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The Effect of Scapular Exercises in Patients With Stroke

Primary Purpose

Stroke, Acute

Status
Completed
Phase
Not Applicable
Locations
Turkey
Study Type
Interventional
Intervention
Bobath Approach
Isometric scapular exercises
Sponsored by
Suleyman Demirel University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stroke, Acute

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Diagnosed as acute stroke, being able to sit without support, presence of hemiparesis, clinical stability

Exclusion Criteria:

Shoulder joint dysfunction due to previous musculoskeletal disease, severe dementia, severe visual disturbances that could not be corrected with glasses, severe aphasia, scored ≥ 3 on the Modified Ashworth Scale and refused to participate

Sites / Locations

  • Mehmet Duray

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Control

Study

Arm Description

Outcomes

Primary Outcome Measures

Scapular mobility
Distance between medial border of scapula and columna vertebralis
Trunk Impairment Scale
postural control ability of the trunk
Trunk Control Test
Trunk Control
Modified Barthel Index
evaluate the level of disability during daily life activities
Reaching Performance Test
Reaching Performance

Secondary Outcome Measures

Full Information

First Posted
March 8, 2021
Last Updated
March 8, 2021
Sponsor
Suleyman Demirel University
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1. Study Identification

Unique Protocol Identification Number
NCT04792619
Brief Title
The Effect of Scapular Exercises in Patients With Stroke
Official Title
The Effect of Scapular Exercises on Trunk Control in Patients With Stroke: A Double-blind Randomized Study
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
December 3, 2018 (Actual)
Primary Completion Date
December 31, 2019 (Actual)
Study Completion Date
December 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Suleyman Demirel University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
There is a paucity of research on the correlation between postural control and upper extremity function. Analyzing the mechanisms of postural deficits and related problems is believed to give idea for any conceivable advance in future rehabilitation strategies in patients with stroke. The purpose of this study was to examine the effect of scapular exercises on the scapular stability and trunk control. We hypothesized that scapular exercises correct the scapular position and improve postural control. Hence the reaching out movement can be applied in a controlled and fluent manner at the end of the treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stroke, Acute

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control
Arm Type
Experimental
Arm Title
Study
Arm Type
Active Comparator
Intervention Type
Other
Intervention Name(s)
Bobath Approach
Intervention Description
The patients in both groups were treated with the exercise program according to the Bobath concept was planned taking the functional needs of the survivors into account, including stretching and facilitation of latissimus dorsi muscle, facilitation of abdominal muscles, placing exercises, training of lumbar spine stabilizers, functional reach of shoulder in different directions. Five sessions of about an hour each were provided to the patients
Intervention Type
Other
Intervention Name(s)
Isometric scapular exercises
Intervention Description
Isometric scapular exercises were performed to the patients included to the study group in a sitting position and at 900 of the shoulder flexion and 900 of the shoulder abduction. The patients were exercised by a physiotherapist using isometric contraction in protraction and retraction by a physiotherapist. Isometric contractions lasted 5 seconds and each exercise was repeated 2x15 times. One minute rest period was given between sets
Primary Outcome Measure Information:
Title
Scapular mobility
Description
Distance between medial border of scapula and columna vertebralis
Time Frame
12 months
Title
Trunk Impairment Scale
Description
postural control ability of the trunk
Time Frame
12 months
Title
Trunk Control Test
Description
Trunk Control
Time Frame
12 months
Title
Modified Barthel Index
Description
evaluate the level of disability during daily life activities
Time Frame
12 months
Title
Reaching Performance Test
Description
Reaching Performance
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosed as acute stroke, being able to sit without support, presence of hemiparesis, clinical stability Exclusion Criteria: Shoulder joint dysfunction due to previous musculoskeletal disease, severe dementia, severe visual disturbances that could not be corrected with glasses, severe aphasia, scored ≥ 3 on the Modified Ashworth Scale and refused to participate
Facility Information:
Facility Name
Mehmet Duray
City
Isparta
ZIP/Postal Code
32200
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No

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The Effect of Scapular Exercises in Patients With Stroke

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