The Efficacy of an Acupuncture Protocol and Use of Taping in the Treatment of Spastic Upper Limb After Stroke

Completed

Phase 2 Results N/A

Trial Description

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.

Conditions

Interventions

  • Acupuncture Device
    Intervention Desc: 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.
    ARM 1: Kind: Experimental
    Label: Acupuncture Only
    Description: Patients will be treated with acupuncture only.
  • Functional Taping Other
    Intervention Desc: 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.
    ARM 1: Kind: Experimental
    Label: Functional Taping Only
    Description: Patients will be treated with taping only.
  • Acupuncture and Functional Taping Other
    Intervention Desc: 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.
    ARM 1: Kind: Experimental
    Label: Acupuncture and Functional Taping
    Description: Patients will be treated with both acupuncture and taping at the same session.

Trial Design

  • Allocation: Randomized
  • Masking: Open Label
  • Purpose: Supportive Care
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary 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. Yes
Secondary 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. Yes
Secondary 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. Yes
Secondary 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. Yes
Secondary 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. Yes
Secondary 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. Yes

Sponsors