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临床试验/NCT03263455
NCT03263455Unknown不适用

The Effects of Kinesis-Taping Application on Cognitive Deficit and Motor Ability in Stroke Patients With Visuospatial Neglect: a Randomized Controlled Study

Universita di Verona2 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2017年9月1日最近更新:
适应症
干预措施

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

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

Experimental

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

Sham Comparator

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

发起方
Universita di Verona
申办方类型
Other
责任方
Principal Investigator
主要研究者

Nicola Smania, MD, Clinical Professor

Full Professor

Universita di Verona

研究点 (2)

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