Effects of Gastronomies Kinesio Taping on Postural Control and Spasticity in Patients with Chronic Stroke

Document Type : Original Article (s)

Authors

1 MSc Student, Department of Physiotherapy, School of Rehabilitation AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

2 Lecturer, Department of Physiotherapy, School of Rehabilitation, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Department of Orthotics and Prosthetics, School of Rehabilitation, Isfahan University of Medical sciences, Isfahan, Iran

Abstract

Background: Stroke is a neurovascular lesion in the brain. Paralysis of one half of the body is the most important symptom of stroke. Impaired postural control is built by complex interactions of sensory, cognitive and motor disorders. All of these factors can predispose patients to reduce function. The aim of this study was to assess the effect of Kinesio taping on dynamic balance and spasticity in patients with chronic stroke.Methods: In this single-blind randomized controlled trial (RCT) study, 22 patients with stroke, 11 with right-sided and 11 with left-sided hemiplegia, were enrolled. The subjects’ age ranged from 30 to 56 years (mean = 58.7 years). Both groups received Kinesio taping intervention (KT). Kinesio Tex Tape was applied directly to the skin of gastrocnemius muscles and was kept for 1 hour. Timed up and go test (TUG) was used to assess dynamic postural control and Modified Modified Ashworth Scale (MMAS) to evaluate the degree of spasticity of plantar flexor muscles.Findings: There was a statistically significant reduction in spasticity and TUG scores in the pre-taped, taped and retest condition. In repeated measures analysis of variances, there was statistically significant difference between the two groups just for TUG scores, not for spasticity.Conclusion: The results suggest that the use of gastrocnemius taping may be useful in immediately stabilising body posture and reducing spasticity. In addition, the results showed that patients with left-sided hemiplegia have relevant balance disorders and taping improve dynamic postural control in these patients more.

Keywords

References

  1. World Health Organization. WHO handbook for reporting results of cancer treatment. Geneva, Switzerland: WHO; 1979.
  2. Warlow ChP, van Gijn J, Dennis MS, Wardlaw JM, Bamford JM, Hankey GJ, et al. Stroke: practical management. 3rd ed. Hoboken, NJ: Wiley-Blackwell; 2008.
  3. Lo HC, Hsu YC, Hsueh YH, Yeh CY. Cycling exercise with functional electrical stimulation improves postural control in stroke patients. Gait Posture 2012; 35(3): 506-10.
  4. Wade DT. Measurement in neurological rehabilitation. Curr Opin Neurol Neurosurg 1992; 5(5): 682-6.
  5. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil 1995; 76(1): 27-32.
  6. Mizrahi J, Solzi P, Ring H, Nisell R. Postural stability in stroke patients: vectorial expression of asymmetry, sway activity and relative sequence of reactive forces. Med Biol Eng Comput 1989; 27(2): 181-90.
  7. Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil 1988; 69(6): 395-400.
  8. Winstein CJ, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil 1989; 70(10): 755-62.
  9. de Oliveira CB, de Medeiros IR, Frota NA, Greters ME, Conforto AB. Balance control in hemiparetic stroke patients: main tools for evaluation. J Rehabil Res Dev 2008; 45(8): 1215-26.
  10. Eser F, Yavuzer G, Karakus D, Karaoglan B. The effect of balance training on motor recovery and ambulation after stroke: a randomized controlled trial. Eur J Phys Rehabil Med 2008; 44(1): 19-25.
  11. Carr JH, Shepherd RB. Neurological rehabilitation: optimizing motor performance. 2nd ed. London, UK: Churchill Livingstone; 2010.
  12. Badke MB, Duncan PW. Patterns of rapid motor responses during postural adjustments when standing in healthy subjects and hemiplegic patients. Phys Ther 1983; 63(1): 13-20.
  13. Dickstein R, Abulaffio N. Postural sway of the affected and nonaffected pelvis and leg in stance of hemiparetic patients. Arch Phys Med Rehabil 2000; 81(3): 364-7.
  14. Goldie PA, Matyas TA, Evans OM, Galea M, Bach TM. Maximum voluntary weight-bearing by the affected and unaffected legs in standing following stroke. Clin Biomech (Bristol, Avon) 1996; 11(6): 333-42.
  15. Horak FB, Esselman P, Anderson ME, Lynch MK. The effects of movement velocity, mass displaced, and task certainty on associated postural adjustments made by normal and hemiplegic individuals. J Neurol Neurosurg Psychiatry 1984; 47(9): 1020-8.
  16. O'Sullivan SB, Schmitz TJ. Physical rehabilitation. 6th ed. Philadelphia, PA: F.A. Davis Company; 2013.
  17. Esparza DY, Archambault PS, Winstein CJ, Levin MF. Hemispheric specialization in the co-ordination of arm and trunk movements during pointing in patients with unilateral brain damage. Exp Brain Res 2003; 148(4): 488-97.
  18. Ouchi Y, Okada H, Yoshikawa E, Nobezawa S, Futatsubashi M. Brain activation during maintenance of standing postures in humans. Brain 1999; 122 (Pt 2): 329-38.
  19. Petersen H, Magnusson M, Johansson R, Fransson PA. Auditory feedback regulation of perturbed stance in stroke patients. Scand J Rehabil Med 1996; 28(4): 217-23.
  20. Rode G, Tiliket C, Boisson D. Predominance of postural imbalance in left hemiparetic patients. Scand J Rehabil Med 1997; 29(1): 11-6.
  21. Perennou DA, Leblond C, Amblard B, Micallef JP, Rouget E, Pelissier J. The polymodal sensory cortex is crucial for controlling lateral postural stability: evidence from stroke patients. Brain Res Bull 2000; 53(3): 359-65.
  22. Perennou D, Benaim C, Rouget E, Rousseaux M, Blard JM, Pelissier J. Postural balance following stroke: towards a disadvantage of the right brain-damaged hemisphere. Rev Neurol (Paris) 1999; 155(4): 281-90. [In French].
  23. Fu TC, Wong AM, Pei YC, Wu KP, Chou SW, Lin YC. Effect of Kinesio taping on muscle strength in athletes-a pilot study. J Sci Med Sport 2008; 11(2): 198-201.
  24. Jaraczewska E, Long C. Kinesio taping in stroke: improving functional use of the upper extremity in hemiplegia. Top Stroke Rehabil 2006; 13(3): 31-42.
  25. Karadag-Saygi E, Cubukcu-Aydoseli K, Kablan N, Ofluoglu D. The role of kinesiotaping combined with botulinum toxin to reduce plantar flexors spasticity after stroke. Top Stroke Rehabil 2010; 17(4): 318-22.
  26. Kim KS, Seo HM, Lee HD. Effect of taping method on ADL, range of motion, hand function and quality of life in post-stroke Patients for 5 weeks. The Korean Journal of Rehabilitation Nursing. 2002; 5(1): 7-17.
  27. Simsek TT, Turkucuoglu B, Cokal N, Ustunbas G, Simsek IE. The effects of Kinesio(R) taping on sitting posture, functional independence and gross motor function in children with cerebral palsy. Disabil Rehabil 2011; 33(21-22): 2058-63.
  28. Yasukawa A, Patel P, Sisung C. Pilot study: investigating the effects of Kinesio Taping in an acute pediatric rehabilitation setting. Am J Occup Ther 2006; 60(1): 104-10.
  29. Cortesi M, Cattaneo D, Jonsdottir J. Effect of kinesio taping on standing balance in subjects with multiple sclerosis: A pilot studym{1}. NeuroRehabilitation 2011; 28(4): 365-72.
  30. Choi YK, Nam CW, Lee JH, Park YH. The Effects of Taping Prior to PNF Treatment on Lower Extremity Proprioception of Hemiplegic Patients. J Phys Ther Sci 2013; 25(9): 1119-22.
  31. Kaur J, Kumar A. Effect of task-specific training on Gait parameters in hemiparetic stroke patients. IJPMR 2009; 20(1): 23-6.
  32. de Haart M, Geurts AC, Huidekoper SC, Fasotti L, van Limbeek J. Recovery of standing balance in postacute stroke patients: a rehabilitation cohort study. Arch Phys Med Rehabil 2004; 85(6): 886-95.
  33. Lundin-Olsson L, Nyberg L, Gustafson Y. Attention, frailty, and falls: the effect of a manual task on basic mobility. J Am Geriatr Soc 1998; 46(6): 758-61.
  34. Podsiadlo D, Richardson S. The timed "Up and Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39(2): 142-8.
  35. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther 2000; 80(9): 896-903.
  36. Nakhostin AN, Naghdi S, Forogh B, Hasson S, Atashband M, Lashgari E. Development of the Persian version of the Modified Modified Ashworth Scale: translation, adaptation, and examination of interrater and intrarater reliability in patients with poststroke elbow flexor spasticity. Disabil Rehabil 2012; 34(21): 1843-7.
  37. Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil 2005; 86(8): 1641-7.
  38. Faria CD, Teixeira-Salmela LF, Nadeau S. Effects of the direction of turning on the timed up & go test with stroke subjects. Top Stroke Rehabil 2009; 16(3): 196-206.
  39. Kim YR, Kim YY, Kim BK, Kang KY, Park JK. Effects of ankle joint taping on postural balance control in stroke patients. Journal of International Academy of Physical Therapy Research 2012; 3(2): 446-52.
  40. Haselkorn JK, Loomis S. Multiple sclerosis and spasticity. Phys Med Rehabil Clin N Am 2005; 16(2): 467-81.
  41. Simoneau GG, Degner RM, Kramper CA, Kittleson KH. Changes in ankle joint proprioception resulting from strips of athletic tape applied over the skin. J Athl Train 1997; 32(2): 141-7.
  42. Chen WC, Hong WH, Huang TF, Hsu HC. Effects of kinesio taping on the timing and ratio of vastus medialis obliquus and vastus lateralis muscle for person with patellofemoral pain. Journal of Biomechanics40: S318.
  43. Kilbreath SL, Perkins S, Crosbie J, McConnell J. Gluteal taping improves hip extension during stance phase of walking following stroke. Aust J Physiother 2006; 52(1): 53-6.
  44. Mansfield A, Danells CJ, Inness E, Mochizuki G, McIlroy WE. Between-limb synchronization for control of standing balance in individuals with stroke. Clin Biomech (Bristol, Avon) 2011; 26(3): 312-7.
  45. Houdijk H, ter HN, Nooijen C, Rijntjes D, Tolsma M, Lamoth C. Energy expenditure of stroke patients during postural control tasks. Gait Posture 2010; 32(3): 321-6.
  46. Reiter F, Danni M, Lagalla G, Ceravolo G, Provinciali L. Low-dose botulinum toxin with ankle taping for the treatment of spastic equinovarus foot after stroke. Arch Phys Med Rehabil 1998; 79(5): 532-5.
  47. Baricich A, Carda S, Bertoni M, Maderna L, Cisari C. A single-blinded, randomized pilot study of botulinum toxin type A combined with non-pharmacological treatment for spastic foot. J Rehabil Med 2008; 40(10): 870-2.
  48. Hufschmidt A, Mauritz KH. Chronic transformation of muscle in spasticity: a peripheral contribution to increased tone. J Neurol Neurosurg Psychiatry 1985; 48(7): 676-85.
  49. Thilmann AF, Fellows SJ, Garms E. The mechanism of spastic muscle hypertonus. Variation in reflex gain over the time course of spasticity. Brain 1991; 114 (Pt 1A): 233-44.
  50. Ryerson SD. The foot in hemiplegia. In: Hunt GC. Physical therapy of the foot and ankle. New York, NY: Churchill Livingstone Inc; 1988. p. 109-32.
  51. Booth BJ, Doyle M, Montgomery J. Serial casting for the management of spasticity in the head-injured adult. Phys Ther 1983; 63(12): 1960-6.
  52. Griffin JW. Use of proprioceptive stimuli in therapeutic exercise. Phys Ther 1974; 54(10): 1072-9.
Journal of Isfahan Medical School
Volume 33, Issue 329 - Serial Number 329
March and April 2015
Pages 467-478

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History

  • Receive Date: 06 February 2015
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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