The Effect of Inhibitory Kinesio Taping Application on Spasticity, Stretch Reflex and Motor Neuron Activity

Not Applicable

Completed

• Conditions: Muscle Physiology

• Registration Number: NCT03932591
• Lead Sponsor: Istanbul Physical Medicine Rehabilitation Training and Research Hospital

Brief Summary

The first aim of this study is whether the inhibitory kinesio taping application can reduce spasticity. The second aim of this study is to investigate whether the kinesio taping application have neuromodulatory activity on motor neuron and stretch reflex.

Hypotheses of this study: unlike healthy cases, in patients with spastic hemiplegia

1. Inhibitory kinesio taping application can reduced spasticity

2. Inhibitory kinesio taping application can reduced motor neuron activity and stretch reflex

Detailed Description

This study will include 78 spastic hemiplegic patient ( 39 controlled, 39 intervention group) Spasticity , Soleus Hmax/Mmax, Soleus T reflex, Soleus H reflex will be evaluated in this study.

Inhibitory kinesio taping method will be used in intervention group for 64-66 hours. Y shaped kinesio tape will be applied on spastic gastrocsoleus muscle. Sham kinesio taping method will be used in controlled group for 64-66 hours. 2 pieces kinesio tape 2,5 cm width, 5 cm length will be applied on gastrocnemius medial and lateral head, 1 piece kinesio tape 5 cm width, 5 cm length will be applied on achilles tendon.

Spasticity, Soleus Hmax/Mmax, Soleus T reflex and H reflex will be measured pre-application (T0), after-application ( in a few minutes) (T1), after 64-66 hours ( with band applied) (T2) and after band removed (T3). Spasticity in both groups will be evaluated with modified ashworth scale.

Study Timeline

• Study First Submitted: 2019-04-28
• Study First Submitted QC: 2019-04-28
• Study First Posted: 2019-04-30
• Study Start: 2019-09-21
• Primary Completion: 2020-12-16
• Study Completion: 2020-12-25
• Status Verified: 2021-01
• Last Update Submitted: 2021-01-04
• Last Update Posted: 2021-01-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Unilateral ischemic/hemorrhagic stroke
• First stroke attack
• Gastrocsoleus muscle spasticity ( Modified Ashworth Scale 1-3)

Exclusion Criteria

• Perform surgery from the related limb
• Skin problems, wounds and infections
• Allergy to the kinesio tape material
• Antispastic drug use
• Contracture in gastrocsoleus muscle or antagonists
• Peripheral nerve lesion in the lower extremity
• II.Motor neuron diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Modified Ashworth Scale	72 hours	Muscle tone measure. Range 0 (No increase in muscle tone) to 4 (Affected part(s) rigid in flexion or extension)

Secondary Outcome Measures

Name	Time	Method
Hmax/Mmax rate	72 hours	Motor neuron activity will be determined by using the Hmax/Mmax rate. A higher rate indicates higher motor neuron activity.
T-reflex amplitude	72 hours	The stretch reflex activity will be evaluated by using T-reflex amplitude. The unit of this variable is microvolts. A higher amplitude indicates higher stretch reflex activity.

Trial Locations

Locations (1)

Istanbul Physical Medicine Rehabilitation Training and Research Hospital; 🇹🇷 Istanbul, Turkey