Effect of Agonist Contract Relax Versus Antagonist Contract Relax in Chronic Stroke Patient.
Stroke
About this trial
This is an interventional treatment trial for Stroke focused on measuring Stroke, Agonist contract relax, antagonist contract relax, stretching, modified A
Eligibility Criteria
Inclusion Criteria: Patients with a confirmed diagnosis of stroke by a neurologist. Inclusion of patients with both ischemic and hemorrhagic stroke. Both male and female patients are eligible. Age range between 40 to 60 years. Modified Ashworth Scale ranging from 0 to 2. Minimum muscle strength grade of 3 Exclusion Criteria: History of surgery on lower limb Who received injection therapies for reducing spasticity Lower extremity contracture Modified Ashworth scale of 3-4
Sites / Locations
- sir Ganga Raam hospital lahore
- univerity of Lahore teaching hopital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Agonist Contract-relax group:
Antagonist contract-relax group:
In the agonist contract-relax group, participants were positioned in a supine position. A trained physiotherapist then passively dorsiflexed the ankle to its maximum available range and held it for 15 seconds, while ensuring that the knee remained straight by placing a hand on it. Following this, participants were instructed to perform a maximal voluntary isometric 35 contraction of the planter flexors for five seconds, while maintaining the stretched position. After a 30-second rest period, the physiotherapist returned the ankle to the starting position of 0 degrees and repeat the procedure without any rest. This stretching protocol was repeated four times, with each repetition lasting 2 minutes. For the soleus muscles, the same procedure was performed, but with a slightly flexed initial position of the knee.
In the antagonist stretching groups, participants were positioned in a supine position. A trained physiotherapist stretched the antagonist's muscle, and then participants were instructed to perform a maximal voluntary isometric contraction of dorsiflexion for 5 seconds while maintaining a stretched position. The knee was kept straight during this contraction. Following the contraction, the physiotherapist held the ankle at that angle for another 10 seconds by placing a hand on it. After a 30-second rest period, the physiotherapist returned the ankle to the starting position of 0 degrees and repeat the procedure without any rest intervals.