Clinical trial NCT06318624: Immediate Effects of Ankle MWM and Taping on Gait and Balance in Stroke Patients
Official title: Immediate Effects of Ankle Mobilization With Movement and Mulligan Talocrural Taping on Gait and Balance in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: stroke
gait
mobilisation
Mulligan
balance
Lead sponsor: Kutahya Health Sciences University
Sponsor class: OTHER
First posted: 2024-03-19
Enrollment: 52
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Disorders caused by stroke may lead to significant limitations, especially in ankle range of motion, and may cause impairments in walking and balance functions. This limitation in ankle range of motion leads to difficulties in weight transfer, stability, and balance. As a result, there is a decrease in walking performance and an increased risk of falls. Various interventions have been used to improve ankle dorsiflexion passive range of motion, including gastrosoleus muscle stretching, muscle strengthening training, functional electrical stimulation training, proprioceptive control training, taping, manual therapy, different mobilization techniques, and ankle mobilization with motion (MWM).There are limited studies investigating the immediate effects of MWM and taping on gait and balance in stroke patients. This study was planned to investigate the effect of Mulligan's ankle MWM technique and talus stabilization taping on spatiotemporal gait and balance parameters in stroke patients.


Eligibility criteria: Inclusion Criteria:

1. Having a unilateral stroke for more than three months,
2. Being able to walk 10 meters without an assistive device,
3. Being able to walk unassisted before having a stroke,
4. Having a score of 3 or lower on the Modified Ashworth Scale (MAS),
5. Be able to follow simple verbal instructions,
6. Being Volunteer

Exclusion Criteria:

1. Having had more than one stroke,
2. Cerebellar involvement,
3. Having severe visual impairment,
4. Having cognitive impairment,
5. Severe aphasia,
6. Apraxia,
7. Having contraindications for joint mobilization (e.g. ankle hypermobility, trauma, inflammation),
8. Have significant lower limb problems such as fractures or arthritis,
9. Having undergone musculoskeletal surgery less than 6 months ago,
10. Having joint contracture in the paretic ankle that prevents walking.

Primary outcomes:
measure: Stride length
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: Stride width
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: Cadance
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: Walking speed
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: The symmetry of the center of pressure changes during walking
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: The maximum force on the feet during walking
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: The distribution of pressure on the feet
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: Balance
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
Secondary outcomes:
measure: 10-meter walk test
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
measure: Timed up and go test
timeFrame: Pre-intervention/sham and immediately after the intervention/sham
Other outcomes:
Locations:
city: Kütahya
country: Turkey
facility: Kutahya Health Sciences University
Study officials:
affiliation: Kutahya Health Sciences University
name: İsmail Okur, Dr.
role: PRINCIPAL_INVESTIGATOR
References:
citation: An CM, Won JI. Effects of ankle joint mobilization with movement and weight-bearing exercise on knee strength, ankle range of motion, and gait velocity in patients with stroke: a pilot study. J Phys Ther Sci. 2016 Jan;28(2):689-94. doi: 10.1589/jpts.28.689. Epub 2016 Feb 29.
citation: Altmis H, Oskay D, Elbasan B, Duzgun I, Tuna Z. Mobilization with movement and kinesio taping in knee arthritis-evaluation and outcomes. Int Orthop. 2018 Dec;42(12):2807-2815. doi: 10.1007/s00264-018-3938-3. Epub 2018 May 10.
citation: An CM, Jo SO. Effects of Talocrural Mobilization with Movement on Ankle Strength, Mobility, and Weight-Bearing Ability in Hemiplegic Patients with Chronic Stroke: A Randomized Controlled Trial. J Stroke Cerebrovasc Dis. 2017 Jan;26(1):169-176. doi: 10.1016/j.jstrokecerebrovasdis.2016.09.005. Epub 2016 Oct 17.