Cerebrovascular Stroke, Stroke
Conditions
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.
Interventions
PROCEDUREAcupuncture
Acupuncture needles are inserted in specific acupuncture points on the boby (three points on both forearms and five points on the top of the head) for twenty minutes, three times a week, during twelve sessions.
OTHERFunctional Taping
Elastic taping is positioned directly on the skin (on the back of the fingers, hand, forearm and arm - paretic upper limb), three times a week, during twelve sessions. The patient should keep the taping on the skin for two days.
OTHERAcupuncture and Functional Taping
Acupuncture needles are inserted in specific acupuncture points on the boby (three points on both forearms and five points on the top of the head) for twenty minutes, then elastic taping is positioned directly on skin (on the back of the fingers, hand, forearm and arm - paretic upper limb). Both procedures are performed three times a week, during twelve sessions.
Sponsors
Fernanda Cechetti
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale | Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. | Modified Ashworth Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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. | Wolf Motor Function Test |
| 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. | Motor Activity Log |
| 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. | Manual Goniometry |
| 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. | Visual Analogue Scale of Pain |
| 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. | Motor Activity Log |
Other
| Measure | Time frame | Description |
|---|---|---|
| Measure of Cognitive Impairment required to include the patient in the study assessed using Mini Mental State Examination. | Immediately before the inclusion of patient in the study (before the first session of intervention). | Mini Mental State Examination |
Countries
Brazil
Outcome results
None listed