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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
12
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.
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 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.
Federal University of Health Science of Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil
The change of level of spasticity of upper limb after 12 sessions of intervention, assessed using the Modified Ashworth Scale
Modified Ashworth Scale
Time frame: Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.
The change of functionality of upper limb after 12 sessions of intervention, assessed using the Wolf Motor Function Test
Wolf Motor Function Test
Time frame: 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
Motor Activity Log
Time frame: 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
Time frame: 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
Time frame: 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
Time frame: Immediately before the first session of intervention and 2 days after the last (12th) session of intervention.
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