ICF-Based Effects of PNF and Kinesio Taping on Hand Function in Hemiplegic Stroke

NCT07014696 | Recruiting DMC

• 1 other identifier: 2024000565-1
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 2

Brief Summary

This clinical trial aims to compare the effects of kinesio taping and PNF on hemiplegic hand functions. In addition, the effects of these applications on body structure, activity, and participation will be examined. The main questions it aims to answer are: Do kinesio taping and PNF applications have different effects on hemiplegic hand function? Are kinesio taping and PNF applications effective in body structure, activity, and participation? The researchers will compare the advantages of kinesio taping and PNF applications over each other. Participants: Kinesio taping and/or PNF applications will be applied 3 days a week for 8 weeks. Tests will be performed on the first and last day of the study to evaluate hand functions.

Conditions

Hemiplegia; Hemiplegia Due to Stroke; Hand Functionality; Upper Extremity; Proprioceptive Neuromuscular Facilitation; Kinesio Taping

Keywords

hand functionality; hemiplegia; hemiplegia due to stroke; upper extremity; ICF; Proprioceptive neuromuscular facilitation; kinesio taping

Outcome Measures

Primary Outcomes (4)

• The Fugl Meyer assessment

  The Fugl Meyer assessment scale is a stroke-specific, performance-based scale, and each parameter is scored as 0; unsuccessful, 1; partially successful, and 2; completely successful performance. In the shoulder, elbow, and forearm, reflex activity, voluntary movements performed with dynamic flexor and/or extensor synergies, voluntary movements performed using dynamic flexor and extensor synergies together, voluntary movements performed without or with very little dependence on synergies, and normal reflex activity parameters are evaluated. When evaluating the wrist, three different functions of the wrist muscles are evaluated. In the hemiplegia hand evaluation, 7 movements (flexion, extension, and five grip functions) are evaluated. In the coordination/speed evaluation, a finger-nose test is performed for the upper extremity. During this test, tremor, dysmetria, and speed of movement are evaluated. The maximum motor performance score for the upper extremity is 66 points.

  Beginning of the study and end of week 8 (when 24 sessions are completed)

• Action Research Arm Test (ARAT)

  The ARAT observes arm and hand movements during the performance of a variety of reaching and grasping tasks. It measures the ability to qualitatively manipulate and carry large or small objects in relation to manual dexterity and proximal strength for the upper extremity. The ARAT rates the upper extremity on a 4-point scale (maximum of 57 points for each upper extremity): 3 points if the task is performed normally; 2 points if the task is completed but takes an abnormally long time; 2 points if performed with great difficulty or poorly coordinated movements; 1 point if the task is only partially completed; and 0 points if the task is not performed at all.

  Beginning of the study and end of week 8 (when 24 sessions are completed)

• The Box-Block Test

  The Box-Block Test measures unilateral manual dexterity. It is a fast, simple and inexpensive test. It can be used in a wide variety of diseases, including stroke patients. It consists of a box divided into two and 150 blocks. The wooden blocks are cubes measuring 2.5 cm x 2.5 cm x 2.5 cm. The barrier in the middle of the box is 15.2 cm. Patients are asked to throw the blocks from one section to the other, one by one, within 60 seconds and the number of blocks is recorded.

  Beginning of the study and end of week 8 (when 24 sessions are completed)

• Nine hole Peg Test

  It is a simple and quick test used to evaluate changes in hand functions. The participant is asked to insert nine rods into a wooden block with nine holes as quickly as possible and then remove them. The test is repeated twice and the score is determined as the average of the two trials. The participant is expected to perform the test with the hand on the affected side of the body.

  Beginning of the study and end of week 8 (when 24 sessions are completed)

Secondary Outcomes (3)

• Environmental Quality Scale

  Beginning of the study and end of week 8 (when 24 sessions are completed)

• Upper Extremity Motor Activity Diary-28

  Beginning of the study and end of week 8 (when 24 sessions are completed)

• Social Adaptation Scale

  Beginning of the study and end of week 8 (when 24 sessions are completed)

Study Arms (3)

Group 1: PNF application Group

EXPERIMENTAL

In the PNF method to be applied to the first group, the subjects will be in a sitting position. The application will be made to the fingers, wrist and forearm in both D1 and D2 direction flexion and extension patterns. The techniques will start by using rhythmic initiation, then the combination of isotonics, dynamic-opposite, rhythmic stabilization and muscle-relaxation will be determined. The movements will be done with 10 repetitions and rest in between. The exercises will continue for 8 weeks, 3 days a week.After all applications, conventional treatment will be applied to all three groups.

Procedure: PNF application Group

Group 2: KB Application Group

EXPERIMENTAL

In the taping treatment to be applied to the second group, taping will be applied starting from the fingers to the elbow with kinesiology taping. Taping will be done 3 days a week and the tape will remain on the patient for 2 days. Exercises will continue 3 days a week for 8 weeks. After all applications, conventional treatment will be applied to all three groups.

Procedure: KB application Group

Group 3: PNF+KB application Group

EXPERIMENTAL

The third group will be applied both PNF and taping. Exercises will continue 3 days a week for 8 weeks. After all applications, conventional treatment will be applied to all three groups.

Procedure: PNF+KB application Group

Interventions

PNF application Group PROCEDURE

PNF Application; in the application method, the subjects will be in a sitting position. The application will be made to the fingers, wrist and forearm in both D1 and D2 directions in flexion and extension patterns. The techniques will start using rhythmic initiation, then the combination of isotonics, dynamic-opposite, rhythmic stabilization and muscle-relaxation are determined. The movements will be made in 10 repetitions with rest in between (Saklecha et al., 2023).

Group 1: PNF application Group

KB application Group PROCEDURE

KB Application; In the taping treatment to be applied, taping will be applied starting from the fingers and up to the elbow with kinesiology taping (Huang et al., 2019). Taping will be done 3 days a week and the tape will remain on the patient for 2 days.

Group 2: KB Application Group

PNF+KB application Group PROCEDURE

PNF+ KB Application; In this application, both PNF and taping will be applied. After each application, conventional treatment will be applied to all three groups at the end of each session. When all treatments are completed, re-evaluations will be made by the blind physiotherapist

Group 3: PNF+KB application Group

Eligibility Criteria

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

You may qualify if:

• Stroke diagnosed by MRI or CT, regardless of ischemic or hemorrhagic origin,
• Hemiplegia caused by stroke alone,
• At least 6 and at most 24 months have passed since the stroke was diagnosed
• Being over 18 years of age,
• Volunteering to participate in the study
• Scoring 24 or more on the Standardized Mini Mental State Examination (if illiterate, scoring 18 or more is sufficient)
• Cooperating with evaluation, tests and treatment
• Understanding and speaking Turkish
• Being at least stage 4 according to Brunnstrom staging

You may not qualify if:

• Individuals with bilateral hemiplegia
• Individuals with unstable vital signs
• Individuals with any open wound in the upper extremity
• Pathological conditions affecting upper extremity sensation (undergoing surgery after fracture, etc.)
• Individuals with a BMI value greater than 29.9 kg/m2
• Individuals with a Standardized Mini Mental Test score below 24 points (18 points)
• Individuals with major neurological or rheumatological disorders affecting the musculoskeletal system other than stroke (Polyneuropathy, Parkinson's, Multiple Sclerosis, Rheumatoid Arthritis, etc.)
• Presence of upper extremity amputation
• Being at less than stage 4 according to Brunnstrom staging

Sponsors & Collaborators

• Istinye University: lead
• Ondokuz Mayıs University: collaborator

Study Sites (2)

İstinye University, Bahçeşehir Liv Hospital

Istanbul, Bahçeşir, Turkey (Türkiye)

RECRUITING

Ondokuz Mayıs Üniversitesi, SUVAM Havza Fizik Tedavi ve Rehabilitasyon Merkezin

Samsun, Havza, 55400, Turkey (Türkiye)

RECRUITING

Related Publications (1)

• EFFECTIVENESS OF THE PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION METHOD APPLICATION ON UPPER LIMB FUNCTIONS IN PATIENTS AFTER STROKE: A SYSTEMATIC REVIEW OF LITERATURE

  RESULT

Related Links

• Effectiveness of the proprioceptive neuromuscular facilitation method application on upper lımb functions in patients after stroke: a systematic review of literature
• Factors associated with post-stroke social participation: A quantitative study based on the ICF framework
• Effectiveness of kinesio taping for chronic stroke patients: a systematic review with meta-analysis

MeSH Terms

Conditions

Hemiplegia

Condition Hierarchy (Ancestors)

Paralysis; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Berrak Varhan

  Istinye University

  STUDY DIRECTOR

• Mahmut Yaran

  Ondokuz Mayıs University

  STUDY DIRECTOR

Central Study Contacts

elif önder

CONTACT

+905453776207; elifonder2011@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physical therapist

Model Details: Treatment Method: Patients who continue the rehabilitation program due to hemiplegic stroke and meet the inclusion criteria will be treated. The treatment will be applied in addition to the conventional physiotherapy program for 24 sessions, 3 days a week for 8 weeks. Group 1: PNF application Group (n: 18): Conventional Physiotherapy + PNF application Group 2: KB application Group (n: 18): Conventional Physiotherapy + KB application Group 3: PNF+KB application Group (n: 18): Conventional Physiotherapy + PNF + KB application

Study Record Dates

• First Submitted: May 20, 2025
• First Posted: June 11, 2025
• Study Start: June 1, 2025
• Primary Completion: January 30, 2026
• Study Completion: March 30, 2026
• Last Updated: January 15, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)