CompletedNot Applicable

Scapular Training in Stroke Individuals

Turkey (Türkiye)30 participantsStarted 2021-02-01

Plain-language summary

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.

Who can participate

Age range18 Years – 65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

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

What they're measuring

Evaluation of Muscle Thickness with Ultrasonography

Timeframe: change from baseline in muscle thickness of periscapular muscles at 8 weeks

Evaluation of Shoulder Subluxation with Ultrasonography

Timeframe: change from baseline in shoulder subluxation at 8 weeks

3-Dimensional Scapular Kinematics

Timeframe: change from baseline in scapular kinematics at 8 weeks

Trial details

NCT IDNCT04743830

SponsorHacettepe University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2022-11-30

View on ClinicalTrials.gov More Stroke trials