Clinical trial NCT03890965: Effects of the Application of a Reflex Locomotion Program in the Neurological Hand
Official title: Effects of the Application of a Reflex Locomotion Program on Sitting in the Neurological Hand of the Chronic Adult Patient
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neurological Disorder
Keywords: stroke
Physical therapy
neurological hand
Vojta therapy
Lead sponsor: NUMEN Foundation
Sponsor class: OTHER
First posted: 2019-03-26
Enrollment: 12
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Pretest-posttest trial
Primary purpose: OTHER

Brief summary: The recovery of the function of the hand is one of the most important aspects for patients who have suffered the consequences of neurological damage. Currently there are numerous therapeutic procedures aimed at rehabilitation that have scientific evidence such as restrictive therapy. However, dysfunction of the upper limb has an impact on the whole body that is not always taken into consideration.

Detailed description: The intervention of the stimulation of the reflex locomotion is carried out in this study in a sitting position in a conventional chair, an unorthodox posture in the usual treatment of Vojta therapy.

Description of the sitting posture: the back in axial extension with the shoulders located in front of the hips.

The elbows must be supported with the medial epicondyl in contact on a table, whose height is at the level of the end of the patient's sternum.

The forearms are placed prone with the palms facing the surface. In this position we place a rubber sphere 3 centimeters in diameter under the pisiform of one of the patient's wrists.

The reflex stimulation is performed by the passive pressure exerted by the weight of the wrist (pisiform) on the rubber sphere. Simultaneously the patient has to exert a slight pressure with the heel towards the ground with his foot. This foot will be the opposite of the wrist that has the sphere under the pisiform.

It is a cross-stimulation, that is, pisiform in one hand together with the load in the heel of the opposite side.

Alternating each diagonal 4 times, 5 minutes each. Total session 20 minutes, 2 times per day, every day according to degree of affectation

The duration of the study will depend on the degree of involvement: mild 2 weeks, moderate 3 months.

Eligibility criteria: Inclusion Criteria:

* Sequelae in the upper limb after neurological damage.
* Understanding and oral expression preserved.
* More than a year after the episode.
* Possibility of walking

Exclusion Criteria:

* Aphasia.
* Concomitant diseases: Diabetes and arthritis of the hand.

Primary outcomes:
measure: kinesiological test of the upper limb
timeFrame: 2 weeks for mild grade and 3 months for moderate degree
measure: The Box and Block Test
timeFrame: 2 weeks for mild grade and 3 months for moderate degree.
Secondary outcomes:
Other outcomes:
Locations:
city: Madrid
country: Spain
facility: NUMEN Foundation
state: España
Study officials:
affiliation: NUMEN Foundation
name: Luis Perales Lopez, Doctor
role: PRINCIPAL_INVESTIGATOR
References: