Kinesio Tape vs Neuromuscular Stimulation For Conserative of Treatment Hemiplegic Shoulder

NCT02937311 | Completed DMC

• 1 other identifier: 2016/38
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aimed to compare the effects of kinesiotaping, neuromuscular electric stimulation (NMES), and neuromuscular training on pain, and motor activity and function in patients with upper extremity hemiplegia.

Conditions

Hemiplegia

Keywords

Taping, stroke; rehabilitation; shoulder pain; electrical stimulation

Outcome Measures

Primary Outcomes (1)

• Motor Activity Log-28,

  Motor Activity Log-28, is a clinical questionnaire developed to evaluate daily use of the hemiparetic arm outside of the treatment setting

  1 month

Secondary Outcomes (3)

• Pain Visual Analogue Scale

  1 month

• Brunnstrom Stages

  1 month

• Fugl-Meyer Sensorimotor Assessment Scale (FM)

  1 month

Study Arms (3)

NMES group

EXPERIMENTAL

This group of patients received Neuromuscular Electrical Stimulation (NMES) and standardized physiotherapy and rehabilitation protocol

Other: NMES; Other: Standardized Physiotherapy

Kinesiotape Group

EXPERIMENTAL

This group of patients received standardized physiotherapy and rehabilitation protocol and at the same time kinesiotape was applied to their affected shoulder

Other: Kinesiotape; Other: Standardized Physiotherapy

Control

EXPERIMENTAL

This group of patients received only a standardized physiotherapy and rehabilitation protocol

Other: Standardized Physiotherapy

Interventions

NMES OTHER

Participants received NMES using a portable, page-sized battery-powered stimulation device, which delivered current-regulated, charge-balanced, asymmetrical biphasic pulses. The implementation was done on the deltoid and supraspinatus muscles

Also known as: Neuromuscular electric stimulation

NMES group

Kinesiotape OTHER

The deltoid and supraspinatus muscles were taped in this study to align the shoulder in correct position to facilitate the function and achieve preferred body alignment. For supraspinatus application, Y strip tape was applied from the muscle insertion at the greater tuberosity of the humerus to its origin at the supraspinatus fossa of the scapula while the muscle was in an overstretched position. No tension was applied to the tape. For deltoid application, Y-shaped tape was used by placing the anchor acromion process. The front tail was implemented in the extended arm position, while the back tail was implemented in the horizontal abducted arm position. Both tails ended below the deltoid tubercule of the humerus. No tension was applied during application.

Also known as: Taping

Kinesiotape Group

Standardized Physiotherapy OTHER

All participants received rehabilitation including Bobath neurophysiological approach. Bobath approach and other exercise programs were implemented early after the onset of the stroke to prevent immobility and soft tissue contracture and to alter the muscle tone to gain mobility. Through the exercise program and use of weight-bearing techniques, the therapist attempted to maintain and improve trunk and shoulder alignment to allow the functional use of the upper extremity.

Also known as: Physiotherapy and Rehabilitation

Control; Kinesiotape Group; NMES group

Eligibility Criteria

• Age: 30 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• had unilateral ischemic brain injury or intracerebral hemorrhage at least 1 week to maximum 24 months after the onset of single stroke without other diagnosed neurological or systematic deficits.
• had enough cognition to be able to follow the training protocol as assessed by Mini Mental State Examination.
• age 30-70 years.

You may not qualify if:

• had a severe injury of the rotator cuff or a shoulder surgery history.

Sponsors & Collaborators

• Hacettepe University: lead
• Inonu University: collaborator

MeSH Terms

Conditions

Hemiplegia; Stroke; Shoulder Pain

Interventions

Athletic Tape; Physical Therapy Modalities; Rehabilitation

Condition Hierarchy (Ancestors)

Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain

Intervention Hierarchy (Ancestors)

Bandages; Equipment and Supplies; Orthotic Devices; Orthopedic Equipment; Surgical Equipment; Therapeutics; Aftercare; Continuity of Patient Care; Patient Care; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Gul O KARABICAK, Phd

  Baskent University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Phd PT

Study Record Dates

• First Submitted: October 14, 2016
• First Posted: October 18, 2016
• Study Start: February 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: April 1, 2016
• Last Updated: February 11, 2019

Record last verified: 2019-02