Acute Effect of Fascial Mobilization on Gait in Patients With Multiple Sclerosis

NCT02628834 | Unknown DMC

• 1 other identifier: D/01070
• Study Type: interventional
• Target: 20
• Locations: 0 countries
• Sites: N/A

Brief Summary

Ten patients who were referred to receive physiotherapy and 10 healthy volunteers will be participants of the study.Following the initial evaluation, participants with multiple sclerosis will take the fascial mobilization for their posterior crural muscle group and hamstring distal tendons which connects the crural bones at first day. After the day following the first visit participants will asked to come again and stretching exercises will apply to plantar muscle groups after the evaluation. Every participants will evaluate with the following assessment tools: Modified Ashworth scale will use to evaluation of severity of plantar flexor spasticity. Static and dynamic loading parameters will assess with dynamic pedobarography.

Conditions

Multiple Sclerosis

Keywords

Loading; Gait; Multiple Sclerosis; Manual Therapy

Outcome Measures

Primary Outcomes (1)

• Pedobarography for assessment of foot pressure while standing and walking.

  Participant stands and walks on system name is pedobarography which records foot pressure, for 7 minutes. Foot pressure means, gravitational force reflecting from ground at every foot step phase. Newton/cm2 is the unit of measure.

  Initially evaluation at first minute, Change from initial evaluation to 20th minutes, Change from initial evaluation to 24 hours, Change from initial evaluation to 24 hours and 20 minutes

Secondary Outcomes (1)

• Modified Ashworth Scale for evaluation of severity of involuntary muscle contraction

  Initially evaluation at first minute, at 20th minutes, at 24 hours, at 24 hours and 20 minutes

Study Arms (3)

Fascial mobilization

EXPERIMENTAL

First day intervention: Patients will take fascial mobilization techniques to management of plantar flexor spasticity

Other: Fascial mobilization

Stretching exercise

EXPERIMENTAL

Second day intervention:Patients will take fascial mobilization techniques to management of plantar flexor spasticity

Other: Stretching Exercise

Healthy Volunteers

NO INTERVENTION

Healthy individuals will only be evaluated with no intervention

Interventions

Fascial mobilization OTHER

The patient will lie on prone position with knee extension and therapist put the patient's plantar surface to her femoral region. Achilles, tibialis posterior, perenous longus and brevis distal tendons, gastrocnemius proximal tendons, hamstring's distal tendons will be mobilized at first stage. The second stage of fascia mobilization included the deep fascial mobilization of posterior crural muscle trunks. After that, the skin also will be gently mobilized. During fascial mobilization, once the spastic muscles relaxation will appeared, the ankle will move to dorsiflexion gradually. FM will carry out for 15 minutes for each foot.

Also known as: manual therapy

Fascial mobilization

Stretching Exercise OTHER

Patients will receive also stretching exercises consisted of 30 s stretching and 10 s resting periods and will carry out for 15 minutes for each foot at second day after the first evaluation.

Stretching exercise

Eligibility Criteria

• Age: 25 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Want to participate
• Individuals with multiple sclerosis who can walk alone for 50 meters
• Healthy participants who diagnosed no disorders or orthopedic problems.

You may not qualify if:

• Do not want to participate
• Surgery history

Sponsors & Collaborators

• Hacettepe University: lead

MeSH Terms

Conditions

Multiple Sclerosis

Interventions

Musculoskeletal Manipulations; Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Exercise Therapy; Aftercare; Continuity of Patient Care; Patient Care; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, PT

Study Record Dates

• First Submitted: November 11, 2015
• First Posted: December 11, 2015
• Study Start: December 1, 2015
• Primary Completion: November 1, 2016
• Study Completion: December 1, 2016
• Last Updated: December 11, 2015

Record last verified: 2015-12