The Influence of Talocrural Manipulation on Proprioception in Stroke

ConditionStroke
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-75
SponsorBitlis Eren University

About this trial

The aim of the study is to investigate the effect of talocrural joint manipulation on the ankle proprioception of patients with stroke.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Two months or longer elapsed since the stroke,

A Mini-Mental State Examination score of 24 or higher,

Being between 45 and 75 years of age,

Having a Brunnstrom stage of 4 or above

Disqualifiers

The presence of severe osteoarthritis in the lower extremity,

The presence of cancer or diabetic neuropathy,

The presence of vestibular disorder,

The presence of lower extremity ulceration or amputation,

Trial design

Design model

Crossover

Treatments tested in this trial

  • Placebo Talocrural Joint Manipulation

    Other intervention

    This intervention is a classic method used to evaluate the effect of talocrural joint manipulation.

  • Talocrural Joint Manipulation

    Other intervention

    This technique, aiming to increase ankle dorsiflexion and mechanoreceptor activation, is based on the application of high velocity low amplitude traction to the joint.

Treatment groups

26 Participants
are divided into 2 treatment groups
Group A: Placebo Talocrural Joint Manipulation GroupPlacebo comparator 1 intervention
Group B: Talocrural Joint Manipulation GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Change from baseline ankle proprioception immediately after the intervention

Secondary outcomes

1

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.

Time frame
Change from baseline ankle dorsiflexion immediately after the intervention

Other outcomes

Sponsors and contacts

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