Talocrural Joint Manipulation in Stroke
NCT Number: NCT06523010
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Stroke
Interventions: OTHER: Talocrural Joint Manipulation|OTHER: Placebo Talocrural Joint Manipulation
Sponsor: Bitlis Eren University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 26
Study Design: Allocation: RANDOMIZED|Intervention Model: CROSSOVER|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-08-02
Completion Date: 2025-03-15
Locations: Bolu İzzet Baysal Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, Bolu, Merkez, 14020, Turkey

Summary:
The primary aim of the study is to investigate the effect of talocrural joint manipulation on the static balance of patients with stroke. The secondary aim of this study is to investigate the effect of talocrural joint manipulation on the dorsiflexion range of motion of patients with stroke.

Primary Outcome Measures: Overall Stability Index Measurement, Overall stability index, evaluated using the Biodex Balance System. Overall stability index scores were derived from calculations of deviations from the center of gravity in the anteroposterior and mediolateral axes by the device. A lower score indicates smaller deviation and better postural stability. The assessment was conducted on a stable platform with three 20-second repetitions interspersed with 10-second rest periods. Participants remained standing during the rest periods, and the device automatically computed the average of the three repetitions. As the general stability index value increases, overall stability decreases., Change from baseline overall stability immediately after intervention
Secondary Outcome Measures: Mediolateral Stability Index Measurement, Mediolateral stability index, evaluated using the Biodex Balance System. Mediolateral stability index scores were derived from calculations of deviations from the center of gravity in the mediolateral axis by the device. As the mediolateral index value increases, mediolateral stability decreases., Change from baseline mediolateral stability immediately after intervention|Anteroposterior Stability Index Measurement, Anteroposterior stability index, evaluated using the Biodex Balance System. Anteroposterior stability index scores were derived from calculations of deviations from the center of gravity in the anteroposterior axis by the device. As the overall anteroposterior stability value increases, anteroposterior stability decreases., Change from baseline anteroposterior stability immediately after intervention|Ankle Dorsiflexion Range of Motion Measurement, The patient will be asked to stand facing the wall and place their hands on the wall at shoulder width apart, with the affected foot positioned behind and the knee in full extension. Then, without lifting the back foot or compromising knee extension, the patient will be instructed to reach forward as far as possible. Subsequently, the calcaneal tubercle will be placed one centimeter above the floor, and the measurement will be taken with a water level gauge attached to the phone. The same measurement will be repeated with the knee in flexion (20 degrees or more)., Change from baseline ankle dorsiflexion range of motion immediately after intervention