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The investigators hypothesize that Acute Thai traditional massage will yield beneficial effects on cerebrovascular reactivity in ischemic stroke patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thai traditional massage | Experimental |
| |
| No massage | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thai traditional massage | Other | Thai traditional massage treatment based on original Thai traditional massage at Wat Po was use in this study. The participants will be assigned to receive one time of Thai traditional massage one time. Thai traditional massage techniques consists of petrissage, friction, and passive stretching on head, neck, shoulders, arms, back and legs for 60 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in cerebrovascular reactivity | - Cerebrovascular reactivity or cerebral CO2 reactivity test will be assessed using the ultrasound equipment (CX50, Philips, USA). Blood flow velocity (BFV) of the middle cerebral artery (MCA) will be measured during normocapnic, hypocapnic, and hypercapnic states. Subjects will be asked to wear nose clips and breathe only through a mouthpiece. Baseline (3 minutes) recordings will be taken during spontaneous breathing of room air and then subjects underwent 1 minute of maximal voluntary hyperventilation with a duty cycle of 1 second. The MCA-BFV will be recorded during the last 20 seconds of hyperventilation. After that, subjects will be asked to breathe air containing a mixture of 5 % CO2 and 21 % O2 balanced with nitrogen spontaneously for 3 minutes and the MCA-BFV will be recorded during the last minute of hypercapnia. | baseline, Post-test (immediately: 0 min after finish massage intervention, 60 min, 120 min, 24 Hrs. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in stress indicators | - Serum cortisol will be measured with cortisol EIA kit (Enzo Life Science, Switzerland). | Baseline, Post-test (immediately: 0 min after finish massage intervention) |
| Change from baseline in stress indicators |
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Inclusion Criteria:
Exclusion Criteria:
History of serious diseases
Temporal window were not found
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Sports Science, Chulalongkorn University | Pathumwan | Bangkok | 10330 | Thailand |
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D000096262 | Medicine, Thai Traditional |
| ID | Term |
|---|---|
| D008519 | Medicine, Traditional |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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|
|
| No massage | Other | The participants will be asked to lie down in relaxant position on bed without sleep for 60 minutes. |
|
- Heart rate variability (HRV) will be measured using the Heart rate monitoring (RS800CX, Polar Electro, Oy, Finland) |
| Baseline, Post-test (immediately: 0 min after finish massage intervention, 60 min, 120 min, 24 Hrs. |
| Change from baseline in Peripheral arterial stiffness | - Pulse wave velocity measurement will be assessed with MD6 bidirectional transcutaneous Doppler probe (Hokanson, Bellevue, WA, USA). All subjects will be monitored with an EKG and PWV measurements in the computer and used as timing markers for PWV identification. | Baseline, Post-test (immediately: 0 min after finish massage intervention, 60 min, 120 min, 24 Hrs. |
| Change from baseline in blood chemistry |
| baseline, Post-test (immediately: 0 min after finish massage intervention) |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |