The Effects of Kinesis-Taping Application on Cognitive Deficit and Motor Ability in Stroke Patients With Visuospatial Neglect: a Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- The Stars Cancellation Test change in number of stars deleted
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
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).
干预措施: Kinesio taping group (Other)
Sham Taping group
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
干预措施: Sham Taping (Other)
结局指标
主要结局
The Stars Cancellation Test change in number of stars deleted
时间窗: Baseline time 0 and up to 4 weeks
次要结局
- 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)
研究者
Nicola Smania, MD, Clinical Professor
Full Professor
Universita di Verona
