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CompletedNCT04181151Updated Apr 20, 2022

Investigation of Activation of Latissimus Dorsi Muscle Segments During Functional Reach Activity in Chronic Stroke Patients

An observational study in Stroke, sponsored by Hacettepe University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 30 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-20.

Sponsored by Hacettepe University · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
12
Ages
30 Years to 60 Years
Sex
All
01

Study summary

Latissimus Dorsi (LD); Medial sacrum, lumbar vertebrae and lower thoracic vertebrae 10-12 lateral to the spinous processus. It is a fan-like wide muscle that connects to the inferior angle of the scapula and ribs, adheres to the anterior surface of the proximal humerus and continues with aponeurosis of the contralateral Gluteus Maximus below. The activation of the LD muscle during the functional reach activity, which we use most frequently in daily living activities, affects the upper extremity and trunk movements. Therefore it is important muscle that affects the quality of movement.

The study include individuals with stroke that diagnosed by the neurologist and include healthy subjects. During sitting activity, they will be required to reach three different distances in the sagittal and scapular plane: arm length, 125% of the arm length and end point where it can reach the modified functional reach test. During the activity, electromyography (EMG) activation of latissimus dorsi, anterior deltoid and erector spina muscles will be examined with electromyographic device.

Hypothesis originating from the investigation:

H1: Latissimus dorsi muscle segments show different activation during functional reach activity.

H2: Activation of latissimus dorsi muscle segments is affected by reaching direction during functional reach activity.

H3: Activation of latissimus dorsi muscle segments is affected by reaching distance during functional reach activity.

Read the detailed description

Measurements will be made during the sitting activity of the individuals included in the study. Individuals will be asked to reach midsternal height cups in two separate planes, sagittal and scapular, at arm's end, 125% of arm's distance and end point where it can reach according to modified functional reach test.

Muscle activation of latissimus dorsi, erector spina and anterior deltoid muscles will be measured by superficial electromyographic measurement. Muscle activation according to SENIAM for erector spina and anterior deltoid will be evaluated. For latissimus dorsi, activation will be measured in six segments separated according to anatomic dissection.

Reach activity will be performed 3 times on each side and at 1 minute intervals.

02

Conditions studied

  • Stroke

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Keywords

  • latissimus dorsi
  • stroke
  • electromyography
  • reaching activity
  • muscle activation
03

In context

Stroke

7,441 studies on the registry are indexed under Stroke; 2,012 are open to participants now.

This study's enrollment of 12 is below the median of 160 across 1,729 observational studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Hacettepe University is the lead sponsor of 1,001 studies on the registry; 215 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Hacettepe University Neurological Rehabilitation Unit

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • diagnosed with stroke by a neurologist
  • least 6 mounts after stroke
  • Fugl Meyer Upper Extremity Motor Rating Scale with a value of 40 and above,
  • independent sitting,
  • Mini Mental Status Scale (MMSE)> 24,
  • 30-67 age.

Exclusion criteria

Exclusion Criteria:

  • neurodegenerative disease other than stroke
  • presence of neglect
  • presence of apraxia
  • uncorrected visual impairment
  • neuromusculoskeletal pathologies
  • neck and shoulder pain lasting more than 3 months
05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
12 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Stroke patients

    Other: Electromyographic device

  • Healthy Subjects

    Other: Electromyographic device

Interventions

  • OtherElectromyographic device

    An 8-channel surface EMG system (Noraxon Telemyo DTS system, Scottsdale, USA) will be used to measure signals from muscles during surface electromyography measurements.

06

What researchers measure

Primary outcomes

  1. Surface electromyographic measurement

    Muscle activation measurement It is an 8-channel system for measuring signals come from muscles (Noraxon Telemyo DTS system, Scottsdale, USA).

    Time frame: 90 minutes

07

Study locations

1 site
  • Hacettepe University
    Ankara, Sıhhiye/ANKARA, Turkey (Türkiye)
08

References and documents

Publications

  • Bogduk N, Johnson G, Spalding D. The morphology and biomechanics of latissimus dorsi. Clin Biomech (Bristol). 1998 Sep;13(6):377-385. doi: 10.1016/s0268-0033(98)00102-8. PubMed 11415812 ↗
  • Dickstein R, Shefi S, Marcovitz E, Villa Y. Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients. Arch Phys Med Rehabil. 2004 Feb;85(2):261-7. doi: 10.1016/j.apmr.2003.05.011. PubMed 14966711 ↗
  • Wickham JB, Brown JM. Muscles within muscles: the neuromotor control of intra-muscular segments. Eur J Appl Physiol Occup Physiol. 1998 Aug;78(3):219-25. doi: 10.1007/s004210050410. PubMed 9720999 ↗
  • Brown JM, Wickham JB, McAndrew DJ, Huang XF. Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks. J Electromyogr Kinesiol. 2007 Feb;17(1):57-73. doi: 10.1016/j.jelekin.2005.10.007. Epub 2006 Feb 2. PubMed 16458022 ↗
  • Hermens HJ, Freriks B, Disselhorst-Klug C, Rau G. Development of recommendations for SEMG sensors and sensor placement procedures. J Electromyogr Kinesiol. 2000 Oct;10(5):361-74. doi: 10.1016/s1050-6411(00)00027-4. PubMed 11018445 ↗
  • Kaya Benli T, Kara D, Dulger E, Bilgin S. Electromyography study of six parts of the latissimus dorsi during reaching tasks while seated: A comparison between healthy subjects and stroke patients. J Electromyogr Kinesiol. 2023 Jun;70:102770. doi: 10.1016/j.jelekin.2023.102770. Epub 2023 Mar 25. PubMed 37004380 ↗

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04181151
Responsible party
Tuba Kaya Benli (Research Assistant, Hacettepe University) — Principal investigator
First posted
Nov 29, 2019
Start date
Jan 1, 2019
Primary completion
Aug 7, 2019
Completion
Dec 29, 2020
Last update
Apr 20, 2022

Study contacts

Tuba KAYA, R.A.
principal investigator · Hacettepe University
Sevil BİLGİN, Assoc. Prof.
study director · Hacettepe University
Muhammed KILINÇ, Assoc. Prof.
study chair · Hacettepe University
Esra DÜLGER, R.A.
study chair · Hacettepe University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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