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 volunteersQualifiers
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
Crossover
Treatments tested in this trial
Placebo Talocrural Joint Manipulation
Other interventionThis intervention is a classic method used to evaluate the effect of talocrural joint manipulation.
Talocrural Joint Manipulation
Other interventionThis 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
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
Sponsors and contacts
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