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Effect of Jeonbuk Tri-Pull Taping and Proprioceptive Neuromuscular Facilitation Exercise on Shoulder Active Range of Motion, Pain, Subluxation, Upper Extremity Function and Activities of Daily Living in Patients with Stroke -A Case Study-

Jeonbuk Tri-Pull Taping과 고유수용성신경근촉진법 운동이 뇌졸중 환자의 어깨관절 가동범위, 통증, 아탈구, 팔 기능 및 일상생활수행능력에 미치는 영향 -사례연구-

  • Kim, Beom-Ryong (Department of Physical Therapy, Design Hospital) ;
  • Kang, Tae-Woo (Department of Physical Therapy, College of Health and Welfare, Woosuk University)
  • 김범룡 (대자인병원 재활센터) ;
  • 강태우 (우석대학교 보건복지대학 물리치료학과)
  • Received : 2019.01.06
  • Accepted : 2019.02.18
  • Published : 2019.08.31

Abstract

Purpose: This study aims to determine the effect of Jeonbuk tri-pull taping and proprioceptive neuromuscular facilitation (PNF) exercise on the shoulder's active range of motion, pain, subluxation, upper extremity function, and activities of daily living in patients with stroke. Methods: In this study, Jeonbuk tri-pull taping and PNF exercise were applied to three patients with stroke and subluxation. The tape was removed and new tape applied for two days every Monday, Wednesday, and Friday over six consecutive weeks. PNF exercise was applied five times a week for six weeks. To measure the range of motion, a smart phone clinometer application was used, and the degree of pain was measured using a visual analogue scale (VAS). A jig measuring method was employed to measure the distance of subluxation. The Fugl-Meyer Assessment (FMA) was used to evaluate arm function, and the modified Barthel Index (MBI) was employed to evaluate the activities of daily living. Results: The shoulder's active range of motion was improved in the patients compared to the range of pre-tests, and the pain and subluxation distance were reduced compared to those of pre-tests. Arm function and activities of daily living were increased compared to those of pre-tests. Conclusion: The study results verified that Jeonbuk tri-pull taping and PNF exercise are useful when applied to patients with subluxation and stroke.

Keywords

References

  1. Adler SS, Beckers D, Buck M. PNF in practice: an illustrated guide, 4th ed. Heidelberg. Springer. 2016.
  2. Arya KN, Pandian S, Puri V. Rehabilitation methods for reducing shoulder subluxation in post-stroke hemiparesis: a systematic review. Topics in Stroke Rehabilitation. 2018;25(1):68-81. https://doi.org/10.1080/10749357.2017.1383712
  3. Bong SN, Kim YJ, Kang MG, et al. Effects of proprioceptive neuromuscular facilitation exercise on forced expiratory volume at one second, pain, and functional disability index of chronic low back pain patients. PNF and Movement. 2016;14(3):185-193. https://doi.org/10.21598/JKPNFA.2016.14.3.185
  4. Brunnstrom S. Movement therapy in hemiplegia: a neurophysiological approach. New York. Harper & Row. 1970.
  5. Calliet R. Shoulder pain. Philadelphia. FA Davis Co. 1991.
  6. Chatterjee S, Arumugam N, Midha D, et al. Effect of California tri-pull taping method on shoulder subluxation, pain, active range of motion and upper limb functional recovery after stroke: a pretest post test design. American Journal of Psychiatry and Neuroscience. 2015;3(5):98-103. https://doi.org/10.11648/j.ajpn.20150305.14
  7. Chatterjee S, Hayner KA, Arumugam N, et al. The California tri-pull taping method in the treatment of shoulder subluxation sfter stroke: a randomized clinical trial. North American Journal of Medicine and Science. 2016;8(4):175-182. https://doi.org/10.4103/1947-2714.179933
  8. Choi YK, Nam CW, Lee JH, et al. The effects of taping prior to PNF treatment on lower extremity proprioception of hemiplegic patients. Journal of Physical Therapy Science. 2013;25(9):1119-1122. https://doi.org/10.1589/jpts.25.1119
  9. Dajpratham P, Sura P, Lektrakul N, et al. Efficacy of shoulder slings in shoulder subluxation of stroke patients. Journal of the Medical Association of Thailand. 2006;89(12):2050-2055.
  10. de Kroon JR, Ijzerman MJ, Chae J, et al. Relation between stimulation characteristics and clinical outcome in studies using electrical stimulation to improve motor control of the upper extremity in stroke. Journal of Rehabilitation Medicine. 2005;37(2):65-74. https://doi.org/10.1080/16501970410024190
  11. Faghri PD, Rodgers MM, Glaser RM, et al. The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients. Archives of Physical Medicine and Rehabilitation. 1994;75(1):73-79. https://doi.org/10.1016/0003-9993(94)90341-7
  12. Gladstone DJ, Danells CJ, Black SE. The fugl-meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabilitation and Neural Repair. 2002;16(3):232-240. https://doi.org/10.1177/154596802401105171
  13. Hayes KW, Sullivan JE. Reliability of a new device used to measure shoulder subluxation. Physical Therapy. 1989;69(9):762-767. https://doi.org/10.1093/ptj/69.9.762
  14. Hayner KA. Effectiveness of the California tri-pull taping method for shoulder subluxation poststroke: a single-subject ABA design. American Journal of Occupational Therapy. 2012;66(6):727-736. https://doi.org/10.5014/ajot.2012.004663
  15. Huang YC, Leong CP, Wang L, et al. Effect of kinesiology taping on hemiplegic shoulder pain and functional outcomes in subacute stroke patients: a randomized controlled study. European Journal of Physical and Rehabilitation Medicine. 2016;52(6):774-781.
  16. Jang SH, Yi JH, Chang CH, et al. Prediction of motor outcome by shoulder subluxation at early stage of stroke. Medicine. 2016;95(32):4525. https://doi.org/10.1097/MD.0000000000004525
  17. Jeong WM, Kim BR, Kang MG. Effect of treadmill training and proprioceptive neuromuscular facilitation lower leg taping on balance and gait ability in stroke patients. PNF and Movement. 2016;14(2):83-91. https://doi.org/10.21598/JKPNFA.2016.14.2.83
  18. Jeong WM, Kim BR. The effects of proprioceptive neuromuscular facilitation exercise on the pain and functional disability index of patients with chronic lower back pain. PNF and Movement. 2017;15(2):195-200. https://doi.org/10.21598/JKPNFA.2017.15.2.195
  19. Ju SK, Yoo WG. Electromyography activity of the deltoid muscle of the weight-bearing side during shoulder flexion in various weight-bearing positions. Journal of Physical Therapy Science. 2015;27(10):3285-3286. https://doi.org/10.1589/jpts.27.3285
  20. Kalichman L, Ratmansky M. Underlying pathology and associated factors of hemiplegic shoulder pain. American Journal of Physical Medicine and Rehabilitation. 2011;90(9):768-780. https://doi.org/10.1097/PHM.0b013e318214e976
  21. Kang SJ, Kim IS. Effects of a taping therapy on shoulder range of motion and pain, physical function and depression of stroke patients with hemiplegia. Korean Journal of Adult Nursing. 2012;24(3):294-304. https://doi.org/10.7475/kjan.2012.24.3.294
  22. Kang TW, Ham KH. Effect of trunk stability exercises with stabilizing reversal and rhythmic stabilization of PNF for muscle strength and balance ability in stroke patients. Journal of Korea Proprioceptive Neuromuscular Facilitation Association. 2014;12(2):63-69.
  23. Kim BR, Lee HJ. Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. Journal of Exercise Rehabilitation. 2017;13(4):486-490. https://doi.org/10.12965/jer.1735030.515
  24. Kim BR, Yi DH, Yim JE. Effect of stabilizing reversal technique of proprioceptive neuromuscular facilitation and taping convergence on wrist pain and grip strength. Journal of the Korea Convergence Society. 2018;9(7):117-124. https://doi.org/10.15207/JKCS.2018.9.7.117
  25. Kim CH, Kim BR, Kang MG. Effect of rhythmic stabilization technique, before proprioceptive neuromuscular facilitation wrist taping, on grip strength and pain in wrist pain patients. Journal of Korea Proprioceptive Neuromuscular Facilitation Association. 2016;14(2):105-112. https://doi.org/10.21598/JKPNFA.2016.14.2.105
  26. Kim CH, Kim BR. The effects of abdominal strength training using proprioceptive neuromuscular facilitation on the balance ability and pain of patients with chronic lower back pain. PNF and Movement. 2017;15(2):141-148. https://doi.org/10.21598/JKPNFA.2017.15.2.141
  27. Kim EB, Kim YD. Effects of kinesiology taping on the upper-extremity function and activities of daily living in patients with hemiplegia. Journal of Physical Therapy Science. 2015;27(5):1455-1457. https://doi.org/10.1589/jpts.27.1455
  28. Kim MK, Ji SK, Jun HJ, et al. The effect of modified CIMT combined with kinesio-taping on upper limb function in hemiplegic patients. Journal of the Korean Society of Physical Medicine. 2009;4(3):183-192.
  29. Klein DA, Stone WJ, Phillips WT, et al. PNF training and physical function in assisted-living older adults. Journal of Aging and Physical Activity. 2002;10(4): 476-488. https://doi.org/10.1123/japa.10.4.476
  30. Ko DI. Algiswiun kinesio taping yobeob. Seoul. Pureussub. 2000.
  31. Krause DA, Dueffert LG, Postma JL, et al. Influence of body position on shoulder and trunk muscle activation during resisted isometric shoulder external rotation. Sports Health. 2018;10(4):355-360. https://doi.org/10.1177/1941738118769845
  32. Kwon OS, Kim SY, Oh DW, et al. Effects of non-stretchable and stretchable tapes used for strapping shoulder subluxations in stroke patients. Korean Journal of Health Promotion. 2010;10(3):139-146.
  33. Lee JN, Lim CG. Effects of scapular taping on muscle activity, pain, range of motion and proprioception in subacute stroke patients. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(11):5689-5697. https://doi.org/10.5762/KAIS.2013.14.11.5689
  34. Lee JH, Jeong HJ, Sim YJ, et al. The effect of strapping on hemiplegic shoulder subluxation: a pilot study. Brain & Neurorehabilitation. 2009;2(1):78-84. https://doi.org/10.12786/bn.2009.2.1.78
  35. Macdonald R. Taping techniques principles and practice, 2nd ed. New York. Elsevier. 2007.
  36. Pandian JD, Kaur P, Arora R, et al. Shoulder taping reduces injury and pain in stroke patients randomized controlled trial. Neurology. 2013;80(6):528-532. https://doi.org/10.1212/WNL.0b013e318281550e
  37. Peterson C. The use of electrical stimulation and taping to address shoulder subluxation for a patient with central cord syndrome. Physical Therapy. 2004;84(7):634-643. https://doi.org/10.1093/ptj/84.7.634
  38. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel index for stroke rehabilitation. Journal of Clinical Epidemiology. 1989;42(8):703-709. https://doi.org/10.1016/0895-4356(89)90065-6
  39. Song MS, Kim BR. Application of proprioceptive neuromuscular facilitation to improve upper extremity function and activity of daily living in stroke patients: a case report. Journal of Korea Proprioceptive Neuromuscular Facilitation Association. 2015;13(3):155-162.
  40. Song MS, Kim BR, Kim CH, et al. A case report of a proprioceptive neuromuscular facilitation intervention strategy applied with an ICF tool in a patient with anterior cruciate ligament reconstruction. PNF and Movement. 2017;15(1):1-11. https://doi.org/10.21598/JKPNFA.2017.15.1.1
  41. van Bladel A, Lambrecht G, Oostra KM, et al. A randomized controlled trial on the immediate and long-term effects of arm slings on shoulder subluxation in stroke patients. European Journal of Physical and Rehabilitation Medicine. 2017;53(3):400-409.
  42. Wagner DR, Tatsugawa K, Parker D, et al. Reliability and utility of a visual analog scale for the assessment of acute mountain sickness. High Altitude Medicine and Biology. 2007;8(1):27-31. https://doi.org/10.1089/ham.2006.0814
  43. Walsh K. Management of shoulder pain in patients with stroke. Postgraduate Medical Journal. 2001;77(912):645-649. https://doi.org/10.1136/pmj.77.912.645
  44. Werner BC, Holzgrefe RE, Griffin JW, et al. Validation of an innovative method of shoulder range-of-motion measurement using a smartphone clinometer application. Journal of Shoulder and Elbow Surgery. 2014;23(11):e275-e282. https://doi.org/10.1016/j.jse.2014.02.030