Different Treatment Methods Effect on Upper Extremity Spasticity and Decreased Functionality After Stroke
Stroke, Spasticity as Sequela of Stroke, Limitation, Mobility
About this trial
This is an interventional treatment trial for Stroke
Eligibility Criteria
Inclusion Criteria: Those who are diagnosed with stroke between the ages of 18-75 and can stand No cognitive and communication problems Persons weighing less than 150 kg Patients who have had at least 10 days after Botox application Exclusion Criteria: Individuals who are not stable in terms of vital signs Those who have any open wounds on their upper extremities Those with spasticity and contracture that prevent sole contact Pathological conditions affecting upper extremity sensation (after surgery after fracture etc.) Those with a Mini Mental Test score below 24 Posterior circulation stroke (stroke type in which basilar artery and cerebellum are affected) Arterial blood circulation disorders Lymphatic Edema Those who have been diagnosed with Multiple Sclerosis, Parkinson's and other neurological diseases People with vision and hearing problemsPatients who have been diagnosed with stroke for at least 8 weeks
Sites / Locations
- Kırıkkale University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation
Arms of the Study
Arm 1
Arm 2
Arm 3
Other
Other
Other
Vibration group
Modified Constraint-Induced Movement Therapy group
Control group
Vibration is defined as "a mechanical stimulus characterized by oscillating movements". has been defined.The first method is a hand held as a local vibration application that can be applied directly to the widest part of the muscle with the object.is named. The second method, called whole body vibration, is a vibration source applied on the platform. Participants immediately after the sessions in addition to conventional physiotherapy. Upper extremity flexor on the hemiplegic side in supine position, 8 weeks, 3 sessions per week with a CE certified vibration device with a frequency of 50-110 Hz and an amplitude of 1-4 mm. Local vibration will be applied for 15 minutes each.
Modified Constraint-İnduced Movement Therapy is a rehabilitation technique that promotes 'repetitive' use of the affected upper extremity in people with upper extremity neurological motor deficits. Constraint-İnduced Movement Therapy upper extremity after stroke it is a rehabilitation approach used to increase functional use. post stroke Approximately 20-25% of surviving patients can meet the motor criteria of mCIMT. Participants In addition to conventional treatment, they can use their intact extremities at home with a shoulder stabilization orthosis.Restraint, grasping on the hemiplegic side, using spoons and forks, combing hair daily life activities, 8 weeks, 3 days a week, and approximately 3 hours Modified Constraint-İnduced Movement Therapy m(CIMT) will be applied.
Control group in the training group, will be given a program that includes joint range of motion exercises, strengthening exercises, mobility and transfer activities, and various activities in order to increase participation in daily life activities as a routine conventional treatment in 60-minute sessions, 3 days a week, for 8 weeks.