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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Cryotherapy Reduces Muscle Spasticity But Does Not Affect Proprioception in Ischemic Stroke A Randomized Sham-Controlled Crossover Study

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Author(s):
Garcia, Luccas Cavalcanti [1] ; Alcantara, Carolina Carmona [1] ; Santos, Gabriela Lopes [1] ; Almeida Moncao, Joao Victor [1] ; Russo, Thiago Luiz [1]
Total Authors: 5
Affiliation:
[1] Fed Univ Sao Carlos UFSCar, Dept Phys Therapy, Lab Neurol Physiotherapy Res, Sao Carlos, SP - Brazil
Total Affiliations: 1
Document type: Journal article
Source: AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION; v. 98, n. 1, p. 51-57, JAN 2019.
Web of Science Citations: 1
Abstract

Objective: The aim of the study was to evaluate the immediate effects of cryotherapy (using an ice pack) on ankle joint position sense and the degree of spasticity after chronic hemiparetic stroke. Design: We used a sham-controlled crossover design. Sixteen chronic hemiparetic patients were randomly assigned to two groups: (1) those who received cryotherapy followed by a control intervention 15 days later (cryotherapy group) and (2) those who received the control intervention followed by cryotherapy 15 days later (control intervention group). Ankle joint position sense was measured on the paretic side using a Biodex Multi-joint System 3 dynamometer before and after 20 mins of either application on the calf muscles. Lower absolute error scores were calculated for data analyses and were used to determine joint position sense. The degree of spasticity of the plantar flexor muscles was scored according to the Modified Ashworth Scale. Results: Sixteen patients completed the crossover experiment; however, data analysis was successfully conducted in 15 participants. Cryotherapy reduced the degree of spasticity of the plantar flexor muscles without altering ankle joint position sense. Conclusions: Cryotherapy (using an ice pack) may reduce plantar flexor spasticity without influencing proprioception. (AU)

FAPESP's process: 17/13655-6 - Sedentary behaviour and arterial dysfunction in chronic post-stroke subjects
Grantee:Thiago Luiz de Russo
Support Opportunities: Regular Research Grants
FAPESP's process: 13/25805-1 - Immediate effects of cryotherapy on neuromuscular performance of ankle joint and on gait pattern of chronic spastic hemiparetic subjects post stroke
Grantee:Carolina Carmona de Alcântara
Support Opportunities: Scholarships in Brazil - Doctorate
FAPESP's process: 14/25845-6 - Effects of elastic tape on shoulder proprioception and sensory-motor performance during reaching in chronic hemiparetic subjects
Grantee:Gabriela Lopes dos Santos
Support Opportunities: Scholarships in Brazil - Doctorate