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Investigation of the Effects of PNF and Kinesiological Taping on Hand Function in Hemiplegic Stroke Patients Based on the ICF Framework
Led by Istinye University · Updated on 2026-01-15
54
Participants Needed
2
Research Sites
8 weeks
Total Duration
On this page
Sponsors
I
Istinye University
Lead Sponsor
O
Ondokuz Mayıs University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating how proprioceptive neuromuscular facilitation (PNF) and kinesiology taping (KT) affect hand function in adults who have hemiplegia caused by stroke. The study also examines how these treatments impact body structure, activity, and participation based on the International Classification of Functioning, Disability and Health (ICF). The trial aims to compare whether PNF or kinesio taping offers different benefits for improving hand functions and related abilities in stroke patients. Participants will be randomly assigned to one of three groups: one receiving PNF therapy, another receiving kinesiology taping, and a third group receiving both treatments combined. Each group will undergo their assigned interventions three days a week for eight weeks. After each session, all groups will receive conventional treatment. PNF involves specific manual techniques targeting finger, wrist, and forearm movements, while kinesiology taping is applied from the fingers to the elbow and remains on for two days. The combined group receives both therapies according to these schedules. During the study, participants' hand functions will be assessed at the start and after completing 24 sessions using several tests, including the Fugl Meyer assessment, Action Research Arm Test, Box-Block Test, and Nine Hole Peg Test. Additional evaluations will measure environmental quality, upper extremity activity, and social adaptation. Researchers will monitor participant cooperation and cognitive status, and a blinded physiotherapist will re-evaluate outcomes to ensure unbiased results. The total participation duration is eight weeks of intervention with assessments at the beginning and end.
CONDITIONS
Brief Title
ICF-Based Effects of PNF and Kinesio Taping on Hand Function in Hemiplegic Stroke
Who Can Participate
Eligibility Criteria
You may qualify if you...
- 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 diagnosis
- Age 18 years or older
- Volunteering to participate in the study
- Scoring 24 or more on the Standardized Mini Mental State Examination (18 or more if illiterate)
- Able to cooperate with evaluation, tests, and treatment
- Understands and speaks Turkish
- Being at least stage 4 according to Brunnstrom staging
You will not qualify if you...
- Bilateral hemiplegia
- Unstable vital signs
- Any open wound in the upper extremity
- Pathological conditions affecting upper extremity sensation (e.g., post-surgery after fracture)
- Body Mass Index (BMI) greater than 29.9 kg/m2
- Standardized Mini Mental Test score below 24 points (or below 18 if illiterate)
- Major neurological or rheumatological disorders affecting the musculoskeletal system other than stroke (such as Polyneuropathy, Parkinson's, Multiple Sclerosis, Rheumatoid Arthritis)
- Presence of upper extremity amputation
- Being below stage 4 according to Brunnstrom staging
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 8 weeks
Participants receive neuromuscular rehabilitation exercises including proprioceptive neuromuscular facilitation (PNF), kinesiology taping (KT), or a combination of both. These interventions focus on improving hand function through specific exercises and taping applied to the affected upper extremity.
3 sessions per week
Duration - 1 to 2 weeks
After completing the treatment sessions, participants undergo re-evaluations of their hand function and related outcomes by a physiotherapist.
1 visit (in-person)
Trial Site Locations
Total: 2 locations
1
İstinye University, Bahçeşehir Liv Hospital
Istanbul, Bahçeşir, Turkey (Türkiye)
Actively Recruiting
2
Ondokuz Mayıs Üniversitesi, SUVAM Havza Fizik Tedavi ve Rehabilitasyon Merkezin
Samsun, Havza, Turkey (Türkiye), 55400
Actively Recruiting
Research Team
E
elif önder
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
3
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