Clinical trial NCT05526859: Effect of Kinesiotape Technique on Wrist Among Chronic Stroke Patients
Official title: Effect of Wrist Flexors Inhibition in Comparison to Wrist Extensors Facilitation Through Kinesiotaping Technique in Chronic Hemiplegic Stroke Patients With Limited Wrist Extension
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Chronic Stroke
Keywords: Stroke
Manual Muscle testing
Kinesiotape
Range of Motion
Upper Extremity Functional Index
Modified Ashworth Scale
Lead sponsor: Shifa Tameer-e-Millat University
Sponsor class: OTHER
First posted: 2022-09-02
Enrollment: 24
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Two group were taken and given treatment with the concern study protocols.
Primary purpose: TREATMENT

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.

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

Primary outcomes:
measure: Wrist extensors manual muscle test score
timeFrame: 6 weeks
measure: Wrist ROMS through Goniometer
timeFrame: 6 weeks
measure: Spasticity through modified ashwoth scale
timeFrame: 6 weeks
measure: Upper extremity functional index (UEFI)
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Shifa Tameer-e-Millat University
state: Fedral
Study officials:
affiliation: Shifa Tameer-e-Millat University
name: Saman Tauseef, MSPT
role: PRINCIPAL_INVESTIGATOR
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