Effect of Kinesiotape Technique on Wrist Among Chronic Stroke Patients

Chronic Stroke Clinical Trial

Official title:

Effect of Wrist Flexors Inhibition in Comparison to Wrist Extensors Facilitation Through Kinesiotaping Technique in Chronic Hemiplegic Stroke Patients With Limited Wrist Extension

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05526859
• Other study ID #: Saman IRB00
• Status: Recruiting
• Phase: N/A
• Start date: August 31, 2022
• Est. completion date: October 26, 2022

Study information

• Verified date: August 2022
• Source: Shifa Tameer-e-Millat University
• Contact: Dr. Syed Ali Hussain, Phd*
• Phone: +923315191713
• Email: alihussain_dpt.ahs[@]stmu.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this randomized controlled is to assess the effect of kinesiotape technique upon wrist joint among the patients with chronic stroke. Patients are devided into groups, in group A kinesiotaping facilitation technique is applied on wrist extensor muscles while inhibition technique is applied on wrist flexor muscles and the result is the compared between the groups and within the group.

Description:

Stroke is a very common disease worldwide causing severe musculoskeletal disability due to which quality of life of patient compromises, patient becomes dependent of assistance in daily living activities and few becomes bed ridden. Stroke also causes death of the patient. Apart from musculoskeletal issues patient's cognitive abilities are also effected. It is tough to manage these patients as stroke varies in types and symptoms. Symptoms and severity depend upon type of stroke and factors like lifestyle, age and health issues. According to the symptoms different physiotherapy techniques and rehabilitation is used along with medical treatment and counseling of the patient. Kinesiotape also has the advantage that it can be worn 3-5 days due to which it's effects remains for long time as compare to other treatments which are given and has effect for a specific time for example a session of physical therapy including exercises is for an hour but this tape can be worn for days once applied.

Randomized controlled trial was done, 24 patients were recruited according to inclusion exclusion criteria. Patients were further divided into two groups; group 1 was given muscular facilitation treatment for wrist extensors and group 2 was given sessions for muscle inhibition treatment for wrist flexors. 6 sessions were given, 1 session per week over the period of 6 weeks to each patient.

Wrist range of motion for extension, flexion, ulnar and medial deviation was measured using goniometer before and after the 6 weeks. Manual muscle test for wrist extensors, modified ashworth scale and upper limb functional index scoring was done before and after sessions. Data was collected from a private clinic of PWD Rawalpindi.

The statistical values of result showed no significant change in between both the groups, before and after treatment. But a significant improvement was about observed within the group analysis It can be concluded from this study that Kinesiotape is an effective treatment method both in inhibiting and facilitating muscular performance. Hence both treatments were equally effective. it helps in increasing range of motion and in reducing spasticity.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 24
• Est. completion date: October 26, 2022
• Est. primary completion date: October 19, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 80 Years

Eligibility

Inclusion Criteria:

• Age b/w 40 to 90

• Limited ROM (wrist extension)

Exclusion Criteria:

• Disoriented

• Who needs more then moderate support to achieve basic ADL and are bed bound

• Communication gap

• Allergic to Kinesiotaping after being positive to patch test

Related Conditions & MeSH terms

• Chronic Stroke
• Stroke

Intervention

Other:
• Kinsiotaping for wrist flexor muscles
The flexor muscles of the wrist area will be targeted.
• Kinesiotaping for wrist extensor muscles
The extensor muscles of the wrist area will be targeted.

Locations

Country	Name	City	State
Pakistan	Shifa Tameer-e-Millat University	Islamabad	Fedral

Sponsors (1)

Lead Sponsor	Collaborator
Shifa Tameer-e-Millat University

Country where clinical trial is conducted

Pakistan, 

References & Publications (9)

Akpalu J, Akpalu A, Ofei F. The metabolic syndrome among patients with cardiovascular disease in Accra, Ghana. Ghana Med J. 2011 Dec;45(4):161-6. — View Citation

Anwar A, Saleem S, Aamir A, Diwan M. Organization of Stroke Care in Pakistan. Int J Stroke. 2020 Jul;15(5):565-566. doi: 10.1177/1747493019879663. Epub 2019 Sep 30. — View Citation

Bernhardt J, Hayward KS, Kwakkel G, Ward NS, Wolf SL, Borschmann K, Krakauer JW, Boyd LA, Carmichael ST, Corbett D, Cramer SC. Agreed definitions and a shared vision for new standards in stroke recovery research: The Stroke Recovery and Rehabilitation Roundtable taskforce. Int J Stroke. 2017 Jul;12(5):444-450. doi: 10.1177/1747493017711816. — View Citation

Cramer SC. Repairing the human brain after stroke: I. Mechanisms of spontaneous recovery. Ann Neurol. 2008 Mar;63(3):272-87. doi: 10.1002/ana.21393. Review. — View Citation

Drouin JL, McAlpine CT, Primak KA, Kissel J. The effects of kinesiotape on athletic-based performance outcomes in healthy, active individuals: a literature synthesis. J Can Chiropr Assoc. 2013 Dec;57(4):356-65. — View Citation

Huang YC, Chang KH, Liou TH, Cheng CW, Lin LF, Huang SW. Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study. J Rehabil Med. 2017 Mar 6;49(3):208-215. doi: 10.2340/16501977-2197. — View Citation

Kwakkel G, Kollen BJ, van der Grond J, Prevo AJ. Probability of regaining dexterity in the flaccid upper limb: impact of severity of paresis and time since onset in acute stroke. Stroke. 2003 Sep;34(9):2181-6. Epub 2003 Aug 7. — View Citation

Naci B, Ozyilmaz S, Aygutalp N, Demir R, Baltaci G, Yigit Z. Effects of Kinesio Taping and compression stockings on pain, edema, functional capacity and quality of life in patients with chronic venous disease: a randomized controlled trial. Clin Rehabil. 2020 Jun;34(6):783-793. doi: 10.1177/0269215520916851. Epub 2020 Apr 29. — View Citation

Nishimura Y, Onoe H, Morichika Y, Perfiliev S, Tsukada H, Isa T. Time-dependent central compensatory mechanisms of finger dexterity after spinal cord injury. Science. 2007 Nov 16;318(5853):1150-5. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Wrist extensors manual muscle test score	Wrist extensors strength was measured as baseline before the start of intervention and was compared with the measurement after 6 weeks of application of kinesiotape.	6 weeks
Primary	Wrist ROMS through Goniometer	Wrist ROM was measured using universal goniometer, baseline values for wrist flexion, extension, ulnar deviation and medial deviation was measured and then compared to the values measured after 6 weeks of intervention.	6 weeks
Primary	Spasticity through modified ashwoth scale	Wrist spasticity was measured through modified ashworth scale before the intervention and then was compared with the values taken after 6th week	6 weeks
Primary	Upper extremity functional index (UEFI)	Patient was asked to perform different activities as opening the door and combing hair, score was done according to the difficulty level faced by patients while performing the activities. Measurement was taken before first session and was compared with the values taken after 6 weeks of intervention	6 weeks