Stroke Clinical Trial
Official title:
The Clinical Effect and Sonographic Findings of Kinesiotaping Combined With Therapeutic Exercise in Upper Extremity Spasticity and Function in Subacute Stroke Patients
Poststroke spasticity (PSS) is one of the common complications in stroke patients who had a
brain injury leading to limbs weakness and impaired coordination between agonist and
antagonist contraction. PSS leads some physical impairments and functional deficits. The
clinical managements for PSS are stretching and range of motion (ROM) exercises,
antispasticity splint, neuromuscular electrical stimulation, oral medications, local
injection with phenol or botulism, or surgery. Recently, some investigators tried to use
Kinesiotaping (KT) for spasticity management or postural control. They found some benefits in
walking ability and upper extremity function facilitation after stroke.
40 subacute stroke patients with hemiplegia would be enrolled in this study. These 40
patients will be randomly divided into the experimental and control groups. In experimental
group (n=20), the patients will perform combined KT and 15- min stretching exercise for upper
extremity twice daily and regular rehabilitation program for 3 weeks. In the control group
(n=20), the patients will perform 15- min stretching exercise for upper extremity twice daily
and regular rehabilitation program for 3 weeks. Before intervention, immediately and 2 week
post intervention, all patients will receive associated physical examinations, hand function
evaluations, and sonography.
In this study, 40 subacute stroke patients (duration is 3~6 months after stroke) with
hemiplegia would be enrolled. Each stroke patient is diagnosed by a neurologist according to
the history, physical examination, and brain imaging evaluation. These 40 patients would be
randomly divided into a experimental or a control group. All patients in the control and
experimental groups will both receive regular rehabilitation therapy including occupational
therapy (OT) 3 times per week and one hour for one session OT intervention. Additionally, 15-
min stretching exercise for upper extremity twice daily will be performed for 3 weeks in this
study. KT intervention in the experimental group: The technique of KT for spastic wrist and
fingers in stroke patient will be performed from the proximal interphalangeal joints of all
fingers acted on the extensor carpal and digital muscle groups, with an anchor at the
proximal one-third forearm. The KT will be applied for 5 days one week for 3 weeks.
In this study, all patients in the control and experimental groups will receive the following
evaluations before intervention, immediately post intervention, and 2-week after
intervention: Physical examinations (modified shworth scale and Tardieu scale), Hand function
evaluation (Fugl-Meyer Assessment for upper extremity, box and block test, and Minnesota
Manual Dexterity Test), and Musculoskeletal sonography (sonoelastography and shear wave
velocity). SPSS software will be used to record and analysis the collecting data.
Investigators will analyze and compare the findings of physical examinations, upper extremity
function assessments, and musculoskeletal sonography within and between the experimental and
control groups before and after interventions.
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