Acute Effects of Thai Traditional Massage on Cerebrovascular Reactivity in Ischemic Stroke Patients
|ClinicalTrials.gov Identifier: NCT02270294|
Recruitment Status : Completed
First Posted : October 21, 2014
Last Update Posted : April 3, 2018
|Condition or disease||Intervention/treatment||Phase|
|Ischemic Stroke||Other: Thai traditional massage Other: No massage||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||14 participants|
|Intervention Model:||Crossover Assignment|
|Masking:||Single (Outcomes Assessor)|
|Official Title:||Acute Effects of Thai Traditional Massage on Cerebrovascular Reactivity in Ischemic Stroke Patients|
|Actual Study Start Date :||October 1, 2014|
|Actual Primary Completion Date :||October 31, 2015|
|Actual Study Completion Date :||August 3, 2016|
|Experimental: Thai traditional massage||
Other: Thai traditional massage
Thai traditional massage treatment based on original Thai traditional massage at Wat Po was use in this study. The participants will be assigned to receive one time of Thai traditional massage one time. Thai traditional massage techniques consists of petrissage, friction, and passive stretching on head, neck, shoulders, arms, back and legs for 60 minutes.
Other Name: Thai massage
|Sham Comparator: No massage||
Other: No massage
The participants will be asked to lie down in relaxant position on bed without sleep for 60 minutes.
- Change from baseline in cerebrovascular reactivity [ Time Frame: baseline, Post-test (immediately: 0 min after finish massage intervention, 60 min, 120 min, 24 Hrs. ]- Cerebrovascular reactivity or cerebral CO2 reactivity test will be assessed using the ultrasound equipment (CX50, Philips, USA). Blood flow velocity (BFV) of the middle cerebral artery (MCA) will be measured during normocapnic, hypocapnic, and hypercapnic states. Subjects will be asked to wear nose clips and breathe only through a mouthpiece. Baseline (3 minutes) recordings will be taken during spontaneous breathing of room air and then subjects underwent 1 minute of maximal voluntary hyperventilation with a duty cycle of 1 second. The MCA-BFV will be recorded during the last 20 seconds of hyperventilation. After that, subjects will be asked to breathe air containing a mixture of 5 % CO2 and 21 % O2 balanced with nitrogen spontaneously for 3 minutes and the MCA-BFV will be recorded during the last minute of hypercapnia.
- Change from baseline in stress indicators [ Time Frame: Baseline, Post-test (immediately: 0 min after finish massage intervention) ]- Serum cortisol will be measured with cortisol EIA kit (Enzo Life Science, Switzerland).
- Change from baseline in stress indicators [ Time Frame: Baseline, Post-test (immediately: 0 min after finish massage intervention, 60 min, 120 min, 24 Hrs. ]- Heart rate variability (HRV) will be measured using the Heart rate monitoring (RS800CX, Polar Electro, Oy, Finland)
- Change from baseline in Peripheral arterial stiffness [ Time Frame: Baseline, Post-test (immediately: 0 min after finish massage intervention, 60 min, 120 min, 24 Hrs. ]- Pulse wave velocity measurement will be assessed with MD6 bidirectional transcutaneous Doppler probe (Hokanson, Bellevue, WA, USA). All subjects will be monitored with an EKG and PWV measurements in the computer and used as timing markers for PWV identification.
- Change from baseline in blood chemistry [ Time Frame: baseline, Post-test (immediately: 0 min after finish massage intervention) ]
- Nitric oxide (NO) will be measured in plasma samples with Colorimetric nitric oxide assay kit (Biovision, USA).
- Beta-endorphin will be measured in serum samples with the commercial assay kit (Beta-endorphin [bEP] BioAssay ELISA kit [Human], US Biological Life Science).
- Malondialdehyde (MDA) will be determined using thiobarbituric acid reaction.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02270294
|Faculty of Sports Science, Chulalongkorn University|
|Pathumwan, Bangkok, Thailand, 10330|