The Effect of Scapular Exercises in Patients With Stroke

NCT04792619 | Completed

• 1 other identifier: 60116787-020/81392
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

There is a paucity of research on the correlation between postural control and upper extremity function. Analyzing the mechanisms of postural deficits and related problems is believed to give idea for any conceivable advance in future rehabilitation strategies in patients with stroke. The purpose of this study was to examine the effect of scapular exercises on the scapular stability and trunk control. We hypothesized that scapular exercises correct the scapular position and improve postural control. Hence the reaching out movement can be applied in a controlled and fluent manner at the end of the treatment.

Conditions

Stroke, Acute

Outcome Measures

Primary Outcomes (5)

• Scapular mobility

  Distance between medial border of scapula and columna vertebralis

  12 months

• Trunk Impairment Scale

  postural control ability of the trunk

  12 months

• Trunk Control Test

  Trunk Control

  12 months

• Modified Barthel Index

  evaluate the level of disability during daily life activities

  12 months

• Reaching Performance Test

  Reaching Performance

  12 months

Study Arms (2)

Control

EXPERIMENTAL

Other: Bobath Approach

Study

ACTIVE COMPARATOR

Other: Bobath Approach; Other: Isometric scapular exercises

Interventions

Bobath Approach OTHER

The patients in both groups were treated with the exercise program according to the Bobath concept was planned taking the functional needs of the survivors into account, including stretching and facilitation of latissimus dorsi muscle, facilitation of abdominal muscles, placing exercises, training of lumbar spine stabilizers, functional reach of shoulder in different directions. Five sessions of about an hour each were provided to the patients

Control; Study

Isometric scapular exercises OTHER

Isometric scapular exercises were performed to the patients included to the study group in a sitting position and at 900 of the shoulder flexion and 900 of the shoulder abduction. The patients were exercised by a physiotherapist using isometric contraction in protraction and retraction by a physiotherapist. Isometric contractions lasted 5 seconds and each exercise was repeated 2x15 times. One minute rest period was given between sets

Study

Eligibility Criteria

• Age: 50 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosed as acute stroke, being able to sit without support, presence of hemiparesis, clinical stability

You may not qualify if:

• Shoulder joint dysfunction due to previous musculoskeletal disease, severe dementia, severe visual disturbances that could not be corrected with glasses, severe aphasia, scored ≥ 3 on the Modified Ashworth Scale and refused to participate

Sponsors & Collaborators

• Suleyman Demirel University: lead

Study Sites (1)

Mehmet Duray

Isparta, 32200, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: March 8, 2021
• First Posted: March 11, 2021
• Study Start: December 3, 2018
• Primary Completion: December 31, 2019
• Study Completion: December 31, 2020
• Last Updated: March 11, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)