Effect of Agonist Contract Relax Versus Antagonist Contract Relax in Chronic Stroke Patient.

NCT05957731 | Completed DMC

• 1 other identifier: REC-UOL-246-04-2023
• Study Type: interventional
• Target: 112
• Locations: 1 country
• Sites: 2

Brief Summary

It will be a randomized control trial with 112 patients which will be divided into two groups of 56 patients in each group. Participants will recruit through convenient sampling techniques. Outcome measures are range of motion and spasticity. The protocol was implemented three days per week for eight consecutive weeks. Data will be collected at baseline and 8 th week after intervention.

Conditions

Stroke

Keywords

Stroke; Agonist contract relax; antagonist contract relax; stretching; modified A

Outcome Measures

Primary Outcomes (2)

• Modified Ashworth Scale.

  The assessment involves extending the limb of the parent from a state of utmost flexion to utmost extension, identifying the point at which initial mild resistance was encountered. Following that, the modified Ashworth Scale is employed while transitioning the limb from extension to flexion. Interrater reliability studies utilizing the MAS have yielded varied results, ranging from moderate to good.

  it will measure change in spasticity at baseline and at 8th week

• universal goniometer

  The universal goniometer (UG) is a widely employed tool for assessing range of motion.Range of motion refers to the complete extent of movement possible at a specific joint. In a normal ankle, the range of motion typically spans from around 20ºof dorsiflexion to 50º of plantar flexion. For normal walking, a combined motion of approximately 24º to 30º (including both dorsiflexion and plantar flexion) is required.

  it will measure change in range of motion at baseline and at 8th week

Study Arms (2)

Agonist Contract-relax group:

EXPERIMENTAL

In the agonist contract-relax group, participants were positioned in a supine position. A trained physiotherapist then passively dorsiflexed the ankle to its maximum available range and held it for 15 seconds, while ensuring that the knee remained straight by placing a hand on it. Following this, participants were instructed to perform a maximal voluntary isometric 35 contraction of the planter flexors for five seconds, while maintaining the stretched position. After a 30-second rest period, the physiotherapist returned the ankle to the starting position of 0 degrees and repeat the procedure without any rest. This stretching protocol was repeated four times, with each repetition lasting 2 minutes. For the soleus muscles, the same procedure was performed, but with a slightly flexed initial position of the knee.

Other: Routine physical therapy; Other: agonist contract relax

Antagonist contract-relax group:

EXPERIMENTAL

In the antagonist stretching groups, participants were positioned in a supine position. A trained physiotherapist stretched the antagonist\'s muscle, and then participants were instructed to perform a maximal voluntary isometric contraction of dorsiflexion for 5 seconds while maintaining a stretched position. The knee was kept straight during this contraction. Following the contraction, the physiotherapist held the ankle at that angle for another 10 seconds by placing a hand on it. After a 30-second rest period, the physiotherapist returned the ankle to the starting position of 0 degrees and repeat the procedure without any rest intervals.

Other: Routine physical therapy; Other: antagonist contract relax

Interventions

Routine physical therapy OTHER

Both groups received routine physical therapy, which encompasses various components such as electrotherapy, strength training for both lower and upper limbs, gait training, and occupational therapy.

Agonist Contract-relax group:; Antagonist contract-relax group:

antagonist contract relax OTHER

antagonist contraction i used to improve spasticity and range of motion in stroke patients

Antagonist contract-relax group:

agonist contract relax OTHER

agonist contraction is used to improve spasticity and range of motion in stroke patients

Also known as: agonist contraction

Agonist Contract-relax group:

Eligibility Criteria

• Age: 40 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with a confirmed diagnosis of stroke by a neurologist.
• Both male and female patients are eligible.
• Age range between 40 to 60 years.
• Modified Ashworth Scale ranging from 0 to 2.
• Minimum muscle strength grade of 3

You may not qualify if:

• History of surgery on lower limb
• Who received injection therapies for reducing spasticity
• Lower extremity contracture
• Modified Ashworth scale of 3-4

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (2)

sir Ganga Raam hospital lahore

Lahore, Pakistan

Location

univerity of Lahore teaching hopital

Lahore, Pakistan

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 15, 2023
• First Posted: July 24, 2023
• Study Start: November 7, 2022
• Primary Completion: July 30, 2023
• Study Completion: July 30, 2023
• Last Updated: August 3, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)