Clinical trial NCT06849076: The Influence of Talocrural Manipulation on Proprioception in Stroke
Official title: The Effect of Talocrural Joint Manipulation on Ankle Proprioception in Post-Stroke Patients
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Stroke
Keywords: Proprioception
Lead sponsor: Bitlis Eren University
Sponsor class: OTHER
First posted: 2025-02-27
Enrollment: 26
Sex: ALL
Minimum age (years): 45
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: The patients enrolled in the study will receive placebo talocrural joint traction and talocrural joint traction in a randomized sequence. The order of the interventions will be determined by flipping a coin.
Primary purpose: TREATMENT

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

Detailed description: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Ankle Proprioception
timeFrame: Change from baseline ankle proprioception immediately after the intervention
Secondary outcomes:
measure: Ankle Dorsiflexion Measurement
timeFrame: Change from baseline ankle dorsiflexion immediately after the intervention
Other outcomes:
Locations:
city: Bolu
country: Turkey
facility: Bolu İzzet Baysal Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi
state: Merkez
Study officials:
affiliation: Bitlis Eren University
name: ömer dursun, Asst. Prof.
role: PRINCIPAL_INVESTIGATOR
affiliation: Bolu Abant İzzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital
name: burak mavuş, M.Sc.
role: PRINCIPAL_INVESTIGATOR
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