Scapular Training in Stroke Individuals

NCT ID: NCT04743830

Last Updated: 2025-08-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-02-01
• Study Completion Date: 2022-11-30

Brief Summary

In recent publications evaluating scapular kinematics after stroke, it is emphasized that scapular muscles, which affect the performance of upper limbs in daily life, should not be ignored. When the literature is analyzed for these reasons, the studies in which scapular training was added to the treatment plan of upper limb rehabilitation of stroke individuals are inadequate and the existing studies have methodological deficiencies. Also, it is seen that studies which investigate the effects of these exercises on scapular kinematics, the parameters of periscapular muscle thickness and shoulder subluxation are not included. The purpose of this study is to examine the effects of scapular training on scapular kinematics, periscapular muscle thickness, shoulder subluxation and upper extremity functionality in stroke individuals. The study was planned to include 2 groups, 1 treatment and 1 control group. The control group will receive Neurodevelopmental Treatment - Bobath exercises, while the treatment group will receive exercises for the muscles around the scapula in addition to Neurodevelopmental Treatment - Bobath exercises. Muscle thickness of periscapular muscles, shoulder subluxation, 3D scapular kinematics, upper extremity and trunk performance, pain, activities of daily living and quality of life will be assessed before and after 8 weeks treatment program. As a result; effectiveness of scapular training in addition to Neurodevelopmental Treatment and relationship between scapular kinematics, periscapular muscle thickness, shoulder subluxation, and upper extremity performance will be examined.

Conditions

Stroke

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Treatment Group

Neurodevelopmental Treatment (Bobath) + Scapular Training Group

Group Type: EXPERIMENTAL

Neurodevelopmental Treatment (Bobath) + Scapular Training

Intervention Type: OTHER

The Bobath concept for 40 minutes will be formed according to the needs of the individual and involve the upper limb, trunk and lower limb. It will be performed with 20 minutes scapular training including scapular exercise such as Proprioceptive Neuromuscular Facilitation (PNF), dynamic hug, towel-wall slide, scapular punch exercises etc. 3 days a week for 8 weeks.

Control Group

Neurodevelopmental Treatment (Bobath) Group

Group Type: ACTIVE_COMPARATOR

Neurodevelopmental Treatment (Bobath)

Intervention Type: OTHER

The Bobath concept for 60 minutes will be formed according to the needs of the individual and involve the upper limb, trunk and lower limb. It will be performed 3 days a week for 8 weeks.

Interventions

Neurodevelopmental Treatment (Bobath) + Scapular Training

The Bobath concept for 40 minutes will be formed according to the needs of the individual and involve the upper limb, trunk and lower limb. It will be performed with 20 minutes scapular training including scapular exercise such as Proprioceptive Neuromuscular Facilitation (PNF), dynamic hug, towel-wall slide, scapular punch exercises etc. 3 days a week for 8 weeks.

Intervention Type: OTHER

Neurodevelopmental Treatment (Bobath)

The Bobath concept for 60 minutes will be formed according to the needs of the individual and involve the upper limb, trunk and lower limb. It will be performed 3 days a week for 8 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Unilateral ischemic / hemorrhagic stroke for more than 3 months
• > 18 years
• Mild-moderate upper extremity impairment (FMA≥30)
• Active shoulder elevation ≥ 90°
• Shoulder girdle muscles spasticity ≤ 2
• Mini Mental State Examination score ≥ 24

Exclusion Criteria

• Body Mass Index ≤ 30 kg/m2
• Having an allergy to adhesive tape
• Clinical diagnosis of another neurologic disease other than stroke which might effect standing independently
• Having a history of humerus, clavicle and scapula fracture
• Having a shoulder surgery such as rotator cuff muscle repair

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hacettepe University

OTHER

Sponsor Role: lead

Responsible Party

ÖZGE ONURSAL KILINÇ

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Özge ONURSAL KILINÇ, MSc

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Locations

Hacettepe University, Faculty of Physical Therapy and Rehabilitation

Ankara, Altındağ, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

KA-20074

Identifier Type: -

Identifier Source: org_study_id