Status:
RECRUITING
Somatic Dysfunction in Patients With Acute Cerebrovascular Disease
Lead Sponsor:
University of California, Davis
Collaborating Sponsors:
American Osteopathic Association
Conditions:
Stroke, Acute
TIA
Eligibility:
All Genders
18+ years
Brief Summary
The goals of this observational study are to test the reliability of a new, standardized physical examination method to identify motion problems within joints or groups of joints among adult asymptoma...
Eligibility Criteria
Inclusion
- adults ≥18 years
- Admission diagnosis:
- ischemic stroke OR
- transient ischemic attack (TIA). A prior history of TIA but without stroke may be enrolled.
- Neurologic stability or lack of significant deterioration (i.e. ∆ NIHSS\<4) for at least 24 hours (defined by clinical documentation and/or communication with provider team(s)) in stroke subjects
- Able to sit upright, lie supine, and when able lateral recumbent left/right positions with assist independently or with minimal person assist
- Anticipated length of stay greater \> or = 2 days for ischemic stroke. TIA patients average length of stay is \< 2 days, and can be enrolled in the study.
Exclusion
- Acute skeletal fracture or known dislocation; history of pathologic (osteoporotic or neoplastic) skeletal fracture of thoracic cage, hip/pelvis/sacrum, or vertebral column
- Prior history of ICH, ischemic stroke, confirmed by imaging and/or clinical evaluation. Patients with imaging showing "chronic stroke" who have never received a diagnosis of stroke and/or have not been previously symptomatic may still be enrolled, based on the Investigator's clinical judgement.
- Spinal column support brace (e.g. cervical collar)
- Anticipated neurosurgical intervention during hospitalization: decompressive hemicraniectomy, hematoma evacuation (defined by clinical documentation and/or communication with provider team(s))
- Current endotracheal intubation (\*note: extubated patients can be evaluated for eligibility)
- History of spinal cord injury with residual neuromuscular or sensory disability
- History of recent trauma within the past 30 days
- Known ligament, musculotendinous, or bone lesion
- Clinical condition that would interfere with execution of movement or palpatory diagnostic testing, e.g. chronic pain
- History of spinal surgery
Key Trial Info
Start Date :
September 1 2023
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
August 31 2026
Estimated Enrollment :
120 Patients enrolled
Trial Details
Trial ID
NCT06605014
Start Date
September 1 2023
End Date
August 31 2026
Last Update
September 26 2025
Active Locations (1)
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1
University of California Davis Medical Center
Sacramento, California, United States, 95817