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The aim of the study is to investigate the effect of talocrural joint manipulation on the ankle proprioception of patients with stroke.
The study, utilizing a randomized crossover design, is planned to be conducted on a minimum of 26 patients with stroke who meet the inclusion and exclusion criteria. Patients included in the study will be randomly assigned to receive both placebo talocrural joint manipulation and talocrural joint manipulation interventions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo Talocrural Joint Manipulation Group | Placebo Comparator | In this group, patients will receive placebo talocrural joint manipulation. The application will be similar to that in the experimental group, however, hands will be positioned to avoid creating traction or manipulation force, and this position will be maintained for 20 seconds. |
|
| Talocrural Joint Manipulation Group | Experimental | In this group, talocrural joint manipulation will be applied. After positioning the patient, high velocity low amplitude traction will be applied. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo Talocrural Joint Manipulation | Other | This intervention is a classic method used to evaluate the effect of talocrural joint manipulation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Ankle Proprioception | The effect of talocrural joint manipulation on ankle proprioception will be evaluated using the Cybex isokinetic dynamometer. The device will analyze the passive joint position sense of the ankle in various positions. | Change from baseline ankle proprioception immediately after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Ankle Dorsiflexion Measurement | For the measurement of dorsiflexion range of motion, patients will be asked to stand facing a wall with the assessed leg positioned at the back. They will place their hands on the wall at shoulder width. While keeping the back knee in at least 20 degrees of flexion and ensuring the foot remains in contact with the ground, they will be instructed to lean forward as far as possible. The dorsiflexion range of motion will then be measured using a spirit level application on an iPhone placed one centimeter above the calcaneal tuberosity. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ömer dursun, Asst. Prof. | Contact | 5426088687 | +90 | fztomrdrsn@gmail.com |
| burak mavuÅŸ, M.Sc. | Contact | 5388178351 | +90 | a.burakmavus@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| ömer dursun, Asst. Prof. | Bitlis Eren University | Principal Investigator |
| burak mavuÅŸ, M.Sc. | Bolu Abant Ä°zzet Baysal Physiotherapy and Rehabilitation Training and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bolu İzzet Baysal Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi | Recruiting | Bolu | Merkez | 14280 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27231199 | Background | Vorkas PA, Shalhoub J, Lewis MR, Spagou K, Want EJ, Nicholson JK, Davies AH, Holmes E. Metabolic Phenotypes of Carotid Atherosclerotic Plaques Relate to Stroke Risk: An Exploratory Study. Eur J Vasc Endovasc Surg. 2016 Jul;52(1):5-10. doi: 10.1016/j.ejvs.2016.01.022. Epub 2016 May 23. | |
| 30482315 | Background |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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The patients enrolled in the study will receive placebo talocrural joint traction and talocrural joint traction in a randomized sequence. The order of the interventions will be determined by flipping a coin.
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The evaluator and the researcher administering the intervention will be different. The interventions will be administered to participants randomly.
| Talocrural Joint Manipulation | Other | This technique, aiming to increase ankle dorsiflexion and mechanoreceptor activation, is based on the application of high velocity low amplitude traction to the joint. |
|
| Change from baseline ankle dorsiflexion immediately after the intervention |
| merve tunçdemir, Asst. Prof. | Bitlis Eren University | Principal Investigator |
| Mansfield A, Inness EL, Mcilroy WE. Stroke. Handb Clin Neurol. 2018;159:205-228. doi: 10.1016/B978-0-444-63916-5.00013-6. |
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| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |