Physical Therapy Rehabilitation Science

korean Academy of Physical Therapy Rehabilitation Science (물리치료재활과학회)
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Effects of kinesio taping on the gait parameters of children with cerebral palsy: a pilot study

  • Jung, Sun-Hye (JungWoo Children Development Center) ;
  • Song, Sun-Hae (Department of Physical Therapy, Graduate School of Kyungnam University) ;
  • Kim, Da-Rye (Department of Physical Therapy, Kyungnam University) ;
  • Kim, Seul-Gi (Department of Physical Therapy, Kyungnam University) ;
  • Park, Ye-Jin (Department of Physical Therapy, Kyungnam University) ;
  • Son, Yeon-Jung (Department of Physical Therapy, Kyungnam University) ;
  • Lee, GyuChang (Department of Physical Therapy, Kyungnam University)
  • Received : 2016.11.23
  • Accepted : 2016.12.13
  • Published : 2016.12.13
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Abstract

Objective: Children with spastic diplegic cerebral palsy show weakness especially in the lower-extremity rather than upper-extremity muscles and display characteristics such as asymmetric alignment, deficits in postural control or balance ability, and slow walking speed. Various therapeutic interventions are applied to children with cerebral palsy, of which taping is widely used in the field of rehabilitation, however, there are few studies of the effects of kinesio taping on gait patterns of children with cerebral palsy. The present study investigated the effects of kinesio taping on gait parameters of children with cerebral palsy. Design: Cross-sectional study. Methods: Four children with spastic diplegia participated in this study. The participants' gait parameters while walking 10 m with and without kinesio taping (tibialis anterior, quadriceps femoris, and gluteus maximus) were recorded. Gait parameters including gait velocity, cadence, step length, stride length, single support time, and double support time were evaluated using the GAITRite. Mean values were obtained after having the subjects walk three times in each condition with a 5-minute rest period between each condition. The order of each condition was assigned randomly. Results: There were significant improvements in gait velocity, step length, stride length, and single support time of the right leg with kinesio taping condition compared to the without kinesio taping condition taping (p<0.05). However, there were no significant differences in cadence, single support time of the left leg, or double support time. Conclusions: The results show that kinesio taping may have a positive effect for improving gait parameters of children with spastic diplegia. However, its usefulness in the rehabilitation of children with cerebral palsy needs to be further investigated.

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References

  1. Khandaker G, Smithers-Sheedy H, Islam J, Alam M, Jung J, Novak I, et al. Bangladesh Cerebral Palsy Register (BCPR): a pilot study to develop a national cerebral palsy (CP) register with surveillance of children for CP. BMC Neurol 2015;15:173. https://doi.org/10.1186/s12883-015-0427-9
  2. Nelson KB. Can we prevent cerebral palsy? N Engl J Med 2003;349:1765-9. https://doi.org/10.1056/NEJMsb035364
  3. Papavasiliou AS. Management of motor problems in cerebral palsy: a critical update for the clinician. Eur J Paediatr Neurol 2009;13:387-96. https://doi.org/10.1016/j.ejpn.2008.07.009
  4. Pirpiris M, Wilkinson AJ, Rodda J, Nguyen TC, Baker RJ, Nattrass GR, et al. Walking speed in children and young adults with neuromuscular disease: comparison between two assessment methods. J Pediatr Orthop 2003;23:302-7.
  5. Rethlefsen SA, Ryan DD, Kay RM. Classification systems in cerebral palsy. Orthop Clin North Am 2010;41:457-67. https://doi.org/10.1016/j.ocl.2010.06.005
  6. Nelson KB. The epidemiology of cerebral palsy in term infants. Ment Retard Dev Disabil Res Rev 2002;8:146-50. https://doi.org/10.1002/mrdd.10037
  7. Reddihough D. Cerebral palsy in childhood. Aust Fam Physician 2011;40:192-6.
  8. Goh HT, Thompson M, Huang WB, Schafer S. Relationships among measures of knee musculoskeletal impairments, gross motor function, and walking efficiency in children with cerebral palsy. Pediatr Phys Ther 2006;18:253-61. https://doi.org/10.1097/01.pep.0000233054.26082.4e
  9. Thompson N, Stebbins J, Seniorou M, Newham D. Muscle strength and walking ability in diplegic cerebral palsy: implications for assessment and management. Gait Posture 2011;33:321-5. https://doi.org/10.1016/j.gaitpost.2010.10.091
  10. Aisen ML, Kerkovich D, Mast J, Mulroy S, Wren TA, Kay RM, et al. Cerebral palsy: clinical care and neurological rehabilitation. Lancet Neurol 2011;10:844-52. https://doi.org/10.1016/S1474-4422(11)70176-4
  11. Lewis JS, Wright C, Green A. Subacromial impingement syndrome: the effect of changing posture on shoulder range of movement. J Orthop Sports Phys Ther 2005;35:72-87. https://doi.org/10.2519/jospt.2005.35.2.72
  12. Kim WI, Choi YK, Lee JH, Park YH. The effect of muscle facilitation using kinesio taping on walking and balance of stroke patients. J Phys Ther Sci 2014;26:1831-4. https://doi.org/10.1589/jpts.26.1831
  13. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the Kinesio Taping method. 2nd ed. Tokyo: Ken Ikai Co Ltd.; 2003.
  14. Lee K, Yi CW, Lee S. The effects of kinesiology taping therapy on degenerative knee arthritis patients' pain, function, and joint range of motion. J Phys Ther Sci 2016;28:63-6. https://doi.org/10.1589/jpts.28.63
  15. Ekiz T, Aslan MD, Ozgirgin N. Effects of Kinesio Tape application to quadriceps muscles on isokinetic muscle strength, gait, and functional parameters in patients with stroke. J Rehabil Res Dev 2015;52:323-31. https://doi.org/10.1682/JRRD.2014.10.0243
  16. Mostert-Wentzel K, Swart JJ, Masenyetse LJ, Sihlali BH, Cilliers R, Clarke L, et al. Effect of kinesio taping on explosive muscle power of gluteus maximus of male athletes. South Afr J Sport Med 2012;24:75-80. https://doi.org/10.17159/2078-516X/2012/v24i3a764
  17. Woollacott MH, Shumway-Cook A. Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance? Neural Plast 2005;12:211-9. https://doi.org/10.1155/NP.2005.211
  18. Chinn L, Dicharry J, Hart JM, Saliba S, Wilder R, Hertel J. Gait kinematics after taping in participants with chronic ankle instability. J Athl Train 2014;49:322-30. https://doi.org/10.4085/1062-6050-49.3.08
  19. Deschamps K, Dingenen B, Pans F, Van Bavel I, Matricali GA, Staes F. Effect of taping on foot kinematics in persons with chronic ankle instability. J Sci Med Sport 2016;19:541-6. https://doi.org/10.1016/j.jsams.2015.07.015
  20. Boguszewski D, Tomaszewska I, Adamczyk JG, Bialoszewski D. Evaluation of effectiveness of kinesiology taping as an adjunct to rehabilitation following anterior cruciate ligament reconstruction. Preliminary report. Ortop Traumatol Rehabil 2013;15:469-78. https://doi.org/10.5604/15093492.1084361
  21. Hyun KH, Cho HY, Lim CG. The effect of knee joint Mulligan taping on balance and gait in subacute stroke patients. J Phys Ther Sci 2015;27:3545-7. https://doi.org/10.1589/jpts.27.3545

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