Clinical trial NCT05151497: Effectiveness of Aquatic Theraphy in Spasticity: Watsu and Halliwick
Official title: Effectiveness of Aquatic Theraphy in Spasticity: Watsu and Halliwick
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Brain-injury
Keywords: Acquired brain damage
aquatic therapy
hemiparesis
spasticity
Lead sponsor: University of Cadiz
Sponsor class: OTHER
First posted: 2021-12-09
Enrollment: 14
Sex: ALL
Minimum age (years): 40
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Treatment with ACD patients will be carried out through the application of aquatic therapies, being the Halliwick Concept and the Watsu Method together with a time of immersion in hot water.

Detailed description: The study consists of verifying the efficacy of physiotherapeutic treatment through the use of aquatic therapies, Watsu and Halliwick in subjects who have suffered Acquired Brain Injury (ACD), and who, after that, present spasticity. For this, the users of the Brain Injury Association of Cádiz (ADACCA) are taken as references.

Brain damage is a brain injury, resulting in a series of functional and neurological alterations. The treatment of this pathology will be carried out through the application of aquatic teràpies, being the Halliwick Concept and the Watsu Method.

This study consists of a clinical trial where the experimental group will be applied the combined treatment of Halliwick and Watsu together with a time of immersion in hot water, and to the control group the treatment by Halliwick plus immersion in hot water, in order to evaluate the degree of spasticity they present at the end of the study.

Eligibility criteria: Inclusion Criteria:

* Belonging to the Acquired Brain Injury Association of Cádiz
* Presence of spasticity in the biceps brachii and soleus muscles confirmed by the modified Ashworth Scale and modified Tardieu Scale.
* Patients who are standing and walking at least with technical assistance and / or supervision.
* Patients with acquired brain damage and with spastic hemiparesis with a chronic evolution of more than 12 months.

Exclusion Criteria:

* Presence of infections.
* Other diagnosed diseases that prevent aquatic physiotherapy treatment, such as uncontrolled diabetes or dyspnea at rest.
* Have received aquatic therapy treatment in the six months prior to the study with the methods developed in the study (Halliwick or Watsu).

Primary outcomes:
measure: Modified Asworth
timeFrame: Change from Baseline at 8 weeks
measure: Modified Tardieu
timeFrame: Change from Baseline at 8 weeks
measure: Medical Outcome Study-Sleep Scale
timeFrame: Change from Baseline al 8 weeks
measure: Number of years-Age
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Cadiz
country: Spain
facility: Miriam García Blanco
state: Cádiz
city: Cadiz
country: Spain
facility: Asociación de Daño Cerebral de Cádiz (ADACCA)
state: Cádiz
city: Cadiz
country: Spain
facility: University of Cadiz
Study officials:
affiliation: University of Cadiz
name: Miriam García Blanco, Máster
role: PRINCIPAL_INVESTIGATOR
References: