Scapular Training in Stroke Individuals

Hacettepe University

Status: Completed

Conditions: Stroke

Treatments: Other: Neurodevelopmental Treatment (Bobath) + Scapular Training; Other: Neurodevelopmental Treatment (Bobath)

Study type: Interventional

Funder types: Other

Identifiers

NCT04743830

KA-20074

Details and patient eligibility

About

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.

Enrollment: 30 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Treatment Group

Experimental group

Description:

Neurodevelopmental Treatment (Bobath) + Scapular Training Group

Treatment:

Other: Neurodevelopmental Treatment (Bobath) + Scapular Training

Control Group

Active Comparator group

Description:

Neurodevelopmental Treatment (Bobath) Group

Treatment:

Other: Neurodevelopmental Treatment (Bobath)