1st International Congress on Physiotechnotherapy, Sarajevo, Bosna-Hersek, 09 Mayıs 2019, ss.6
Purpose: The aim of this study is to investigate the effects of connective tissue massage (CTM) on hand
temperature and autonomic dysfunctions (i.e. orthostatic hypertension, vasomotor changes, diearrhea,
neurogenic bladder, sexual dysfunctions) of patients with hemiplegia.
Methods: Forty patients with hemiplegia were included in this study. All participants were divided randomly into
two groups, namely, experimental and control groups. The inclusion criteria were as follows: stable systemic
condition, patients diagnosed with autonomic dysfunction according to R-R interval variation and autonomic
dysfunction questionnaires. CTM was applied for 15 minutes, every day for a total of 10 sessions.
Results: Among the CTM, and control groups, there were statistically significant differences regarding the
changes in sphincter dysfunction and gastroparesis (p<0.05). However, there was no statistically significance
between the groups in terms of hand temperature (p>0.05).
Conclusions: This study is the first randomized controlled trial investigating the effects of CTM on hand
temperature and autonomic dysfunctions in patients with hemiplegia. Although we found that CTM has no
effect on hemiplegic hand temperature, CTM has significant effects on some autonomic dysfunction
symptoms. In further studies with a larger sample size and a long-term follow-up should be planned to
investigate the effects of CTM on patients with hemiplegia.
Keywords: Stroke, Connective Tissue, Gastroparesis