Ignite Creation Date:
2024-05-06 @ 8:19 PM
Last Modification Date:
2024-10-26 @ 3:25 PM
Study NCT ID:
NCT06339528
Status:
COMPLETED
Last Update Posted:
2024-04-08
First Post:
2024-03-25
Brief Title:
Potential of Vojtas Reflex Locomotion as a PreInduction Method for Uterine Activity a Pilot Study
Sponsor:
Faculty Hospital Kralovske Vinohrady
Organization:
Faculty Hospital Kralovske Vinohrady
Study Overview
Official Title:
Potential of Vojtas Reflex Locomotion as a PreInduction Method for Uterine Activity a Pilot Study
Status:
COMPLETED
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The Vojtas method is neurophysiological rehabilitation method used to support and induce reflex responses of locomotor and vegetative system It uses involuntary motor reaction of the body during pressure stimulation of so-called trigger zones Pregnancy is currently considered a contraindication for using Vojtas therapy to potential risks of inducing regular uterine activity and risk of delivery The aim of the study is to evaluate changes in uterine activity and also explore the possibility of using this method as a new approach for preinduction of delivery
Detailed Description:
Reflex locomotion according to Vojtas therapy is a neurorehabilitative concept originally used for diagnostics and treatment of infants who were at risk of non-physiological psychomotor development especially spastic cerebral palsy This concept utilizes stimulation of specific zones described by Vojta to evoke global motor and non-motor response
Trigger zones are specific body zones that are stimulated with pressure during reflex locomotion stimulation
According to the author of Vojtas reflex locomotion VRL - Václav Vojta there are 10 trigger zones on human body These trigger zones are pressure stimulated in order to induce reflex response On upper and lower extremities periosteum is stimulated by pressure stimulation of trigger zones During pressure stimulation of trigger zones on trunk autochthone musculature is stimulated By stimulation of trigger zones located on joints ligaments and joint surfaces are stimulated Vojtas method uses spatial and temporal summation of signals of stimulated trigger zones Variations of stimulation of different trigger zones spatial summation causes multiplication of afferent impulses Sufficiently long stimulation of trigger zones temporal summation induces isometric contraction in muscle groups described by Vojta
Motor response to trigger zones stimulation is involuntary and it manifests as a symmetrical as well as asymmetrical movement of the limbs trunk neck and head These movements are sorted into two main movement complexes - reflex creeping and reflex rolling
There are several different indications that may be a reason for using VRL Some of the main indications in children include cerebral palsy hypotonia hypertonia coordination disorders scoliosis and spinal cord injury In adults VRL is used as a treatment in many diseases of musculoskeletal apparatus eg vertebrogenic disorders condition after stroke muscular disorders and others
Several contraindications to the use of VRL should be considered when planning the treatment Some of the main contraindications include acute inflammation or infection severe cardiovascular disease acute joint or muscle pain or injury severe neurological diseases acute respiratory and pregnancy for the risk of inducing uterine activity
In obstetrics the two primary methods of inducing labor are pharmacological and non- pharmacological The most commonly used non-pharmacological methods include cervical ripening using a balloon catheter with membrane sweeping efficient at 20 of patients or amniotomy which can reduce duration of labor by approximately 2 hours
This study aims to investigate the potential of VRL in initiating uterine activity and explore its feasibility as a new preinduction method
Trigger zones are specific body zones that are stimulated with pressure during reflex locomotion stimulation
According to the author of Vojtas reflex locomotion VRL - Václav Vojta there are 10 trigger zones on human body These trigger zones are pressure stimulated in order to induce reflex response On upper and lower extremities periosteum is stimulated by pressure stimulation of trigger zones During pressure stimulation of trigger zones on trunk autochthone musculature is stimulated By stimulation of trigger zones located on joints ligaments and joint surfaces are stimulated Vojtas method uses spatial and temporal summation of signals of stimulated trigger zones Variations of stimulation of different trigger zones spatial summation causes multiplication of afferent impulses Sufficiently long stimulation of trigger zones temporal summation induces isometric contraction in muscle groups described by Vojta
Motor response to trigger zones stimulation is involuntary and it manifests as a symmetrical as well as asymmetrical movement of the limbs trunk neck and head These movements are sorted into two main movement complexes - reflex creeping and reflex rolling
There are several different indications that may be a reason for using VRL Some of the main indications in children include cerebral palsy hypotonia hypertonia coordination disorders scoliosis and spinal cord injury In adults VRL is used as a treatment in many diseases of musculoskeletal apparatus eg vertebrogenic disorders condition after stroke muscular disorders and others
Several contraindications to the use of VRL should be considered when planning the treatment Some of the main contraindications include acute inflammation or infection severe cardiovascular disease acute joint or muscle pain or injury severe neurological diseases acute respiratory and pregnancy for the risk of inducing uterine activity
In obstetrics the two primary methods of inducing labor are pharmacological and non- pharmacological The most commonly used non-pharmacological methods include cervical ripening using a balloon catheter with membrane sweeping efficient at 20 of patients or amniotomy which can reduce duration of labor by approximately 2 hours
This study aims to investigate the potential of VRL in initiating uterine activity and explore its feasibility as a new preinduction method
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None