Spiral Strapping for Improving Upper Limb Functions

Last updated: January 11, 2025
Sponsor: Umm Al-Qura University
Overall Status: Completed

Phase

N/A

Condition

Stroke

Cerebral Ischemia

Treatment

Traditional upper limb functional exercise training

TogRite stretch Strapping

Clinical Study ID

NCT05725941
RI-4-0588
  • Ages 50-60
  • All Genders

Study Summary

Upper limb recovery after stroke is unacceptably poor with almost half of stroke survivors likely to regain some functional use. The rehabilitation process for upper extremity for individuals with stroke is of long duration and clinicians face the challenge of identifying a variety of assistive appliances that may be adapted and graded to facilitate this process. One of these appliances that is widely used in rehabilitation is splint and strapping. Therefore, this study aims to investigate the effectiveness of this modality in rehabilitation of the upper limb in stroke survivors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

The inclusion criteria were as follow:

  • Participants were diagnosed as chronic stroke patients.

  • Participants were selected to be in the spastic phase.

  • The degree of spasticity in the affected upper limbs, was ranged between grades (1, 1+&2) according to Modified Ashworth Scale.

  • Participants were all between 50 and 60 years old, of both sexes.

  • Participants were cognitively able to understand and follow instructions.

  • Participants had the ability to extend their wrist joints at least 20° and fingers 10° from full flexion. This range allowed participants to engage easily in performinga designed functional program.

Exclusion

Exclusion Criteria:

The exclusion criteria were as follow:

  • Participants who were with any orthopedic condition or fixed deformity thatinterfere with the upper limb functions.

  • Participants who were with spasticity of more than score 2 according to the ModifiedAshworth Scale.

  • Participants who had cognitive or perceptual problems.

  • Participants with seizures, visual impairments, or auditory problems.

  • Participants who had shoulder pain on a visual analogue scale of > 6/10.

  • Participants who had Botulinum Toxin in the upper extremity musculature six monthsbefore baseline assessment.

Study Design

Total Participants: 40
Treatment Group(s): 2
Primary Treatment: Traditional upper limb functional exercise training
Phase:
Study Start date:
January 25, 2023
Estimated Completion Date:
December 30, 2023

Study Description

Stroke often results in spasticity and associated motor impairments in the upper limb Spasticity in the upper limb commonly interferes with its motor activities, and results in impairments in the upper limb muscles. Persistent upper limb impairments can lead to limitations in activities of daily living, and quality of life. Assistive devices to facilitate the use of the hemiplegic upper extremity are considered to be the most important modalities in improving the functions of the upper limb. The splint is one of the most assistive tools in the rehabilitation of such individuals. The supportive and corrective functions provided by upper limb and hand splints have been shown to inhibit spasticity and promote the capabilities of the upper limb in individuals with stroke This study aims to evaluate the effectiveness of spiral strapping on inhibition of spasticity and improving upper limb functions in individuals with chronic stroke.

Connect with a study center

  • Ehab Mohamed Abd El Kafy

    Mecca, 21955
    Saudi Arabia

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.