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The purpose of this study is to determine whether acupuncture and taping are effective in the treatment of spastic upper limb after stroke.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acupuncture Only | Active Comparator | Patients will be treated with acupuncture only. |
|
| Functional Taping Only | Active Comparator | Patients will be treated with taping only. |
|
| Acupuncture and Functional Taping | Experimental | Patients will be treated with both acupuncture and taping at the same session. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Acupuncture | Procedure | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale | Modified Ashworth Scale | Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| The change of functionality of upper limb after 12 sessions of intervention, assessed using the Wolf Motor Function Test | Wolf Motor Function Test | Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. |
| The change of frequency of movement of upper limb after 12 sessions of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Measure of Cognitive Impairment required to include the patient in the study assessed using Mini Mental State Examination. | Mini Mental State Examination | Immediately before the inclusion of patient in the study (before the first session of intervention). |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rodrigo Della Méa Plentz, Doctor | Federal Universiity of Health Science of Porto Alegre | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal University of Health Science of Porto Alegre | Porto Alegre | Rio Grande do Sul | 90050170 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16699703 | Background | Andrade FA, Pereira LV, Sousa FA. [Pain measurement in the elderly: a review]. Rev Lat Am Enfermagem. 2006 Mar-Apr;14(2):271-6. doi: 10.1590/s0104-11692006000200018. Epub 2006 May 8. Portuguese. | |
| Background | ASSOCIAÇÃO BRASILEIRA DE MEDICINA FÍSICA E REABILITAÇÃO. Espasticidade: Avaliação Clínica. Projeto Diretrizes. 2006. | ||
| Background | ASSUMPÇAO, María Sebra de, et al. Coativação, Espasticidade, Desempenho Motor e Funcional na Paralisia Cerebral. Revista Motriz, v. 17, n. 4, out./dez. 2011, p. 650-659. | ||
| 25147752 |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D015670 | Acupuncture Therapy |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
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| Functional Taping | Other | 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. |
|
| Acupuncture and Functional Taping | Other | 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. |
|
Motor Activity Log |
| Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. |
| The change of quality of movement of upper limb after 12 sessions of intervention | Motor Activity Log | Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. |
| The change of amplitude of movement after 12 sessions of intervention, assessed using Manual Goniometer | Manual Goniometry | Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. |
| The change of level of pain in upper limb after 12 sessions of intervention, assessed using Visual Analogue Scale | Visual Analogue Scale of Pain | Immediately before the first session of intervention and 2 days after the last (12th) session of intervention. |
| Background |
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| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |