ICF-Based Effects of PNF and Kinesio Taping on Hand Function in Hemiplegic Stroke
Investigation of the Effects of PNF and Kinesiological Taping on Hand Function in Hemiplegic Stroke Patients Based on the ICF Framework
Istinye University
54 participants
Jun 1, 2025
INTERVENTIONAL
Conditions
Summary
This clinical trial aims to compare the effects of kinesio taping and PNF on hemiplegic hand functions. In addition, the effects of these applications on body structure, activity, and participation will be examined. The main questions it aims to answer are: Do kinesio taping and PNF applications have different effects on hemiplegic hand function? Are kinesio taping and PNF applications effective in body structure, activity, and participation? The researchers will compare the advantages of kinesio taping and PNF applications over each other. Participants: Kinesio taping and/or PNF applications will be applied 3 days a week for 8 weeks. Tests will be performed on the first and last day of the study to evaluate hand functions.
Eligibility
Inclusion Criteria9
- Stroke diagnosed by MRI or CT, regardless of ischemic or hemorrhagic origin,
- Hemiplegia caused by stroke alone,
- At least 6 and at most 24 months have passed since the stroke was diagnosed
- Being over 18 years of age,
- Volunteering to participate in the study
- Scoring 24 or more on the Standardized Mini Mental State Examination (if illiterate, scoring 18 or more is sufficient)
- Cooperating with evaluation, tests and treatment
- Understanding and speaking Turkish
- Being at least stage 4 according to Brunnstrom staging
Exclusion Criteria9
- Individuals with bilateral hemiplegia
- Individuals with unstable vital signs
- Individuals with any open wound in the upper extremity
- Pathological conditions affecting upper extremity sensation (undergoing surgery after fracture, etc.)
- Individuals with a BMI value greater than 29.9 kg/m2
- Individuals with a Standardized Mini Mental Test score below 24 points (18 points)
- Individuals with major neurological or rheumatological disorders affecting the musculoskeletal system other than stroke (Polyneuropathy, Parkinson's, Multiple Sclerosis, Rheumatoid Arthritis, etc.)
- Presence of upper extremity amputation
- Being at less than stage 4 according to Brunnstrom staging
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Interventions
PNF Application; in the application method, the subjects will be in a sitting position. The application will be made to the fingers, wrist and forearm in both D1 and D2 directions in flexion and extension patterns. The techniques will start using rhythmic initiation, then the combination of isotonics, dynamic-opposite, rhythmic stabilization and muscle-relaxation are determined. The movements will be made in 10 repetitions with rest in between (Saklecha et al., 2023).
KB Application; In the taping treatment to be applied, taping will be applied starting from the fingers and up to the elbow with kinesiology taping (Huang et al., 2019). Taping will be done 3 days a week and the tape will remain on the patient for 2 days.
PNF+ KB Application; In this application, both PNF and taping will be applied. After each application, conventional treatment will be applied to all three groups at the end of each session. When all treatments are completed, re-evaluations will be made by the blind physiotherapist
Locations(2)
View Full Details on ClinicalTrials.gov
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NCT07014696