The Effect of Vibration Applied on Forearm Extensor Muscles Patients With Stroke

NCT04562220 | Completed

• 1 other identifier: Forearmandvibration
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned to determine the effect of vibration applied to forearm extensor muscles on hand functions and muscle activation in stroke patients.

Conditions

Stroke Patients

Keywords

Stroke; Rehabilitation; Vibration; Hand functions; Forearm extensor muscle

Outcome Measures

Primary Outcomes (1)

• EMG measurement

  Muscular activation of the forearm extensor group muscles will be measured with the Electromyography device. Electromyography measurements will be measured before and after application of vibration. In electromyography measurements, active electrodes will be placed in the motor point of the muscle, and passive electrode will be placed on any muscle body in the other arm, three times measurement will be made and average values will be recorded. Surface electrodes will be used. The measurements will be recorded as the individual attempts to flex the wrist. While measuring, the volunteers will be ensured to take a comfortable position. Muscular activation; Surface electromyography data will be recorded using "Myomonitor Wireless Electromyography Systems" Delsys branded Electromyography device. The conductivity band of the electromyography amplifier is 20-450 Hz, its gain is 1000 Hz, and the average noise recovery rate is\> 80 decibel.

  15 minutes

Secondary Outcomes (2)

• Wolf Motor Function Test

  45 minutes

• Functional independence scale

  15 minutes

Study Arms (2)

Vibration Group

EXPERIMENTAL

Routine conventional physical therapy will be applied to patients in the vibration group in 4 weeks and 45 minutes sessions. In addition, right after the sessions, 3 days a week, 30 Hz. frequency vibration will be applied. A vibration session will be as follows; 6 sets of vibrations will be applied, including 1 set of 1 minute vibration and 2 minutes of rest.

Other: Routine conventional physical therapy plus Vibration session

Control Group

ACTIVE COMPARATOR

Routine conventional physical therapy will be applied to the control group in 4 weeks and 60 minute sessions.

Other: Routine conventional physical therapy

Interventions

Routine conventional physical therapy plus Vibration session OTHER

Routine conventional physical therapy will be applied to patients in the vibration group in 4 weeks and 45 minutes sessions. In addition, right after the sessions, 3 days a week, 30 Hz. frequency vibration will be applied. A vibration session will be as follows; 6 sets of vibrations will be applied, including 1 set of 1 minute vibration and 2 minutes of rest.

Vibration Group

Routine conventional physical therapy OTHER

Routine conventional physical therapy will be applied to the control group in 4 weeks and 60 minute sessions

Control Group

Eligibility Criteria

• Age: 40 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosed with stroke
• Cognitive and without communication problems
• Patients with active movement in the upper extremities

You may not qualify if:

• People who have undergone botulinum toxin application to the upper extremity
• Significant cognitive impairment that will interfere with functional evaluation
• Deformity and / or contracture in the upper extremity due to fractures, inflammatory arthropathy, etc.
• Infection, skin lesion or hematoma at the application site

Sponsors & Collaborators

• Kırıkkale University: lead

Study Sites (1)

Ayşe Abit Kocaman

Kırıkkale, 7110, Turkey (Türkiye)

Location

Related Publications (6)

• Pamukoff DN, Ryan ED, Blackburn JT. The acute effects of local muscle vibration frequency on peak torque, rate of torque development, and EMG activity. J Electromyogr Kinesiol. 2014 Dec;24(6):888-94. doi: 10.1016/j.jelekin.2014.07.014. Epub 2014 Aug 7.

  PMID: 25169762 BACKGROUND

• Kasman G. Using surface electromyography. Rehab Manag. 2001 Dec-2002 Jan;14(9):56-9, 76. No abstract available.

  PMID: 15895663 BACKGROUND

• Morris DM, Uswatte G, Crago JE, Cook EW 3rd, Taub E. The reliability of the wolf motor function test for assessing upper extremity function after stroke. Arch Phys Med Rehabil. 2001 Jun;82(6):750-5. doi: 10.1053/apmr.2001.23183.

  PMID: 11387578 BACKGROUND

• Wang MZ, Chow TW. [Determination of diosgenin in plants]. Yao Xue Xue Bao. 1964;11(4):235-41. No abstract available. Chinese.

  PMID: 5900183 BACKGROUND

• D Geler Külcü, B Yanık, G Gülşen - The relationship between balance disorders and upper extremity function in hemiplegic patients.J PMR Sci, 2009.

  RESULT

• Abit Kocaman A, Onal B, Sertel M, Karaca G. The effect of local vibration applied to the forearm extensor muscles on hand function and muscle activation in stroke patients: a randomized controlled study. Acta Neurol Belg. 2023 Oct;123(5):1957-1964. doi: 10.1007/s13760-023-02335-6. Epub 2023 Jul 23.

  PMID: 37481756 DERIVED

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Ayşe Abit Kocaman

  Kırıkkale University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: September 18, 2020
• First Posted: September 24, 2020
• Study Start: September 15, 2020
• Primary Completion: January 24, 2021
• Study Completion: March 24, 2021
• Last Updated: October 26, 2021

Record last verified: 2021-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)