Clinical trial NCT02254876: Effectiveness of NeuroMuscular Taping on Painful Hemiplegic Shoulder
Official title: Effectiveness of NeuroMuscular Taping in a Population of Post Stroke Hemiplegic Patients Suffering From Painful Shoulder Syndrome - Randomized Controlled Trial (RCT)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hemiplegia
Keywords: Stroke
Hemiplegia
Painful shoulder Syndrome
NeuroMuscolar Taping
Lead sponsor: University of Bologna
Sponsor class: OTHER
First posted: 2014-10-02
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Pain
timeFrame: Before and after each treatment session and at 1 month follow up
Secondary outcomes:
measure: Spasticity
timeFrame: Before and after each treatment session and at 1 month follow up
measure: ROM
timeFrame: Before and after each treatment session and at one month follow up.
Other outcomes:
Locations:
city: Bologna
country: Italy
facility: Policlinico S.Orsola-Malpighi
state: Emilia Romagna
Study officials:
affiliation: University of Bologna
name: Paolo Pillastrini
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.