Effectiveness of NeuroMuscular Taping on Painful Hemiplegic Shoulder

NCT ID: NCT02254876

Last Updated: 2015-05-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2015-01-31

Brief Summary

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Painful Shoulder Syndrome is a frequent complication after stroke occurring in between 5% and 84% of patients, often having a strong impact on their well-being and resulting in delays achieving rehabilitative objectives.

The aim of the study is to demonstrate the effectiveness of Neuromuscular Taping in a population of post-stroke hemiplegic patients suffering from painful shoulder syndrome with respect to pain, spasticity and range of motion.

Detailed Description

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The study will use two groups according to the methodology of Randomized Controlled Trials. Both components of the two groups were treated by four rehabilitation sessions defined as "standard". This involves joint health and passive mobility for the glenohumeral and scapulothoracic joints for a period of about 45 minutes each.

The patients of the sample group underwent the application of the NeuroMuscular Taping (NMT) before each rehabilitative session. The control group was addressed exclusively to the "standard" treatment. The sessions were spaced apart about five days to ensure the optimum adhesion of NMT.

The results were evaluated by administering rating scales for pain (VAS) and spasticity (Modified Ashworth Scale). The ROM was evaluated using the manual goniometer. The outcomes (Pain, Spasticity, ROM) were assessed at base line, before and after each treatment session and at 1 month follow up.

Conditions

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Hemiplegia

Keywords

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Stroke Hemiplegia Painful shoulder Syndrome NeuroMuscolar Taping

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Standard physical therapy program

Standard physical therapy program is delivered for four rehabilitation sessions for a period of about 45 minutes each.

Group Type ACTIVE_COMPARATOR

Standard physical therapy program

Intervention Type OTHER

Standard physical therapy program in this study involves joint health and passive mobility at the level of the shoulder girdle and upper limb affected by Painful Shoulder Syndrome associated with the modulation of hypertonic muscle groups.

NeuroMuscular Taping (NMT)

NeuroMuscular Taping is delivered in addiction to the "Standard Treatment" for four rehabilitation sessions. The sessions were spaced apart about five days to ensure the optimum adhesion of the NMT.

Group Type EXPERIMENTAL

Standard physical therapy program

Intervention Type OTHER

Standard physical therapy program in this study involves joint health and passive mobility at the level of the shoulder girdle and upper limb affected by Painful Shoulder Syndrome associated with the modulation of hypertonic muscle groups.

NeuroMuscular Taping (NMT)

Intervention Type OTHER

The NeuroMuscular Taping (NMT) consists of the application on the skin of an adhesive tape with a particular structure to elastic waves and with characteristics comparable to those cutaneous. Because of these characterises it allows activation of endogenous analgesic, structural and muscular support, vascular and lymphatic activation.

In this study the NMT is applied with decompressive mode on Pectoralis Major, Deltoids, Supraspinatus.

Interventions

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Standard physical therapy program

Standard physical therapy program in this study involves joint health and passive mobility at the level of the shoulder girdle and upper limb affected by Painful Shoulder Syndrome associated with the modulation of hypertonic muscle groups.

Intervention Type OTHER

NeuroMuscular Taping (NMT)

The NeuroMuscular Taping (NMT) consists of the application on the skin of an adhesive tape with a particular structure to elastic waves and with characteristics comparable to those cutaneous. Because of these characterises it allows activation of endogenous analgesic, structural and muscular support, vascular and lymphatic activation.

In this study the NMT is applied with decompressive mode on Pectoralis Major, Deltoids, Supraspinatus.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Right or left hemiplegia resulting from an ischemic or hemorrhagic stroke
* Painful Shoulder Syndrome, with pain at rest and during functional movement of the shoulder girdle
* Spasticity with an Ashworth score greater than or equal to 1.

Exclusion Criteria

* Flaccidity
* Thermoalgesic sensitivity deficits
* Previous surgery to the shoulder
* Cognitive impairment
* Taking anti-inflammatory drugs and/or muscle relaxants during the course of the trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bologna

OTHER

Sponsor Role lead

Responsible Party

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paolo pillastrini

Associate Professor and President of Baccaluareate Course in Physiotherapy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Paolo Pillastrini

Role: PRINCIPAL_INVESTIGATOR

University of Bologna

Locations

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Policlinico S.Orsola-Malpighi

Bologna, Emilia-Romagna, Italy

Site Status

Countries

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Italy

References

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Camerota F, Galli M, Cimolin V, Celletti C, Ancillao A, Blow D, Albertini G. Neuromuscular taping for the upper limb in Cerebral Palsy: A case study in a patient with hemiplegia. Dev Neurorehabil. 2014 Dec;17(6):384-7. doi: 10.3109/17518423.2013.830152. Epub 2013 Oct 2.

Reference Type BACKGROUND
PMID: 24087981 (View on PubMed)

Murie-Fernandez M, Carmona Iragui M, Gnanakumar V, Meyer M, Foley N, Teasell R. [Painful hemiplegic shoulder in stroke patients: causes and management]. Neurologia. 2012 May;27(4):234-44. doi: 10.1016/j.nrl.2011.02.010. Epub 2011 Apr 22. Spanish.

Reference Type BACKGROUND
PMID: 21514698 (View on PubMed)

Smith M. Management of hemiplegic shoulder pain following stroke. Nurs Stand. 2012 Jul 4-10;26(44):35-44. doi: 10.7748/ns2012.07.26.44.35.c9191.

Reference Type BACKGROUND
PMID: 22876427 (View on PubMed)

Other Identifiers

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4496/2013

Identifier Type: -

Identifier Source: org_study_id