Kinesio-Taping in Stroke Patients With Visuospatial Neglect (k-neglect)

University of Verona

Status: Unknown

Conditions: Stroke; Motor Disorder

Treatments: Other: Sham Taping; Other: Kinesio taping group

Study type: Interventional

Funder types: Other

Identifiers

NCT03263455

KN2017

Details and patient eligibility

About

Stroke is the second leading cause of death worldwide and the third most common cause of disability. The effects of stroke are variable and may include impairments in motor and sensory systems, emotion and neuropsychological deficits such as a disorder of spatial awareness known as unilateral spatial neglect (USN). Approaches to ameliorate USN could be categorized in interventions as involving either bottom-up or top-down processing. The specific mechanisms underlying these effects on a number of manifestations of the USN syndrome may include the restoration of defective representations of the side of space contralateral to the lesion (contralesional), and of the ability to orient spatial attention contralesionally, through complex patterns of activation of both the damaged right hemisphere, and the contralateral left hemisphere, with differences related to the specific stimulation delivered to the patient. In recent years, increasing cutaneous stimuli through neuromuscular kinesiotaping has been proposed to enhance somatosensory inputs (24) and such as method could have positive effects on USN. The aim of the present study was to assess the effect of KTM applied on the sternocleidomastoid muscle controlateral side of the lesions in improving USN deficits in individuals with stroke patient in sub-acute phase. The hypothesis is that the KTM application could improved cognitive tests for assessing USN, motor deficits and kinesthetic neck sensibility.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients affected by stroke from cerebral ischemia or hemorrhage that occurred ⩽ 30 days before;
• presence of visuospatial neglect (Star Cancellation Test' score < 50)
• able to actively rotate the head toward left side in closed eyes condition.

Exclusion criteria

• the presence of dementia (Mini-Mental State Examination correct score lower than 23,80)
• severe deficit of comprehension
• psychiatric disorders
• hemianopsia patients (diagnosed with perimetry) patients or their family members did not consent to this study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Kinesio Taping group

Experimental group

Description:

The tape in the KT group was applied with paper-off tension, which means applying the tape directly to the skin as it comes off the paper backing (approximately with 15% to 25% of available tension).

Treatment:

Other: Kinesio taping group

Sham Taping group

Sham Comparator group

Description:

Patients in the ST group, smaller "I-strips" of KinesioTape were used and they were applied, with no tension and without stretching the muscles, perpendicularly to the muscle belly (starting from the middle and progressing to each side) over the same dystonic muscles as in the Kinesio Taping group

Treatment:

Other: Sham Taping