Kinesio-Taping in Stroke Patients With Visuospatial Neglect

Not Applicable

• Conditions: Motor Disorder; Stroke
• Interventions: Other: Kinesio taping group; Other: Sham Taping

• Registration Number: NCT03263455
• Lead Sponsor: Universita di Verona

Brief Summary

Stroke is the second leading cause of death worldwide and the third most common cause of disability. The effects of stroke are variable and may include impairments in motor and sensory systems, emotion and neuropsychological deficits such as a disorder of spatial awareness known as unilateral spatial neglect (USN). Approaches to ameliorate USN could be categorized in interventions as involving either bottom-up or top-down processing. The specific mechanisms underlying these effects on a number of manifestations of the USN syndrome may include the restoration of defective representations of the side of space contralateral to the lesion (contralesional), and of the ability to orient spatial attention contralesionally, through complex patterns of activation of both the damaged right hemisphere, and the contralateral left hemisphere, with differences related to the specific stimulation delivered to the patient. In recent years, increasing cutaneous stimuli through neuromuscular kinesiotaping has been proposed to enhance somatosensory inputs (24) and such as method could have positive effects on USN. The aim of the present study was to assess the effect of KTM applied on the sternocleidomastoid muscle controlateral side of the lesions in improving USN deficits in individuals with stroke patient in sub-acute phase. The hypothesis is that the KTM application could improved cognitive tests for assessing USN, motor deficits and kinesthetic neck sensibility.

Detailed Description

Not available

Study Timeline

• Status Verified: 2017-08
• Study First Submitted: 2017-08-14
• Study First Submitted QC: 2017-08-25
• Last Update Submitted: 2017-08-25
• Study First Posted: 2017-08-28
• Last Update Posted: 2017-08-28
• Study Start: 2017-09-01
• Primary Completion: 2017-11-30
• Study Completion: 2018-08-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• patients affected by stroke from cerebral ischemia or hemorrhage that occurred ⩽ 30 days before;
• presence of visuospatial neglect (Star Cancellation Test' score < 50)
• able to actively rotate the head toward left side in closed eyes condition.

Exclusion Criteria

• the presence of dementia (Mini-Mental State Examination correct score lower than 23,80)
• severe deficit of comprehension
• psychiatric disorders
• hemianopsia patients (diagnosed with perimetry) patients or their family members did not consent to this study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Kinesio Taping group	Kinesio taping group	The tape in the KT group was applied with paper-off tension, which means applying the tape directly to the skin as it comes off the paper backing (approximately with 15% to 25% of available tension).
Sham Taping group	Sham Taping	Patients in the ST group, smaller "I-strips" of KinesioTape were used and they were applied, with no tension and without stretching the muscles, perpendicularly to the muscle belly (starting from the middle and progressing to each side) over the same dystonic muscles as in the Kinesio Taping group

Primary Outcome Measures

Name	Time	Method
The Stars Cancellation Test change in number of stars deleted	Baseline time 0 and up to 4 weeks

Secondary Outcome Measures

Name	Time	Method
Number of letter delete during the Letter Cancellation Test	Baseline time 0 and up to 4 weeks
Degree of Active Range of Motion (AROM) during left rotation	Baseline time 0 and up to 4 weeks
Number of Error assessed during the Cervical Joint Position Error Test	Baseline time 0 and up to 4 weeks

Trial Locations

Locations (1)

Azienta Ospedaliera, SSO Rehabilitation Unit, Verona; 🇮🇹 Verona, Italy