Effect of Myofascial Release With Tennis Ball on Spasticity and Motor Functions

NCT05242679 | Completed

• 1 other identifier: GSTIESC/23/16
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Impaired motor function and upper extremity spasticity are common concerns in patients after stroke. It is essential to plan therapeutic techniques to recover from the stroke. The objective of this study was to investigate the effects of myofascial release with the tennis ball on spasticity and motor functions of the upper extremity in patients with chronic stroke.

Conditions

Stroke

Keywords

Myofascial release; Chronic stroke; Motor functions; Spasticity; modified Ashworth scale; Fugl-Meyer assessment scale

Outcome Measures

Primary Outcomes (2)

• Spasticity

  Spasticity measured using Modified Ashworth scale - Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity.

  4 weeks.

• Upper limb motor functions

  Upper limb motor functions measured using Fugl-Meyer Assessment Scale - Scores range from 0-66, where lower score represent poor performance of upper extremity and higher scores represents good performance of upper extremity

  4 weeks.

Study Arms (2)

Myofascial Release Group

EXPERIMENTAL

Participants were treated with a conventional physiotherapy program along with myofascial release with a tennis ball.

Other: Myofascial release technique along with conventional physiotherapy exercises

Conventional Physiotherapy Group

ACTIVE COMPARATOR

A conventional physiotherapy program was provided including range of motion/flexibility exercises, strength training, postural control, functional mobility exercises, lower limb functional exercises, and gait training.

Other: Conventional physiotherapy exercises

Interventions

Myofascial release technique along with conventional physiotherapy exercises OTHER

Myofascial release technique was performed using a tennis ball along with conventional physiotherapy exercises.

Myofascial Release Group

Conventional physiotherapy exercises OTHER

Conventional physiotherapy exercises were performed including the range of motion/flexibility exercises, strength training, postural control, functional exercises, and gait training.

Conventional Physiotherapy Group

Eligibility Criteria

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

You may qualify if:

• Unilateral stroke,
• Hemiplegia with upper extremity dysfunctions of more than 6 months and less than 2 years of duration
• modified Ashworth scale of grade 1-3,
• Mini-Mental State Exam (MMSE) \>24 suggesting intact cognition,
• full passive range of motion of the shoulder, elbow, wrist, and hand joints
• voluntary control by Brunnstrom of grade 3-5 for shoulder, elbow, and wrist joints

You may not qualify if:

• circulatory problems such as deep vein thrombosis,
• impaired sensation over the affected upper limb,
• recently injured area/open wounds,
• arthritic or any other musculoskeletal condition of the upper extremity, shoulder instability based on the posterior or anterior apprehension test, and positive sulcus test,
• history of brain surgery after stroke,
• Botox injection in the past four months,
• medically unstable patients,
• patients who have had multiple strokes.

Sponsors & Collaborators

• King Saud University: lead

Study Sites (1)

King Saud University

Riyadh, 11433, Saudi Arabia

Location

Related Publications (1)

• Parikh RJ, Sutaria JM, Ahsan M, Nuhmani S, Alghadir AH, Khan M. Effects of myofascial release with tennis ball on spasticity and motor functions of upper limb in patients with chronic stroke: A randomized controlled trial. Medicine (Baltimore). 2022 Aug 5;101(31):e29926. doi: 10.1097/MD.0000000000029926.

  PMID: 35945719 DERIVED

MeSH Terms

Conditions

Stroke; Muscle Spasticity

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Muscular Diseases; Musculoskeletal Diseases; Muscle Hypertonia; Neuromuscular Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Masood Khan, M.P.Th

  King Saud University

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Two-arm parallel pre-test-post-test experimental design.

Study Record Dates

• First Submitted: February 6, 2022
• First Posted: February 16, 2022
• Study Start: November 21, 2016
• Primary Completion: August 8, 2017
• Study Completion: October 23, 2017
• Last Updated: March 4, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)