Effect of Air Splints on Sensoriomotor Disturbances of the Affected Upper Extremity and Trunk Control in the Adult Post-stroke Patient
Effect of Air Splints on Sensoriomotor Disturbances of the Affected Upper Extremity and Trunk Control in the Adult Post-stroke Patient: A Pilot Randomized Clinical Trial
Objective: Sensory impairment in the affected upper limb occurs in approximately 50% of post-stroke patients and negatively impacts functional capacity and quality of life. This pilot study aims to evaluate whether the standardized use of pneumatic (air) splints, as part of a neurodevelopmental treatment approach, will have a positive effect on sensorimotor deficits in the hemiplegic upper limb of post-stroke patients.
Design: Pilot randomized, single-blind clinical trial.
Setting: Brain injury rehabilitation facility.
Participants: Twenty adults in the subacute phase after stroke will be randomized into two groups. The experimental group (n = 10) will receive air splint therapy combined with physiotherapy (45 minutes per session, twice per week for 4 weeks). The control group (n = 10) will receive only physiotherapy with the same duration and frequency. Sensorimotor outcomes will be assessed using the Fugl-Meyer Assessment for the Upper Extremity (FMA-UE), and finger flexor/extensor strength will be measured using the Amadeo robotic system. Assessments will be conducted before and after the intervention.
Conclusions: The addition of air splints to physiotherapy may enhance exteroceptive and proprioceptive sensitivity in adults recovering from stroke during the subacute phase.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Madrid, Spain, 28007
- Alicia
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Stroke at least 2 months earlier
- Mild/moderate hypertonia (Ashworth ≤3)
- Proprioceptive and exteroceptive deficits
- Trunk stability score between 8-23 (TCT)
Exclusion Criteria:
- Non-vascular etiology
- Clinical instability
- Skin lesions or deformities
- Botulinum toxin in last 3 months
- Cognitive/communication limitations
- Maximum TCT score (23) at baseline
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Application of CPPS (Urias splints) + physiotherapy Intervention Type: Device
|
Application of CPPS (Urias splints) + physiotherapy
|
|
No Intervention: Physiotherapy alone following neurodevelopmental approach
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in upper limb sensorimotor function measured by the Fugl-Meyer Assessment for the Upper Extremity (FMA-UE)
Time Frame: Baseline and post 4-week intervention
|
Change in upper limb sensorimotor function measured by the Fugl-Meyer Assessment for the Upper Extremity (FMA-UE), a validated stroke-specific scale.
The FMA-UE ranges from 0 to 66, where higher scores indicate better motor and sensory function.
|
Baseline and post 4-week intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in trunk function measured by the Trunk Control Test (TCT)
Time Frame: Baseline and after 4-week intervention
|
Change in trunk function measured by the Trunk Control Test (TCT), which assesses four functional movements.
The TCT ranges from 0 to 100, where higher scores indicate better trunk control and functional ability.
|
Baseline and after 4-week intervention
|
|
Change in balance performance measured by the Mini-Balance Evaluation Systems Test (Mini-BESTest)
Time Frame: Baseline and after 4-week intervention
|
Change in balance performance measured by the Mini-Balance Evaluation Systems Test (Mini-BESTest), which ranges from 0 to 28.
Higher scores indicate better dynamic balance.
|
Baseline and after 4-week intervention
|
|
Change in hand strength (flexion and extension) measured using the AMADEO robotic system.
Time Frame: Baseline and after 4-week intervention
|
Change in hand strength (flexion and extension) measured using the AMADEO robotic system.
Strength will be recorded in Newtons (N).
Higher values indicate greater muscle strength.
|
Baseline and after 4-week intervention
|
|
Change in range of motion (ROM) of the shoulder and fingers measured using the AMADEO robotic system.
Time Frame: Baseline and after 4-week intervention
|
Change in range of motion (ROM) of the shoulder and fingers measured using the AMADEO robotic system.
ROM will be recorded in degrees (°).
Higher values indicate better joint mobility.
|
Baseline and after 4-week intervention
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Universidad Alfonso X El Sabio
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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