The Efficacy of an Acupuncture Protocol and Use of Taping in the Treatment of Spastic Upper Limb After Stroke
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Fernanda Cechetti
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale
- Status
- Completed
- Last Updated
- 10 years ago
Overview
Brief Summary
The purpose of this study is to determine whether acupuncture and taping are effective in the treatment of spastic upper limb after stroke.
Detailed Description
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.
Investigators
Fernanda Cechetti
Clinical Professor
Federal University of Health Science of Porto Alegre
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale
Time Frame: Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.
Modified Ashworth Scale
Secondary Outcomes
- 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.)