The Effect of Scapular Exercises in Patients With Stroke

Stroke, Acute Clinical Trial

Official title:

The Effect of Scapular Exercises on Trunk Control in Patients With Stroke: A Double-blind Randomized Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04792619
• Other study ID #: 60116787-020/81392
• Status: Completed
• Phase: N/A
• Start date: December 3, 2018
• Est. completion date: December 31, 2020

Study information

• Verified date: March 2021
• Source: Suleyman Demirel University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: December 31, 2020
• Est. primary completion date: December 31, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 50 Years to 85 Years

Eligibility

Inclusion Criteria:

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

Exclusion Criteria:

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

Related Conditions & MeSH terms

• Stroke
• Stroke, Acute

Intervention

Other:
• Bobath Approach
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
• Isometric scapular exercises
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

Locations

Country	Name	City	State
Turkey	Mehmet Duray	Isparta

Sponsors (1)

Lead Sponsor	Collaborator
Suleyman Demirel University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Scapular mobility	Distance between medial border of scapula and columna vertebralis	12 months
Primary	Trunk Impairment Scale	postural control ability of the trunk	12 months
Primary	Trunk Control Test	Trunk Control	12 months
Primary	Modified Barthel Index	evaluate the level of disability during daily life activities	12 months
Primary	Reaching Performance Test	Reaching Performance	12 months