang MZ, Chow TW. [Determination of diosgenin in plants]. Yao Xue Xue Bao. 1964;11(4):235-41. No abstract available. Chinese.
citation: D Geler Külcü, B Yanık, G Gülşen - The relationship between balance disorders and upper extremity function in hemiplegic patients.J PMR Sci, 2009.