Clinical and Ultrasonographic Comparison of the Effect of Hot and Cold Therapy on Spasticity
Spastic Hemiplegia
About this trial
This is an interventional treatment trial for Spastic Hemiplegia focused on measuring spastisity, ultrasonography, hot pack, cold pack
Eligibility Criteria
Inclusion Criteria:
- Being first stroke attack
- Grade ≥1 Spasticity in the medial gastrocnemius muscle according to modified ashwort scale
- At least 6 weeks have passed since the stroke
Exclusion Criteria:
- Antispasticidal drug use
- Botulinum toxin injection into the gastrocnemius muscle
- Having another nervous system or orthopedic disease that can affect measurements
Sites / Locations
- Dokuz Eylul UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Other
Heat Therapy with heating pads
Cold Therapy with ice packs
Stretching Exercises
20 minutes of heating pads will be applied to the medial gastrocnemius muscle, followed by gastrocnemius muscle stretching for 20 minutes. While the patient is lying in a prone position the towel, which is located between the skin and heating pads, and heating pads will be placed on the gastrocnemius muscle.
20 minutes of ice packs will be applied to the medial gastrocnemius muscle, followed by gastrocnemius muscle stretching for 20 minutes. While the patient is lying in a prone position the towel, which is located between the skin and ice packs, and ice packs will be placed on the gastrocnemius muscle.
20 minutes of stretching exercises will be applied. In stretching exercises, stretching will be done for 30 seconds. The stretching exercises, which contain the maximal tension to the ankle, will be performed by the same physiotherapist while the patient is in the supine position, hip and knee extension.