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Effects of the Application of a Reflex Locomotion Program in the Neurological Hand

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03890965
Recruitment Status : Completed
First Posted : March 26, 2019
Last Update Posted : April 7, 2020
Sponsor:
Information provided by (Responsible Party):
Luis Perales Lopez, NUMEN Foundation

Brief Summary:
The recovery of the function of the hand is one of the most important aspects for patients who have suffered the consequences of neurological damage. Currently there are numerous therapeutic procedures aimed at rehabilitation that have scientific evidence such as restrictive therapy. However, dysfunction of the upper limb has an impact on the whole body that is not always taken into consideration.

Condition or disease Intervention/treatment Phase
Neurological Disorder Other: Reflex locomoction therapy Not Applicable

Detailed Description:

The intervention of the stimulation of the reflex locomotion is carried out in this study in a sitting position in a conventional chair, an unorthodox posture in the usual treatment of Vojta therapy.

Description of the sitting posture: the back in axial extension with the shoulders located in front of the hips.

The elbows must be supported with the medial epicondyl in contact on a table, whose height is at the level of the end of the patient's sternum.

The forearms are placed prone with the palms facing the surface. In this position we place a rubber sphere 3 centimeters in diameter under the pisiform of one of the patient's wrists.

The reflex stimulation is performed by the passive pressure exerted by the weight of the wrist (pisiform) on the rubber sphere. Simultaneously the patient has to exert a slight pressure with the heel towards the ground with his foot. This foot will be the opposite of the wrist that has the sphere under the pisiform.

It is a cross-stimulation, that is, pisiform in one hand together with the load in the heel of the opposite side.

Alternating each diagonal 4 times, 5 minutes each. Total session 20 minutes, 2 times per day, every day according to degree of affectation

The duration of the study will depend on the degree of involvement: mild 2 weeks, moderate 3 months.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 12 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Intervention Model Description: Pretest-posttest trial
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Effects of the Application of a Reflex Locomotion Program on Sitting in the Neurological Hand of the Chronic Adult Patient
Actual Study Start Date : May 29, 2019
Actual Primary Completion Date : July 30, 2019
Actual Study Completion Date : September 25, 2019

Arm Intervention/treatment
Experimental: Experimental
Adult patients with chronic sequelae in the upper limb after neurological damage
Other: Reflex locomoction therapy

The intervention of the stimulation of the reflex locomotion is carried out in this study in a sitting position in a conventional chair, an unorthodox posture in the usual treatment of Vojta therapy.

The reflex stimulation is performed by the passive pressure exerted by the weight of the wrist (pisiform) on the rubber sphere. Simultaneously the patient has to exert a slight pressure with the heel towards the ground with his foot. This foot will be the opposite of the wrist that has the sphere under the pisiform.

Alternating each diagonal 4 times, 5 minutes each. Total session 20 minutes, 2 times x day, every day according to degree of affectation.





Primary Outcome Measures :
  1. kinesiological test of the upper limb [ Time Frame: 2 weeks for mild grade and 3 months for moderate degree ]
    Shoulder: flexion and maximum abduction. Forearm: Supination / pronation. Wrist: maximum dorsal flexion. Hand: finger extension

  2. The Box and Block Test [ Time Frame: 2 weeks for mild grade and 3 months for moderate degree. ]
    The Box and Block Test is a functional outcome measure that is commonly used across multiple clinical populations due to its benefits of ease and speed of implementation; reliable, objective measurement; and repetition of motion.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Sequelae in the upper limb after neurological damage.
  • Understanding and oral expression preserved.
  • More than a year after the episode.
  • Possibility of walking

Exclusion Criteria:

  • Aphasia.
  • Concomitant diseases: Diabetes and arthritis of the hand.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03890965


Locations
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Spain
NUMEN Foundation
Madrid, España, Spain, 28027
Sponsors and Collaborators
NUMEN Foundation
Investigators
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Principal Investigator: Luis Perales Lopez, Doctor NUMEN Foundation
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Responsible Party: Luis Perales Lopez, Physiotherapy service coordinator, NUMEN Foundation
ClinicalTrials.gov Identifier: NCT03890965    
Other Study ID Numbers: NUMEN1
First Posted: March 26, 2019    Key Record Dates
Last Update Posted: April 7, 2020
Last Verified: April 2020

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Luis Perales Lopez, NUMEN Foundation:
stroke
Physical therapy
neurological hand
Vojta therapy
Additional relevant MeSH terms:
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Nervous System Diseases