Boxing and Scapular Stabilization Training in Hemiparetics

NCT05568173 | Completed

• 1 other identifier: ETK00-2022-0181
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

In recent years, it has been observed that scapular stabilization exercises given in addition to stretching exercises in stroke patients strengthen the scapular muscles and improve walking and trunk alignment. In a study published in 2020, in which the investigators compared the effects of virtual and real boxing training on upper extremity functions, balance and cognitive functions in stroke patients, significant improvement was observed in each parameter in both groups. When the investigators look at the literature, the investigators see that there is no study comparing the effects of both scapular stabilization and boxing training on upper extremity functions and trunk balance in stroke patients. Therefore the aim of this study, compare the effects of boxing and scapular stabilization training on scapular mobility (primary outcome measure), upper extremity range of motion, shoulder proprioception, scapular balance angle, scapular muscle strength, trunk muscle strength, upper extremity motor functions, trunk balance and treatment satisfaction (secondary outcome measures) in hemiparetic individuals with stroke.

Conditions

Stroke; Hemiparesis

Keywords

boxing; upper extremity function; balance; Stroke

Outcome Measures

Primary Outcomes (1)

• Scapular Mobility Assessment

  Upward and downward rotation in the scapular plane, anterior and posterior tilt in the sagittal plane and internal and external rotation in the transverse plane will be measured by using an electronic goniometer (The EasyAngle electric goniometer Meloq AB). After the device is calibrated in all three planes, the gradual difference in shoulder elevation and scapular movement enables the angular determination of the mobility of the scapula in three planes. In the reliability study, the inter-session evaluator reliability was found to be moderate to good (ICC \[2,3\] range = 0.628-0.874). In-session interpreter reliability was moderate to excellent(ICC \[2,3\] range = 0.545-0.912).

  0-8 week

Secondary Outcomes (10)

• Glenohumeral Joint Range of Motion Measurement

  0-8 weeks

• Shoulder Proprioception Measurement

  0-8 weeks

• Scapular Balance Angle Measurement (SBA)

  0-8 weeks

• Scapular Muscle Strength Measurement

  0-8 weeks

• Trunk Muscle Strength Measurement

  0-8 weeks

Study Arms (3)

Boxing Training

EXPERIMENTAL

In the Boxing Training Group (BG) boxing training will be given. Additionally, stretching exercises and postural training will be applied.

Other: Boxing Training

Scapular Stabilization

EXPERIMENTAL

In the Scapular Stabilization Group (SSG) scapular stabilization training will be given. Additionally, stretching exercises and postural training will be applied.

Other: Scapular Stabilization

Control

NO INTERVENTION

Individuals in this group will not receive any treatment. Evaluations will be made before treatment and after 8 weeks of treatment.

Interventions

Boxing Training OTHER

In addition to boxing training, stretching exercises and posture training will be given at BG. A physiotherapist with a boxing training certificate will perform modified boxing training that progresses according to the degree of difficulty. There will be four difficulty levels. The complexity of the exercises will increase at 2-week intervals as the patient progresses. As a result, 0-2 weeks 1st level, 2-4 weeks 2nd level, 4-6 weeks 3rd level and 6-8 weeks 4th level exercises will be done. In the first level, patients will be asked to punch the fixed boxing mat hanging on the wall with various instructions. Then, in levels 2-4, target gloves and heavy punching bags will be used to increase the difficulty level. As the sessions progress, the resistance and frequencies between the levels will be increased by the physiotherapist. There will be 3 sessions of 30-minute boxing training per week for 8 weeks at BG.

Boxing Training

Scapular Stabilization OTHER

In addition to scapular stabilization training, stretching exercises and posture training will be given in SSG. Progressive strengthening training for the scapular muscles will be used in the SSG. There will be four difficulty levels. The complexity of the exercises will increase at 2-week intervals as the patient progresses. As a result, 0-2 weeks 1st level, 2-4 weeks 2nd level, 4-6 weeks 3rd level and 6-8 weeks 4th level exercises will be done. At the first level, scapular clock exercise, obstacle crossing exercise, wall gliding exercise with teraband, push up exercise, trunk rotation and maximum hip flexion will be performed. Then at levels 2-4, as the levels increase, the exercises at the first level will be more difficult (ball weight, surface, number of hurdles and hurdle crossing exercise position, by changing the teraband elasticity, push-up position). In SSG, 3 sessions of 30-minute scapular stabilization training will be applied per week for 8 weeks.

Scapular Stabilization

Eligibility Criteria

• Age: 40 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with first time ever stroke
• Patients with hemiparesis
• Patients who are between the ages of 40-70
• Patients who has Mini Mental Test score above 23
• Patients whose functional level is less than 4 according to the Modified Rankin Scale
• Patients who has upper extremity spasticity lower than 2 on Modified Ashworth Scale
• Patients who can do 120 degrees of shoulder flexion

You may not qualify if:

• Having a chronic disease (for example: uncontrolled hypertension,heart disease…)
• Subluxation and fracture at the shoulder
• Risk of fracture and pain at the shoulder
• Visual and hearing impairment
• Unilateral neglect
• Botulinum toxin administration or surgical operation in the last 6 months patients

Sponsors & Collaborators

• Eastern Mediterranean University: lead

Study Sites (1)

Eastern Mediterranean University

Famagusta, 99628, Cyprus

Location

Related Publications (27)

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  PMID: 39251643 DERIVED

MeSH Terms

Conditions

Stroke; Paresis

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Gözde İyigün, Assoc.Prof.

  Eastern Mediterranean University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc physiotherapist

Study Record Dates

• First Submitted: October 1, 2022
• First Posted: October 5, 2022
• Study Start: October 13, 2022
• Primary Completion: September 10, 2023
• Study Completion: September 10, 2023
• Last Updated: November 7, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

CY (1)