Effects of Scapular Training on Scapular Kinematics, Periscapular Muscle Thickness, Shoulder Subluxation and Upper Extremity Functionality in Stroke Individuals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Evaluation of Muscle Thickness with Ultrasonography
研究概览
简要总结
In recent publications evaluating scapular kinematics after stroke, it is emphasized that scapular muscles, which affect the performance of upper limbs in daily life, should not be ignored. When the literature is analyzed for these reasons, the studies in which scapular training was added to the treatment plan of upper limb rehabilitation of stroke individuals are inadequate and the existing studies have methodological deficiencies. Also, it is seen that studies which investigate the effects of these exercises on scapular kinematics, the parameters of periscapular muscle thickness and shoulder subluxation are not included. The purpose of this study is to examine the effects of scapular training on scapular kinematics, periscapular muscle thickness, shoulder subluxation and upper extremity functionality in stroke individuals. The study was planned to include 2 groups, 1 treatment and 1 control group. The control group will receive Neurodevelopmental Treatment - Bobath exercises, while the treatment group will receive exercises for the muscles around the scapula in addition to Neurodevelopmental Treatment - Bobath exercises. Muscle thickness of periscapular muscles, shoulder subluxation, 3D scapular kinematics, upper extremity and trunk performance, pain, activities of daily living and quality of life will be assessed before and after 8 weeks treatment program. As a result; effectiveness of scapular training in addition to Neurodevelopmental Treatment and relationship between scapular kinematics, periscapular muscle thickness, shoulder subluxation, and upper extremity performance will be examined.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unilateral ischemic / hemorrhagic stroke for more than 3 months
- •> 18 years
- •Mild-moderate upper extremity impairment (FMA≥30)
- •Active shoulder elevation ≥ 90°
- •Shoulder girdle muscles spasticity ≤ 2
- •Mini Mental State Examination score ≥ 24
排除标准
- •Body Mass Index ≤ 30 kg/m2
- •Having an allergy to adhesive tape
- •Clinical diagnosis of another neurologic disease other than stroke which might effect standing independently
- •Having a history of humerus, clavicle and scapula fracture
- •Having a shoulder surgery such as rotator cuff muscle repair
结局指标
主要结局
Evaluation of Muscle Thickness with Ultrasonography
时间窗: change from baseline in muscle thickness of periscapular muscles at 8 weeks
The evaluation of muscle thickness of bilateral serratus anterior and lower trapezius muscles with ultrasonography will be performed by a physician using a 5-10 MHz linear probe (Diasus Dynamic Imaging Ltd, Livingston, Scotland,UK) in resting position. Muscle Thickness would be expressed as centimeters.
Evaluation of Shoulder Subluxation with Ultrasonography
时间窗: change from baseline in shoulder subluxation at 8 weeks
The evaluation of shoulder subluxation with ultrasonography will be performed by a physician using a 5-10 MHz linear probe (Diasus Dynamic Imaging Ltd, Livingston, Scotland,UK). It will be performed while the individual is sitting on a chair, the shoulder is in neutral rotation, with the elbow at 90 degrees of flexion and the forearm in pronation. The fore-arms will rest on a pillow placed on the patient's lap. The subluxation would be expressed as centimeters.
3-Dimensional Scapular Kinematics
时间窗: change from baseline in scapular kinematics at 8 weeks
3-Dimensional Scapular Kinematics will be measured by electromagnetic tracking system (Motion Monitor®, Innovative Sports Training Inc, Chicago) during elevation of the upper extremity on the scapular and sagittal plane and hair combing activity.
次要结局
- ABILHAND Questionnaire(change from baseline in performance of upper extremity activities of daily living at 8 weeks)
- Fugl-Meyer Assessment of Upper Extremity (FMA-UE)(change from baseline in upper extremity performance at 8 weeks)
- Modified Barthel Index (MBI)(change from baseline in performance of activities of daily living at 8 weeks)
- Action Research Arm Test (ARAT)(change from baseline in upper extremity performance at 8 weeks)
- Trunk Impairment Scale(change from baseline in trunk performance at 8 weeks)
- Visual Analog Scale(change from baseline in pain at 8 weeks)
- Stroke Specific Quality of Life Scale(change from baseline in quality of life at 8 weeks)
研究者
ÖZGE ONURSAL KILINÇ
Principal Investigator
Hacettepe University