Effect of Kinesiotape Technique on Wrist Among Chronic Stroke Patients

NCT ID: NCT05526859

Last Updated: 2022-09-02

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-08-31
• Study Completion Date: 2022-10-26

Brief 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.

Detailed 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.

Conditions

Chronic Stroke

Study Design

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

Study Groups

Group 1

Hyperactive muscle correction for wrist extensors: Kinesiotape was applied to facilitate wrist extensor muscles from proximal to distal with 15-35% tension in therapeutic zone and no tension at anchor and end.

Group Type: EXPERIMENTAL

Kinesiotaping for wrist extensor muscles

Intervention Type: OTHER

The extensor muscles of the wrist area will be targeted.

Group 2

Hypoactive muscle correction for wrist flexors: Wrist flexors muscles were inhibited by applying tape from distal to proximal with 15-25% tension in therapeutic zone and no tension at anchor and end.

Group Type: EXPERIMENTAL

Kinsiotaping for wrist flexor muscles

Intervention Type: OTHER

The flexor muscles of the wrist area will be targeted.

Interventions

Kinsiotaping for wrist flexor muscles

The flexor muscles of the wrist area will be targeted.

Intervention Type: OTHER

Kinesiotaping for wrist extensor muscles

The extensor muscles of the wrist area will be targeted.

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Shifa Tameer-e-Millat University

OTHER

Sponsor Role: lead

Responsible Party

Nouman Khan

Lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Saman Tauseef, MSPT

Role: PRINCIPAL_INVESTIGATOR

Shifa Tameer-e-Millat University

Locations

Shifa Tameer-e-Millat University

Islamabad, Fedral, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Dr. Syed Ali Hussain, Phd*

Role: CONTACT

alihussain_dpt.ahs@stmu.edu.pk

+923315191713

Dr. Nouman Khan, MS-OMPT

Role: CONTACT

nouman_drs.ahs@stmu.edu.pk

+923339378324

Facility Contacts

Syed Ali Hussain, PhD*

Role: primary

alihussain_dpt.ahs@stmu.edu.pk

+923315191713

Nouman Khan, MSPT

Role: backup

nouman_drs.ahs@stmu.edu.pk

+923339378324

References

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.

Reference Type: BACKGROUND

PMID: 22359422 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 31564238 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 28697708 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 18383072 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 24302784 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 28233009 (View on PubMed)

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. doi: 10.1161/01.STR.0000087172.16305.CD. Epub 2003 Aug 7.

Reference Type: BACKGROUND

PMID: 12907818 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 32349528 (View on PubMed)

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. doi: 10.1126/science.1147243.

Reference Type: BACKGROUND

PMID: 18006750 (View on PubMed)

Other Identifiers

Saman IRB00

Identifier Type: -

Identifier Source: org_study_id