The Efficacy of an Acupuncture Protocol and Use of Taping in the Treatment of Spastic Upper Limb After Stroke
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 发起方
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale
研究概览
简要总结
The purpose of this study is to determine whether acupuncture and taping are effective in the treatment of spastic upper limb after stroke.
详细描述
Acupuncture and taping have emerged as treatment alternatives for many diseases with positive and satisfactory results.
Thus, acupuncture seeks to balance all physiological systems, using specific points on the body where needles are inserted.
In turn, the use of taping is associated to various benefits such as improved blood and lymphatic function. In addition, it assists in the correction of muscle function and in the decrease of pain for neurological suppression. The constant afferent mechanical and somatosensory stimuli are perceived in cortical level and may produce motor unit recruitment and contribute to neuroplasticity of the nervous system.
Thus, this research aims to analyze the effects of Acupuncture associated with Functional Taping on patients' upper limb with chronic hemiparesis after Stroke through a prospective, randomized intervention. Seventy-five patients will be evaluated before and after intervention with Acupuncture and / or Function Taping, divided into three groups (Acupuncture, Functional Taping and Acupuncture plus Functional Taping). The evaluation will consist of Isokinetic, Mini-Mental State Examination, Modified Ashworth Scale, Motor Activity Log, Wolf Motor Function Test and Visual Analog Scale of Pain. The results will be analyzed and presented descriptively, as of statistical comparisons of pre- and post-treatment and the relationship between the groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with stroke diagnosis for at least six (06) months, who present hemiparesis in upper limb;
- •To accept participate in the study by signing theTerms of Consent;
- •Do not have any cognitive impairment.
排除标准
- •Do not follow the inclusion criteria;
- •To present shoulder subluxation or dislocation, shoulder pain syndrome or amputations (with or without the use of aids);
- •To present any allergic reaction due to use of bandage and/or do not adapt to treatment with needles.
结局指标
主要结局
The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale
时间窗: Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.
Modified Ashworth Scale
次要结局
- The change of frequency of movement of upper limb after 12 sessions of intervention(Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.)
- The change of quality of movement of upper limb after 12 sessions of intervention(Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.)
- The change of amplitude of movement after 12 sessions of intervention, assessed using Manual Goniometer(Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.)
- The change of level of pain in upper limb after 12 sessions of intervention, assessed using Visual Analogue Scale(Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.)
- The change of functionality of upper limb after 12 sessions of intervention, assessed using the Wolf Motor Function Test(Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.)
研究者
Fernanda Cechetti
Clinical Professor
Federal University of Health Science of Porto Alegre