Clinical trial NCT04743830: Scapular Training in Stroke Individuals
Official title: Effects of Scapular Training on Scapular Kinematics, Periscapular Muscle Thickness, Shoulder Subluxation and Upper Extremity Functionality in Stroke Individuals
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Stroke
Keywords: Stroke
Muscle Thickness
Scapula
3-D Kinematics
Upper Extremity Performance
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2021-02-08
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.


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

Primary outcomes:
measure: Evaluation of Muscle Thickness with Ultrasonography
timeFrame: change from baseline in muscle thickness of periscapular muscles at 8 weeks
measure: Evaluation of Shoulder Subluxation with Ultrasonography
timeFrame: change from baseline in shoulder subluxation at 8 weeks
measure: 3-Dimensional Scapular Kinematics
timeFrame: change from baseline in scapular kinematics at 8 weeks
Secondary outcomes:
measure: Fugl-Meyer Assessment of Upper Extremity (FMA-UE)
timeFrame: change from baseline in upper extremity performance at 8 weeks
measure: Action Research Arm Test (ARAT)
timeFrame: change from baseline in upper extremity performance at 8 weeks
measure: Trunk Impairment Scale
timeFrame: change from baseline in trunk performance at 8 weeks
measure: Visual Analog Scale
timeFrame: change from baseline in pain at 8 weeks
measure: Modified Barthel Index (MBI)
timeFrame: change from baseline in performance of activities of daily living at 8 weeks
measure: ABILHAND Questionnaire
timeFrame: change from baseline in performance of upper extremity activities of daily living at 8 weeks
measure: Stroke Specific Quality of Life Scale
timeFrame: change from baseline in quality of life at 8 weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University, Faculty of Physical Therapy and Rehabilitation
state: Altındağ
Study officials:
affiliation: Hacettepe University, Faculty of Physical Therapy and Rehabilitation
name: Özge ONURSAL KILINÇ, MSc
role: PRINCIPAL_INVESTIGATOR
References: